chuckgary
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chuckgary, March 2,  2018  3:39am EST

Shoulder Surgery and Pain Management

I will be having shoulder surgery in 3 weeks, have to repair tendons and a broken scapula from a bike fall. Does anyone have any experience with surgeries and pain meds, 1st surgery and I'm also allergic to N-Saids (Ibuprophen-Aleve-aspirin) and from what I'm hearing this surgery is painful.
  • Myrna
    Myrna, March 6,  2018  8:46am EST
    Thanks Bob,Right now, I'm just looking into it a little before a very minor surgery on my eyelid, involuntary ptosis. I have to wait until it gets worse and will be covered by my medical. When I asked my dr and optometrist about it, they said wait til you see your opthamologist who will do the surgery and see what he says. I have a weight problem and in regard to other surgeries, they want me to lose a lot of weight, some won't do the surgeries unless I do and I have a lot of other risk factors. I talked with my dr and a surgeon before and they outlined various procedures etc.I think including using something else for the surgery. have parox afib and am on eliquis, lots of blood pressure medication, several diuretics etc. When  a person goes off the blood thinner does the dr put you on something else for the surgery or is your risk of a stroke higher? Or as you say talk to the dr/cardiologist.Thanks for information, it helps to have a better idea of what one needs to do.
  • Myrna
    Myrna, March 6,  2018  8:38am EST
    Thanks Bob,Right now, I'm just looking into it a little before a very minor surgery on my eyelid, involuntary ptosis. I have to wait until it gets worse and will be covered by my medical. When I asked my dr and optometrist about it, they said wait til you see your opthamologist who will do the surgery and see what he says. I have a weight problem and in regard to other surgeries, they want me to lose a lot of weight, some won't do the surgeries unless I do and I have a lot of other risk factors. I talked with my dr and a surgeon before and they outlined various procedures etc.I think including using something else for the surgery. have parox afib and am on eliquis, lots of blood pressure medication, several diuretics etc. When  a person goes off the blood thinner does the dr put you on something else for the surgery or is your risk of a stroke higher? Or as you say talk to the dr/cardiologist.Thanks for information, it helps to have a better idea of what one needs to do.
  • Ileen
    Ileen, March 6,  2018  4:35am EST
    Hi Chuckgary, I have a friend who just had this surgery. He had a machine on his shoulder that sent cold water flowing around the shoulder area. He said it was like a miracle, he hardly had any pain. He bought one to take home so he did not use much medicine! I would ask my doctor about this before you have the surgery. So he can set you up!! Hope this helps. If I get my other knee done I am buying this thing!! It about 200 dollars, but worth it. I don't do well in pain meds!! Good luck and God Bless!!
  • chuckgary
    chuckgary, March 5,  2018  1:16am EST
    Great Info everybody, Thank you. I see my E cardiologist tommorow for my pre-op clearance for surgery so I'll review with all, have a great day...
  • bfboca
    bfboca, March 4,  2018  11:55pm EST
    Hi Myrna.  Re: going off NOAC for surgery.  I've done this three times and the directions from my EP are to stop three days prior and start up again three days after.  A less conservative approach would be two days before and after your surgery.  The half life of NOACs averages some 15 hours , so a two day before and after strategy may be fine.  Check out the half life of Eliquis on their web site.     What did your cardiologist say ?  Bob
  • Myrna
    Myrna, March 4,  2018  7:50am EST
    I have parox afib and I'm on eliquis. How many days before and after a surgery do they ask you to stop the blood thinner? Even if it is a minor surgery? Also do they put you on something else or are you at risk of a stroke? I heard someone mention heparin, not sure if this was in the same context, do people have allergic reactions to it?I have allergic reactions to various things so that is concerning. Any information appreciated, I know at the time will be talking to the dr, surgeons, but our health care system is so busy overloaded, any information helps, thank you for all the information and support.
  • kriscat
    kriscat, March 3,  2018  9:28am EST
    ChuckgaryI had rotator cuff surgery last June. They sent me home with a pump that delivered pain med. at a pre set rate for the first few days. I also took Tylenol and iced continuosly- perhaps your surgeon can prescribe a pump for you. The pain was well managed although everone has a different tolerance. Good luck to you.
  • Mtn Girl
    Mtn Girl, March 3,  2018  2:51am EST
    Rotator cuff surgery on one's dominant shoulder is a challenge.  Be sure to stop your blood thinner on time -- this allows a really effective pain medication to be used.  Be stingy about doing so many things w/ your other arm when you're allowed to drive.  My left arm, too, became so painful that I could use neither!  Put meds you'll need into an easy-open container --  it's impossible to open a Rx container w/ one hand. Open microwavable meals & stack on top of each other in the freezer.  If you have pets, plan ahead for one-handed feedings.  Unless you can brush your teeth w/ your non-dominant hand, purchase an electric toothbrush & stock up on the "scythe-shaped" dental floss.  Clip your finger and toe nails as short as is comfortable.  Until your surgery, practice doing  everything w/ your "working" hand.  You'll be surprised how challenging it is just to comb your hair and get dressed.
  • mdlagas
    mdlagas, March 3,  2018  1:38am EST
    The biggest problem I have had with arm/shoulder surgeries was not pain but stiffness after having to be immobilized for an extended period for recovery after the surgery.  I was prescribed pain meds but didn't end up using very many on the pills at all.  Note that these surgeries occurred before I was diagnosed with AFIB so it could be different now.
  • chuckgary
    chuckgary, March 2,  2018  7:18am EST
    Thanks Jean thats good information, love this site-read everyday. I will most likely take Tylenol a week after and I have an appointment with my eCardiologist next week, Thanks Jean.
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