What to expect from subacromial decompression for shoulder impingement

Subacromial decompression creates more room for irritated tissues beneath the shoulder roof, using an arthroscopic approach when appropriate. The exact findings and any additional treatment influence the recovery plan. Early soreness and restricted lifting are common parts of healing. A sling may be used for comfort or protection according to your surgeon’s instructions. Physiotherapy then works on shoulder motion, scapular control, and rotator-cuff strength before more demanding overhead activity.

Ask how to prepare for the operation, which medicines to pause, and whether you need help at home for the first few days. Keep dressings and wounds cared for as instructed, use prescribed pain relief, and perform only the exercises given to you. Do not test the shoulder with heavy lifting because it feels better on one day. Progress from gentle motion to strengthening and work or sport tasks when your rehabilitation team confirms that the shoulder is ready.

Contact your surgical team for increasing wound redness, drainage, fever, uncontrolled pain, or new numbness or weakness in the arm. Urgent assessment is needed for severe chest pain, breathing difficulty, or a suddenly cold or pale hand. A sudden loss of shoulder function or rapidly increasing swelling also deserves prompt review.

What did you expect to find in my shoulder? How long should I use the sling? Which movements and loads are restricted? When can physiotherapy, driving, work, or sport progress?