Portsmouth, NH (603) 431-1121
York, ME (207) 363-3490
Toll-Free (800) 576-7626

Charity Center

Common Surgical Procedures

Below is a brief synopsis of many surgeries that are offered. Although the procedures are listed individually, it is more common that multiple procedures are combined during someone's surgery. For example, a patient may have a subacromial decompression and a rotator cuff repair and a biceps tenodesis all at the same setting. The rehabilitation for these multiple procedure surgeries follows the rehabilitation for the biggest surgery (in this case, it would follow the rehabilitation for the rotator cuff repair). In general, physical therapy lasts until the patient has pain free full range of motion. Strengthening is commenced at therapy but often continues after the patient has been discharged to a home exercise program which typically occurs 3-6 months after surgery.

All surgeries have a risk and reward associated with them. Pain relief is the reward but the risks include infection (occurs 1% of the time), stiffness (occurs in many patients and is the cause for the need for physical therapy), and persistent pain (the majority of surgeries have a 80-85% chance of success and a 15-20% chance of persistent pain). Because of the downsides to surgery, all patients are encouraged to cure their pain with nonoperative means first. Although surgery is no guarantee for success, the odds of people getting worse with surgery are less than 5%. For that reason, surgery can be an attractive option for people with chronic, intractable pain. Read more...