Shoulder ArthroscopyKevin P. Murphy, M.D.

Rotator Cuff RepairLabral / SLAP Repair

Subacromial DecompressionDistal Clavicle Excision

Partial Synovectomy

General InformationI am honored that you have selected me as your

surgeon, and I consider it a privilege to provide you with the highest level of surgical care.

Please read through this disc as it will explain the process you will go through before and after surgery.

Please contact me if you have any problems or questions.

Pre-operative EvaluationYou will be seen by my Physician Assistant

pre-operativelyYour consent form will include rotator cuff

repair, labral repair, decompression, and distal clavicle excision. This gives me your permission to fix any problem that I may find

The potential complications from surgery include, but are not limited to: infection, nerve injury, loss of motion, and possible failure of repair

Pre-operative EvaluationYou will receive prescriptions for post-op pain medicationPhysical Therapy may be done at Center One or

Riverside. If these locations are not convenient, you may obtain a prescription to take elsewhere

If you were given a form for medical clearance, this must be accomplished prior to surgery

You will be fit for your immobilizer that you will receive after your surgery

You will be notified by the surgery center for your time of arrival the day before your surgery

Surgery Day Arrive at the surgery center at your scheduled time You will speak with a representative of Pain Reduction Concepts Inc., and be given a TENS unit to help with post-op pain and swelling. You will be seen by an anesthesiologist who will administer a nerve block, numbing your shoulder You will be taken back to the OR and put to sleep The procedure will generally take about an hour to an hour and a half Upon completion of the procedure, you will be taken to the recovery room where you will remain for approximately 45min or until it is deemed safe for you to go home. The TENS unit will be placed on and any further assistance or instruction regarding the device will be given at this time. Dr.Murphy and/or his physician assistant will talk to your family members immediately following the procedure to explain what was done and answer any questions.

Post-Operative Your arm will be numb and painless for 12-24 hours If you have had no pain by bedtime-take a pain pill anyway to avoid

pain in the middle of the night Start taking your anti-inflammatory medication right away-ensure

you eat something prior to taking the medication; for pain that is not controlled by that medication, take the other pain medication you were prescribed.

In addition to medication, use the prescribed TENS unit as directed. This is not a substitute for the pain medication, but will help to further reduce post-op pain and swelling.

Apply Ice to the shoulder 20 min on / 20 min off during the day for 3 days. This can be done while using the TENS unit.

Sleep with immobilizer on for 3 days

Post-OperativeKeep bandage dry for 2 daysYou may shower, but keep bandage out of the direct flow

of water for 2 days; you may find it helpful to wrap your shoulder with saran wrap to help keep it dry

Remove bandage on day 3, shower, place Band-Aids on incisions

No soaking shoulder in water for 3 weeks Remove the immobilizer daily as your arm wakes up, and

do small circles with the arm hangingWhile sitting in a chair, you may remove your immobilizer

Post-OperativeYou may type, write, work below waist levelDo not lift, carry, or power arm away from bodyStart Physical Therapy within one weekBring the TENS unit to your first Physical Therapy

appointment so the Therapist can make any necessary changes.

2 week Follow-upYou will be seen about 2 weeks from surgery by my

Physician Assistant for suture removalPlease bring your pictures/disc for review if you would

like an explanation of the procedureTherapy should be ongoingContinue to use the TENS unit as needed for pain,

swelling, and/or muscle spasms.You will be out of the immobilizer as of today if you are

not already out of itYou will be returned to light duty at workPlease ask for Dr Murphy if you are having problems

6 week Follow-upYou will be seen at 6 weeks by my Physician

Assistant for re-checkIf you are having pain that restricts motion, a

cortisone injection will be offeredTherapy will continue with emphasis on

strengthening and gaining full motionYou will be returned to limited duty at workPlease ask for Dr Murphy if you are having any

problems

12 week Follow-upYou will see Dr Murphy and/or his physician

assistant at this visitYou should have near full motion and strengthPain should be minimalYou will typically be directed to home exercises

and will gain normal strength and function over the next 4-8 weeks

You should be at unrestricted work

Contact Numbers Office – 904-634-0640

Dr Murphy’s Medical Assistant- ext 1062 Call for any problems during business hours

After hours / weekends- call office number – recording will give you pager for on call team

Pain Reduction Concepts Inc. Adam Frisbie – 904-424-7020 Steve Ross – 904-591-1974 Roger Bowers – 904-610-1685

If you have an emergency situation, call 911

For more information, please visit: www.jaxsportsdoc.com