What to Expect During Your First Consultation

PATIENT HISTORY:

Patients are examined in the outpatient clinic. At this time their full medical history would be taken, including any history of injury and an assessment is then made. The most common complaint is pain during the night; this often results in disturbance to the normal sleep pattern.

EXAMINATION:

Examination involves assessing the neck and shoulders. Ranges of movement in the shoulder are assessed. Shoulder examination will compare the painful shoulder to the good side thereby establishing what is normal for the individual patient.

X-RAYS:

If required, X-rays and scans are required, these can normally take place on the same day - see One Stop Shoulder Clinic. There may be a day or so to wait for an MRI scan.

TREATMENT:

Treatment may commence during your first visit to the clinic; this may consist of an injection of local steroid for conditions such as impingement syndrome and rotator cuff problems. Physiotherapy may also be arranged at this time. If surgery is suggested, this will be discussed thoroughly, along with all other available treatment options.

POST OPERATIVE CARE:

On return from theatre the operative site will be covered with a dressing and the arm is usually held in a poly-sling. This is for comfort and occasionally, to make sure the arm is immobilised, depending on the type of surgery carried out.
The operation is carried out under a light general anaesthetic and an interscalene block* this surgery is usually carried out, as a day case but may occasionally require an overnight stay in hospital.

AFTERCARE:

All Patients are routinely followed up to assess their progress with a treatment plan tailored to meet each individual's requirements.