Shoulder Tendon Repair-Rotator Cuff in Thailand

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About the Shoulder Tendon Repair-Rotator Cuff

The group of muscles and tendons form a cuff over the shoulder joint which is called as a rotator cuff. The rotator cuff holds the arm in the joint that aids in the movement. When one or more tendon muscle becomes damaged, stiffness, rotator cuff pain and soreness is developed along with decrease in the mobility. Rotator cuff repair is procedure that is used to repair the torn tendon and muscles in the shoulder which can be torn due to injury or overuse. The main goal of the rotator cuff repair is to restore the flexibility and movement of the joint and to decrease the pain.

Reasons for rotator cuff repair

Injuries – Athletics and construction workers are mostly involved in the rotator cuff injury. Repetitive movement and overuse may cause tendon tear.

  • Tear of rotator cuff
  • Inflammation of the tendon
  • Inflammation of the bursa

Advantages

  • Causes less rotator cuff pain
  • Requires less hospital stay
  • Causes less complications
  • Facilitates fast recovery

Treatment options

Partial rotator cuff injury tears can be treated non-surgically by taking rest, non-steroidal anti-inflammatory drugs, steroidal injections, and exercises. Severe rotator cuff injury tears require surgical treatment. The surgical techniques that are used to treat severe tears of rotator cuff include:

  • Arthroscopy
  • Open repair surgery
  • Mini open repair surgery

Arthroscopic surgery

Arthroscopy involves a small incision through which a narrow tube with a fiber-optic video camera is inserted that is connected to a television monitor. The arthroscope is inserted allowing the surgeon to visualize the internal structure of the joint. Small additional incisions are made to insert the surgical tools those are used to repair the joint.

Open repair surgery

This surgery is done for complex tears. During open repair surgery, a large muscle called deltoid muscle is slowly moved away to perform the surgery.

Mini – open repair surgery

The mini-open repair surgery is done by using an arthroscope. The damaged tissue or bone spurs are removed through arthroscopy. Mini-open repair surgery is a combination of both arthroscopy and open repair surgery.

Failure of the non-surgical treatment may cause the need for surgery.

 

How is Shoulder Tendon Repair-Rotator Cuff performed?

During the surgical procedure

Rotator cuff surgery can be performed on an out-patient basis depending upon the surgical procedure.

Arthroscopic procedure

Arthroscopic surgery involves the use of an arthroscope, which is a narrow tube with a fiber-optic video camera. An anesthetic will be administered which may be a regional anesthetic or a local anesthetic that causes numbness in the shoulder.

Anti-septic solution will be used to clean the surgical site. Depending on the type of surgery, your doctor makes an incision on the surgical site. The arthroscope will be inserted into the surgical site. Then other surgical tools will be inserted through the other incision.

The damaged tendon is then repaired by grafting the tendon from another part of the body. If bone spurs are present, then they are removed. The incision will be closed and a sterile bandage will be applied.

Open repair procedure

Open repair surgeries are performed for complex tears. Torn rotator cuff is the condition that may require this procedure. After administering anesthesia, an incision is made to open the shoulder joint and the deltoid muscle is then slowly removed or detached to perform the required surgical procedure.

Mini-open repair procedure

This procedure involves 3-5 cm incision and involves advanced technology surgical tools to perform the surgery. The arthroscope is used to perform the surgery.  After the completion of the arthroscopic surgery, the surgeon makes a mini incision to repair and view the joint directly.

Recovery from Shoulder Tendon Repair-Rotator Cuff

Post-surgical care

  • You will be given a sling or a shoulder immobilizer during the discharge from the hospital.
  • You should maintain the wound clean and dry to prevent infections
  • You can use an ice bag on the shoulder if you experience any pain or swelling on the shoulder.
  • You should inform your physician if you experience numbness, fever, severe pain, redness, and drainage from the incision site.
  • Healthy and normal diet can be followed unless your physician recommends a specific diet.

