After undergoing shoulder surgery, such as a rotator cuff repair, it’s not uncommon to notice unusual sounds or sensations, like clicking and popping, in your shoulder. These occurrences often lead to concerns about whether they signal a problem with your recovery. In this blog, we’ll explore the reasons behind these auditory phenomena, discussing insights from Dr. David Guyer, a triple board-certified orthopedic surgeon and sports medicine specialist. From inflammation to changes in shoulder mechanics, we’ll delve into the potential causes of post-surgical clicking, helping you understand when it might be a normal part of healing and when it warrants further investigation. Join us as we break down the complexities of post-operative shoulder sounds and provide guidance on navigating your recovery journey.

Potential Causes of Clicking and Popping

After undergoing shoulder surgery, like a rotator cuff repair, it’s understandable to be hyper-aware of any unusual sensations or sounds coming from your shoulder. Clicking and popping are two common phenomena that may generate concern among patients. Understanding what’s happening inside your shoulder can help differentiate between normal post-operative effects and issues that may require attention.

Post-Surgical Inflammation

• Inflammation is a typical response following surgery. The tissue swelling can lead to clicking sounds as the muscles and tendons move over each other or the bones.
• As the inflammation subsides, these sounds often diminish.

Stiffness and Scar Tissue

• Post-surgical stiffness is another common cause of shoulder clicking. As you begin to regain mobility, the stretching and maneuvering of scar tissue can create popping or clicking noises.
• Physical therapy plays a vital role during this phase to ensure flexibility is restored progressively.

Altered Shoulder Mechanics

• After surgery, especially during the early stages, the shoulder’s biomechanics might not be fully normalized. Muscles and tissues may not yet be functioning optimally, potentially leading to unusual interactions between structures.
• This is often temporary and improves as strength and coordination return.

Bursa Involvement

• The bursa, a small fluid-filled sac that reduces friction between tissues, can become thickened or inflamed after surgery.
• The movement of tissues over a swollen bursa can lead to audible clicks and pops.

When to Be Concerned

While clicking and popping are usually harmless, certain signs should prompt a consultation with your healthcare provider:

• Persistent Pain: Clicking accompanied by significant pain might indicate an underlying issue that warrants attention.
• Swelling or Redness: These signs of potential infection or abnormal inflammation should be evaluated.
• Limited Range of Motion: If clicking coincides with a reduced ability to move the shoulder, further investigation could be necessary.
• Duration: If abnormal sensations persist long into the rehabilitation process, a professional opinion might be needed to ensure there’s no enduring problem.

Rehabilitation and Moving Forward

Rehabilitation is integral to recovery post-surgery. A well-structured program will not only address flexibility and strength but also help mitigate persistent clicking and popping. Here’s what you can do:

• Seek Professional Guidance: Regular communication with your orthopedic surgeon and physical therapist ensures your recovery is on track.
• Remain Patient: Healing takes time. Pushing too hard or too fast may exacerbate issues.

Additional Support

Dr. David Guyer emphasizes the importance of individualized care. Resources, such as his ebook “The Arthritis Solution,” offer valuable insight into managing joint health and understanding the broader scope of recovery. Patients seeking alternatives to surgery or cortisone shots can explore regenerative medicine options, tailored to individual needs.

Stay Informed and Involved

Engaging actively in your recovery process by asking questions and sharing experiences with your healthcare provider can lead to more tailored care. Subscribe to informative resources, like Dr. Guyer’s video series, to stay updated on best practices and new developments in orthopedic medicine.

Understanding the commonality of shoulder noises post-surgery can alleviate some concerns, helping maintain focus on rehabilitation and recovery. By staying informed and proactive, you can foster a smoother transition back to daily activities, ensuring your shoulder continues to function optimally in the long term. Remember, while occasional clicks and pops are part of the journey, your healthcare team is there to support and guide you.