Shoulder Procedures

• Significant pain reduction in properly selected cases 

• Restored range of motion for daily activities 

• Prevention of further joint damage 

• Improved sleep quality without shoulder pain 

• High success rates for rotator cuff repairs 

Rotator Cuff Repair Our surgeons use arthroscopic (keyhole) techniques to reattach torn tendons to the humerus bone. The procedure typically takes 1-2 hours under general anaesthesia, with most patients discharged the same day.  Subacromial Decompression This minimally invasive procedure widens the space between rotator cuff and acromion bone. Surgeons remove inflamed tissue and bone spurs, relieving impingement. Recovery usually takes 4-6 weeks.  Shoulder Replacement For advanced arthritis, we offer: 

• Partial replacements (humeral head only) 

• Total shoulder replacements 

• Reverse geometry replacements for complex cases 

• Persistent shoulder pain affecting daily activities 

• Limited arm mobility and difficulty reaching overhead 

• Weakness in the arm or difficulty lifting objects 

• Popping/clicking sensations with movement 

• Night pain that disrupts sleep 

• Initial consultation (in London or online) with our shoulder specialist 

• Diagnostic imaging (MRI/ultrasound) review 

• Personalised treatment plan creation 

• Scheduled surgery date at our partnered Vithas hospital 

Before surgery, you'll complete: 

• Full health assessment including blood tests 

• Medication review to prepare for surgery 

• Prehabilitation exercises to strengthen supporting muscles 

• Smoking cessation advice if applicable 

• Performed under general anaesthesia 

• 1-3 hour procedure depending on complexity 

• Arthroscopic techniques for minimal tissue damage 

• Specialised implants for replacement surgeries 

While uncommon, may include: 

• Temporary stiffness 

• Mild swelling around the joint 

• Infection risk (minimised with sterile protocols) 

After surgery, this shoulder may well be sore and you will be given painkillers to help this whilst in hospital. These can be continued after you are discharged home. Ice packs may also help reduce pain. Wrap crushed ice or frozen peas in a damp, cold cloth and place on the shoulder for up to 15 minutes. A sling which incorporates reusable ice packs is available from the physiotherapy department at the UPMC Sports Surgery Clinic.

Wearing a Sling

You will return from the operating theatre wearing a sling. Your surgeon will advise you on how long you are to continue wearing the sling. This is usually for between 2-4 weeks depending upon the size of the tear. You will be expected to remove the sling for exercises only. Your physiotherapist will advise you of these.

Driving following Rotator Cuff Surgery

Your consultant will confirm when you may begin driving following Rotator Cuff Repair, generally after 4 weeks. You may be able to drive earlier if you drive an automatic car.

Returning to Work Following Rotator Cuff Surgery

This will depend upon the size of your tear and your occupation. Your consultant will advise you on this.

• 24/7 medical support during your hospital stay 

• Physiotherapy begins immediately after surgery 

• 3-5 day hospital stay for replacement procedures 

• Personalised recovery plan provided at discharge 

Our specialist physiotherapists provide: 

• Early mobilisation techniques 

• Gradual strengthening programme 

• Movement guidance to protect healing tissues 

• Home exercise plan for continued progress 

We arrange assisted travel for your return journey and provide comprehensive recovery guidelines. Most patients resume light activities within 2-4 weeks, with full recovery taking 3-6 months. We can refer you to UK-based physiotherapists for ongoing rehabilitation if needed. 

• Rotator cuff repair: For torn shoulder tendons 

• Subacromial decompression: To relieve impingement pain 

• Shoulder replacement: For advanced arthritis cases 

Performed by consultant orthopaedic surgeons at Vithas Alicante, these procedures help restore pain-free movement when non-surgical treatments fail.