As someone who's going to the doctor next week to discuss potential shoulder surgery, this is timely.

I really need to figure out whether it's going to make things better or worse, but unfortunately, that feels like something a doctor can't guarantee one way or the other.

Any anecdotes or other experiences/thoughts are appreciated.

One thing that bodybuilding taught me is to never underestimate how significantly you can change how your body works through weight training, mobility work and physical therapy.

I used to suffer from chronic low back pain. It hurt to get out of bed every day for years. 1-2 years after getting into bodybuilding the pain disappeared and didn’t come back. Not only that, but I’m not physically limited by my back whatsoever.

I’m not suggesting you start bodybuilding. But the things I think that helped was 1) weight training, 2) mobility work / stretching, 3) physical therapy. That combo can be really powerful.

Single anecdata here.

My mother-in-law has spinal surgery last christmas, the pain for her, prior to the surgery, was unbearable so it's hard to justify not running from that into the arms of a surgeon. The surgeon showed exactly what was to repair though so it was simple enough to understand and clear in the way it was going to help her.

About 9 months out from that surgery and she doesn't have anymore pain.

Anecdote: My dad has had two shoulder surgeries, one to repair his rotator cuff +15 years ago on his right arm, one back in March of this year on his other shoulder. I couldn’t tell you what specifically was wrong with it this time.

He was a regular golfer until last year when the pain got too bad to play through. He just started playing golf again at the beginning of September. He told me after three or so rounds he can’t even tell he had surgery or any previous pain in that shoulder.

He’s had one doctor do his knee surgery and the aforementioned shoulder surgery and he’s really happy with all of their work.

I hope you have as good of an experience as my dad has had.

Read the Substack of Howard Luks, he's an orthopedic surgeon who has a lot of experience.

At the least I would heavily consider exhausting conservative treatment first. All but the worst tears can heal on their own, it just takes time and steady effort.

No matter what you choose to do, the adherence to rehab will determine your ultimate outcome.

The question you want to ask is what is the long-term outcome. In 10-20 years time will you have better usage of the shoulder with or without the surgery?

As an anecdote: Family member has a partial lateral meniscus tear in the knee. Surgery was considered as if successful then returning to running might have been possible. Specialist opinions varied as did their reading of the MRI scans.

After a lot of research there was emerging evidence that long-term, surgery was more likely to result in osteoarthritis. So had to weight up long-term mobility over short-term pain relief and not having a major lifestyle change.

You see professional athlete undergoing surgery the next day, but their income relies on regaining usage as quickly as possible. The alternative is physio exercises to strengthen the supporting muscles and avoiding anything that might cause a re-injury.

Go see a specialist sports doctor. They deal with lots of these types of injuries. My physio sent me to one when I did my shoulder in a motorcycle accident and for my case, the data showed that it was better not to operate.

Related to posture or something else? It took me about a year to fix my posture but I no longer have back/neck pain. It basically meant being aware of it all day and consciously adjusting, but now I feel a lot better. It's hard to undo a decade of potato in chair.

Shoulder surgery was the best thing I ever did. I regretted wasting a year seeking opinions for what ended up being a minor fix. No more pain

Obviously, don't take medical advice on HN too seriously, but my uncle had shoulder surgery and was happy with the results. I have heard many more complaints about back surgeries making things worse than shoulders.

However, if available I would try to find a good Pilates/dance/sports instructor that has a Gyrotonic machine, which is built for repairing and strengthening shoulder muscles. I had debilitating back issues from sitting in a chair all day and a good instructor fixed it over a year through low impact Pilates. YMMV and group classes tend to be ineffective because so much of it is doing the exercises precisely correct - they were built for injury recovery

I had a remplessage in February and I’m probably at 80% mobility now.

Previously if I coughed my arm would fall entirely out of socket and I would need a propfol shot to allow the doc to relax it to get it back in.

In my case I was basically immobilized and in excruciating pain and fear 100% of my day.

Now thats only like 50% of the day

exercises that place the arm above the head become difficult if not impossible after some shoulder surgeries. these exercises position the shoulder in a comfortable locked in position. training in this position (eg. pull-ups) serves to strengthen muscles like the lats, which in turn support the shoulder in its resting position. i cant say avoiding surgery is fool proof - there is a markedly higher risk of dislocating, and many exercises (eg. bench press) become impossible with a loose shoulder joint. but personally i dont care, my destroyed shoulder becomes fixed after consistent pull-up training, do not see a need to lose half a year in recovery atm.