There are people who do not have to learn everything the hard way. I am not one of them. I had my rotator cuff arthroscopy on Monday. He made four, small incisions into my shoulder and re-attached the supraspinatus tendon to the bone. It hurts like hell!
For a lengthy, but good, technical explanation see
http://www.scoi.com/cuffdise.htm
My operation took about two and a half hours and, though the anesthetic was the same as what they gave me for my knee surgery, there was more of it and for the next few hours I became dizzy when I moved. I was heavily trussed in both a sling and a cryo-cuff (a kind of shoulder pad connected to a thermos filled with ice-water, that works on gravity to keep ice on the shoulder). The pain was bearable, and I took only two of the 80 oxycodones he prescribed. However, sleeping was impossible, I think as much from the constant cramping of keeping the shoulder in a tight, "pledge of allegiance" position. The second day, I got up feeling better and thought I would not need another oxycodone. By noon, I was back on the pill and desperate to reach the surgeon's office to see if I could get out of the sling. At 6:00 p.m., a resident called me back and said I could adjust the sling and straighten my arm to do three sets of 20 circular rotations (fingers facing the floor) three times a day. That helped a lot.
I have since talked to other people who had the operation and some of them were out of the slings much faster. There is obviously a difference of opinion among surgeons on this point. A nurse from the surgical center called to check on me right after the resident hung up and I asked her if I could take the sling off and simply leave my arm on a pillow for sleeping. She said some doctors said yes, but mine said no. The second night, I took a sleeping pill, which I had not done the first night, because I was afraid of becoming nauseous. I slept through the night and felt great in the morning. By 11:30, I was back on the pill. But with the pill, I felt fine. I removed the bandages and took a shower, passed an easy day, took another sleeping pill and passed an easy third night.
This is the fourth day and I still need the damn pills. I am eager to make the switch to wine, but so far, no luck. I do not know how much range of motion I have, because I am not allowed to experiment, but I will try to keep track of major changes. The reference I provided from the Southern California Orthopedic Institute suggests that sometimes there may be problems with avoiding surgery, when the body trys to repair itself.