
THEODORE BLAINE MD, MBA
Pre-Op FAQS - Shoulder Replacement
How long is recovery?
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Approximately 3-4 months.
How long is the procedure?
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Approximately 90 minutes, but factor in about half a day with pre-op prepping, positioning, anesthesia procedures, and recovery.
Where is it done?
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Most of our replacement surgery is done at Stamford Hospital on the 5th floor in our collaboration with Stamford Hospital and HSS. The operating room and inpatient rooms are all on this floor. Sometimes Dr. Blaine operates at HSS Main in NYC but this must be requested and scheduled accordingly.
What kind of medical clearance do I need?
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For our shoulder replacements, HSS and Stamford Hospital require all patients to attend the Pre-Op Optimization Program (or POP) prior to their surgery. Their team of clinicians will evaluate you and help determine if any additional medical clearances are needed.
What kind of anesthesia?
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The anesthesia team ultimately decides what is safest for you based on your overall health/wellbeing. Commonly, anesthesia administers a nerve block to the operative extremity that numbs the extremity for approximately 24-36 hours (varies). They will then decide between sedation or general anesthesia with a tube to help your breathing.
Do I stay overnight?
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Most of our shoulder replacement cases stay one night in the hospital, but some choose to go home the same day if anesthesia approves. Let us know your preference before surgery.
How long do I wear a sling?
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Approximately 4-6 weeks. A handout is provided to patients in their surgical packet with specific instructions on when to start transitioning out of the sling (see handout section)
Can I drive post-op?
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No. It is not recommended to drive while wearing the sling or while taking narcotic medication. You can return to driving after 4-6 weeks post op and once the sling has been fully discontinued AND you feel safe behind the wheel.
When do I start physical therapy?
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Typically 2 weeks after surgery. You will receive your physical therapy prescription at your first post-op appointment with the PA.
Is it painful?
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Recovery varies from person to person. Some people can get by with Tylenol and some need stronger pain medication. Our team ensures you have enough pain medication to remain comfortable in the immediate post-operative period. Ice helps a lot as well.
How long is the incision?
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It has to be long enough to get the implant inside, approximately 4 inches.
How do we close the incision?
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Typically, we use dissolvable sutures that are buried underneath the incision to provide an aesthetically pleasing outcome.
Can I work after surgery?
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Depends on what kind of job you have. We recommend you stay out of work if you have a physically demanding or strenuous job. If you have a sedentary (desk/office job) you have the option of returning within a few weeks after surgery. Some patients will choose to take a few weeks off while others return within 1-2 days of surgery. You can type while in the sling.
Ice machine?
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This is optional but highly recommended.