https://thepaincentre.co.za/

By Jason

The second shoulder OP: Will you come out better?

Hello

The sad reality of a lot of we see at our practice is when someone chooses to go for the first surgery, they will then go for many more.

It seems to us that surgeries, even if they are performed perfectly, still cause permanent damage that leads to more issues in the future.

This week we are going to look at a research paper that looks at what happens to the person after the first failed surgery.

The name of the study is “Clinical outcomes and complications of reverse shoulder arthroplasty used for failed prior shoulder surgery: a systematic review and meta-analysis”. A systematic review being the best evidence there is.

The study looked at “A total of 43 studies (1041 shoulder arthroplasties) met the inclusion criteria, with a mean follow-up period of 43.8 months”.

They found that “Pain scores improved in all groups; however, none reached statistical significance.” Meaning the improvement was so small, that it cannot be trusted as effective.

“Pooled complication rates were highest in the failed RSA group (56.2%), followed by the group undergoing HA for other indications (27.7%), total shoulder arthroplasty group (23.6%), soft-tissue repair group (20.6%), open reduction and internal fixation group (19.0%), and group undergoing HA for fracture (13.6%).”

Look at how high those rates of complications are.

The researchers determined that “Reversion Reverse Shoulder replacement for failed partial replacement demonstrated the most favorable outcomes, whereas the highest complication and revision rates were observed in the RSA subgroup.”

When we are thinking about your life and your ability to use your arm, would you like those odds? Or most favorable? Considering all the potential risks?

Or do you want to try something else?

 

Jason

I had back pain for almost 2 years, I relied heavily on strong pain killers and I was about to do an operation, but the day I met Jason everything changed, I have healed no more pain no more taking pain killers.

Mmabatho

Jason has been the best physiotherapist. He had literally changed my life. I’ve gone to several physiotherapists before who have not been able to solve my back problem. However, with Jason he made me feel as if I can recover and in a quick time I actually did. I’d highly recommend his practice

Will

Jasons’ service has been impeccable. He is very professional, friendly and relatable to his clients.

Mathikazi

Super professional! Holistic therapy focuses on overall wellbeing over the long term. My child’s shoulder and consequently sleeping problem were properly dealt with.

Lerato

First of all, you should know how friendly he is. He isn’t as rude as the others are. Even though the treatment hurt I felt healed afterwards. Even after some days I still don’t feel the pain. He even helps distract me while he is working so it isn’t as sore. He also made me feel comfortable very quickly and that made things a lot more fun and easy.

Queen

Most informative and upfront Physio I have ever had the pleasure of receiving treatment from. He is honest and worked hard to fix my problem. Extremely satisfied with the results.

Nick

BRILLIANT. My problems were being resolved from day one. He guided me through exercises and strengthening me to prevent further injuries. I would recommend him to anyone.

Durran

BRILLIANT. My problems were being resolved from day one. He guided me through exercises and strengthening me to prevent further injuries. I would recommend him to anyone.

Durran

The treatment I got was so good. He has a magic touch because anywhere I had pain, he touched and my pain went away. The exercise we did was marvellous. The exercises we did made me feel so good. In the four days, we worked I felt great afterwards. I want to call and send my friends and family to him so he can help them.

Malatji

So I hobbled (I used to need a walking stick) into his office but now I don’t. If you’re looking for a physiotherapist who’s going to be straight with you and actually address your pain, Jason Roets should definitely be your choice. Now I walk well WITHOUT my walking stick! And no more pain!

Zinz

Jason is deeply invested in the recovery and wellbeing of his patients. He has a holistic approach and takes all factors – past and present – into account when providing treatment. He works to fix the root of problems, rather than simply treat immediate symptoms. His care and passion for what he does are undeniable

Gina

I had extreme pains in my neck. After a few sessions with Jason, I feel much relieved and pain-free. Jason is very friendly and engages with his clients in his sessions, which helps create a connection on an emotional level not only physical.

Jonathan

I think it’s the best thing I could do to treat my back pain. It took a while before I went in and I wished I when sooner. I really liked how fast he responded and wanted to see me so quickly. I also liked how the ebooks he has was really helpful that I got through seeing it on Facebook.

Charles

Jason has been great and patient with me through the journey. I have been suffering from backache and headache for a long time and he helped me for 2 weeks and already there is a huge difference. Thanks for your help 😊

Nkope

I was desperate to get help for my back. A neurosurgeon said I needed surgery but I refuse to go because there is no one to look after me while I recover. And with covid, I will not go to the hospital because that’s where you get it. I’m so glad I went to Jason because he really helped and I don’t need surgery anymore.

Jane

I would like other people to consider using him because of how much he has helped me. If you feel like you need help you should contact him I didn’t know how connected the body was and how old injures can make me have pain now. Now i don’t feel any pain and the exercises helped so much I’m no longer stiff and my back pain is gone

Sylvia

I had an injured back muscle for more than a year. I was assisted by a clinic specializing in those kinds of injuries which took a lot of sessions to relieve some of the pain. Jason’s physio treatment took 2 sessions! Thanks, Jason!

Gerhard

Excellent service! Wow! Beyond amazed at the high level of accuracy carried out through the process of my treatment. I am completely free of all the pain was experiencing! Again, Wow!

Baatseba

I advised you to do it. Because I experience the pain that I had couldn’t even allow me to walk with confidence. My pain was heavy on me. My body was so heavy. The pain was so sore. He even picked up things that I didn’t even know if had. I sleep so much better now. But now I don’t have any problems

Aldine

I had back pain for almost 2 years, I relied heavily on strong pain killers and I was about to do an operation, but the day I met Jason everything changed, I have healed no more pain no more taking pain killers.

Mmabatho

Jason has been the best physiotherapist. He had literally changed my life. I’ve gone to several physiotherapists before who have not been able to solve my back problem. However, with Jason he made me feel as if I can recover and in a quick time I actually did. I’d highly recommend his practice

Will