How is procedure
At Family Hospital, the
procedure can be performed both by open surgery or shoulder arthroscopy. This
will depend on your medical records and the recommendation of our surgeons once
he inserts the small camara to see the inside of your shoulder and its surrounding
areas ( Cartilage, bone, tendons, etc ). Our surgeons will check for any damage
above the rotator cuff and remove any unnecessary bruised tissues ( if any ) or
bone spur removal. Your surgery will consist of both regional blockage and
general anesthesia . Surgery from start to finish takes approximately 2-3 hours
followed by an additional 2-4 hours in the recovery room. Your tendon is
attached with sutures ( called suture anchors ) and we use the same sutures you
can find in the best hospitals in the United States ( Artex / Smith &
Nephew ). The suture anchors can be both metal or dissolvable, this will depend
on our surgeons recommendation in regards to your particular case. Once the
surgery is completed, the incisions are closed and a recovery process begins with
physical rehabilitation that must be carefully followed.
Material that we use –
Artex / Smith & Nephew
Arrival in airport or designated location. Transportation to hospital. Pre-Op
testing and consultation. Spend night in hospital
Day 2- Surgery day, recovery in hospital
Day 3- Patient
eligible to go to hotel for recovery, physical therapy begins
therapy can be done both by yourself or by a therapist, this will depend on
what you’d prefer would be best for you. Our surgical team will instruct you
how to do physical therapy and we will provide you with a guideline.
Day 4- Patient is eligible to go back home if patient
desires to continue physical therapy in his local community. If patient desired
to do physical therapy in Mexicali we can coordinate his/her transportation to
our physical therapy center.
NOTE: Please keep
in mind, all ground transporation while recovering in Mexicali for physical
therapy or doctor appointments are provided by Family Hospital at no extra
1. Complete your Medical Questionaire Form
2. If you have medical images or reports, please
upload them or send them so we can start reviewing your case
3. Please discuss with your Case Manager any
particular questions or concerns
4. If you are taking any medications please let us
5. Once we approve your case, we can finalize your
details and create your itinerary.
If you need a letter from us to your employer, let
us know so we can provide one for time off work related duties.
- You will take antibiotics and pain medication
for approx 15 days
- You will be wearing a sling for 4-8 weeks.
- We will provide you with instructions about how
to do your physical therapy sessions. You will do ‘Passive Motion Excercises’
for 8 weeks ( This means you will use your other arm for assistance during your
physical therapy sessions )
- You will gain 10% more strength every month for
- After your 8 months, it will take an extra 6
months to gain the remaining 20% of your strength
- The first 8 weeks of your recovery is crucial
and most tendons after surgery tend to get torn if not handled properly within
the first 8 weeks. Be specially careful the first 8 weeks.
- You can go back to jogging after 10 weeks of
- You should not be involved in physical sport activities until after 6
- No smoking for the first 6 months post surgery
1. How long
will I be in pain after surgery? 1-3 days but physical therapy will pinch a
2. How much
physical therapy do I need to do after surgery? You will need to do
physical therapy for at least 6 months. First 8 weeks will be ‘Passive Motion’
Then you can start using small weights. Instruction will be provided for your
3. When can
I go back to my normal work activities? Depends the type of work you do,
please ask Case Manager for more information.
4. What do I
do if the tendon gets torn again? Best thing to do to avoid this from
happening is to follow very carefully the post-op instructions that will be
provided to you after your surgery especially for the first 8 weeks. If you
feel the tendon(s) got torn again, we will need to make sure by an MRI and if
we need to redue surgery we will perform it for a highly-discounted price.
Please be very careful after surgery by following the instructions of our
How do I
prevent this from happening again? Just being careful. Always stretch
before excercising and try not to do anything out of the ordinary.
6. How long
do I need to stay near Mexicali for the recovery? 2-3 days max