Risks associated with the surgery

  • The stiffness of the joint may remain even after surgery
  • More prone to infections
  • Need for an additional surgery due to damage to deltoid muscle

Patient Stories

Frequently Asked Questions

What is the health care infrastructure of Thailand / Why should opt for Thailand as a destination for your medical treatment
Hospitals in Thailand have seen an increase in number in the past few years. One of the many reasons for such surprise growth in the healthcare division can be the development of the public health sector which comprises 9,765 health locations along with 1,002 hospitals. As the Public Hospitals in Thailand are operated by the MOPH (Ministry of Public Health), the Private Hospitals in Thailand are regulated under the Medical Registration Division. The treatments in Thailand are also keeping up with that of other major countries all across the globe. As of 2002, the Thai Government has provided a countrywide general healthcare system that covers 99.5% of the Thai population and ensures high-quality treatments in Thailand and affordable primary medical amenities to each and every citizen of Thailand. In the year 2009, the total national expenditure on healthcare was 4.3% of the GDP of Thailand. Due to such medical advancements in Thailand, the country has become the most preferred medical destination in the world providing wide-ranging medical treatments at highly-reasonable rates at good hospitals in Thailand.
What are the conditions of the hospitals in Thailand? Are they JCI certified? What is the quality of the support staff in the hospitals?
The Joint Commission International (JCI) is a global leader in health care accreditation. JCI accreditation is considered a gold standard in worldwide health care. It provides the most skilled and experienced healthcare professionals in the medical industry, as evaluators of the rigorous international standards in healthcare quality and patient safety. Here are a few JCI certified hospitals in Thailand :
  • Yanhee Hospital
  • Bumrungrad Hospital
  • Bangkok Hospital
  • Chaophya Hospital
  • BNH Hospital
  • Ramkhamhaeng Hospital
  • Vejthani Hospital
  • Bangkok Hospital Phuket
  • Samitivej Sukhumvit Hospital
  • Praram 9 Hospital
  • Chiangmai Ram Hospital
  • Sikarin Hospital
  • Synphaet Hospital
  • Bangkok Hospital Samui
  • Nonthavej Hospital
  • Bangkok Hospital Pattaya
  • Samitivej Srinakarin Hospital
  • Samitivej Sriracha Hospital
Are the doctors/surgeons in Thailand of the best quality?
Thailand is gaining recognition for the quality of its healthcare services after the US magazine CEOWORLD placed Thailand 6th in its 2019 list of countries with the best healthcare systems. Thai doctors gain a lot of skills during their course and this helps them practice effectively. Many doctors and surgeons also visit other countries for training and certification courses to enhance their skills and knowledge. Most doctors are exposed to a public and private healthcare system in order to be able to work in any condition. It is a collective effort from all the professionals to maintain the standard of health and Thailand is doing just that.
What is the process for obtaining a medical visa in Thailand?
Currently, medical tourists To Thailand are allowed in from 34 countries. All visitors must have proof of travel health insurance that covers a minimum of US$100,000 of medical costs incurred in Thailand, including medical costs in the event that they contract COVID-19. Under the CCSA regulations, medical tourists have to arrive by air to ensure effective disease control, not via land border checkpoints. All must have an appointment letter from a doctor in Thailand and entry certificates issued by Thai embassies across the globe. People wanting to visit Thailand for medical procedures need to contact the Thai Embassy in their country to organize the visa and paperwork. Thailand’s major hospitals will provide potential candidates with an appointment letter. Permission for medical tourists to be accompanied by up to three attending persons is intended to allow such patients to have spouses, parents, or assistants in attendance during their treatment in Thailand. However, such persons will have to conform to all the same entry requirements as the medical tourists themselves, including visas and health status.
What support services does MediGence provide in Thailand?
MediGence enables you to plan and manage your medical decisions better. These are some of our services offered:
  • Expert Opinion
    We help you seek an Expert Opinion on your diagnosis and treatment from an experienced team of doctors at MediGence and specialists from a reputable hospital.
  • Hospital Recommendation
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  • 360-degree Hospital Review
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  • Doctor Validation and Communication
    We share a comprehensive profile of the treating doctor and also arrange a call to clear queries regarding treatment if needed.
  • Options to Choose From
    Based on your choice of destination and other preferences, we provide you multiple options with respect to hospitals and doctors to choose from.
  • 24X7 Patient Care Support
    A dedicated patient case manager stays in constant touch with you to help you at every step of the decision-making process and resolve queries that you may have.
  • Transparent Treatment Cost and Other Expenses
    We give a clear and accurate indication of the total cost of treatment including treatment, stay, meals, and other expenses.
  • Visa Assistance
    We provide and help prepare documentation for visa approval and coordinate with the embassy to expedite the visa process.
  • Accommodation Arrangements
    We propose to you a choice of accommodation based on your preference such as long stay, short stay, or luxury properties.
Which are the best cities in Thailand for medical treatment?
Bangkok is the capital of Thailand and the most sought - after destination for healthcare. It has more than 10 of the major hospitals in Thailand. The cost of treatment in Thailand is reasonable here. People tend to spend their recovery time in Bangkok as well as it is a beautiful city to visit as a tourist.

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