Shoulder arthroscopy (keyhole shoulder surgery)

The cost of a shoulder arthroscopy will depend on various factors, including your reasons for having surgery and the extent of damage that needs to be repaired. Below you'll see two example prices for different procedures that can be performed arthroscopically.

Your healthcare team will ensure you know the cost of your treatment at every stage of your journey with them, including information on how and when to pay it. If you would like to get a guide price ahead of time, based on your personal circumstances, give us a call and one of our friendly advisors will help you.

Fixed-price packages

If you are paying for your own treatment, our fixed-price packages include the cost of your surgery and all appropriate aftercare appointments. However, any pre-surgery diagnostic tests and your consultant's outpatient appointment consultation fee are charged separately.

Spread the cost of your payment

Our flexible payment options help you spread the cost of your payment across a time period that suits you. We offer fixed-term monthly payment plans over 10 months to five years with no deposit required. If you decide to pay over 10 months, you will pay interest-free. If you are paying for a longer period, you will pay 14.9% APR.

Private health insurance

If you have private health insurance, your treatment will usually be covered by your provider. Speak to your insurer directly to find out more information on this.

If you have any questions about our fixed-price packages and flexible payment options, you can speak to a friendly member of our advisory team on 0141 300 5009.

The cost of shoulder surgery with an arthroscopy to decompress the joint

Please be aware that the following prices are a guide price. Your final price will be confirmed in writing following your consultation and any necessary diagnostic tests.

Patient pathway	Initial consultation	Diagnostic Investigations	Main treatment	Post discharge care	Guide price
Hospital fees	N/A	Not included	£5,925	Included	£5,925
Consultants fees from	£200	N/A	Included	Included	£200
Guide price	£6,125

The cost of shoulder surgery with an arthroscopy to release the contracture

Please be aware that the following prices are a guide price. Your final price will be confirmed in writing following your consultation and any necessary diagnostic tests.

Patient pathway	Initial consultation	Diagnostic Investigations	Main treatment	Post discharge care	Guide price
Hospital fees	N/A	Not included	£5,325	Included	£5,325
Consultants fees from	£200	N/A	Included	Included	£200
Guide price	£5,525

If you have any of the following symptoms, you should book in a consultation with us to check whether you would benefit from a shoulder arthroscopy:

• Joint pain throughout the day
• Swelling
• Stiffness and reduced range of motion
• Joints locking, moving out of position, or giving way

Your consultant may recommend a shoulder arthroscopy if you experience one or more of these symptoms and haven't felt any improvement after trying non-surgical treatments. These typically include resting the affected shoulder, physiotherapy exercises, and medications and/or injections aimed at reducing inflammation and supporting the healing process for injured tissues. In many cases, giving your shoulder time to rest can bring tissue inflammation down, while physiotherapy may improve range of movement in your shoulder.

If you try these more conservative measures and they don't work, it could be that you have a condition that requires a shoulder arthroscopy.

There are a number of shoulder conditions that can lead to you needing a shoulder arthroscopy, such as:

Rotator cuff tear

Your rotator cuff is a group of four tendons (tissues that link muscle to the bone) that attaches your arm to your shoulder blade and allows you to lift and rotate your arm. If you place high levels of pressure on your rotator cuff over time through constant physical exertion (degenerative tear), or fall down on your outstretched arms (acute tear), one of your tendons can become partially or completely detached from your bone.

When this happens, you will experience pain when resting, especially if lying on the affected shoulder, as well as pain and weakness when lifting or lowering your arm.

Dislocated shoulder

A dislocated shoulder is a common injury in sports, and usually happens as a result of you landing on your shoulder at a certain angle. This causes the head of the humerus (your largest arm bone) to come out of the glenoid cavity (your shoulder socket), causing high levels of pain and significantly reducing how much you can move your arm.

Osteoarthritis

Osteoarthritis is a common condition that affects your joints and generally develops as you age and your joints become worn down.

Constant strain on your cartilage (firm, slippery protective tissue that cushions your joints and allows for smooth motion, preventing your bones from rubbing together) means that your joints become inflamed and injured, along with causing bumps to form on your bone (bone spurs) and deterioration of your ligaments and/or tendons.

Other shoulder conditions that could mean you need a shoulder arthroscopy include:

• Injuries to your bicep tendons
• Frozen shoulder
• Labral tears (injuries to the tissue around your shoulder socket)
• Bone spurs (bumps on your bone)

Your surgeon will ask you a series of questions to begin your consultation. This may include how long you have experienced symptoms, where and when you feel pain when moving your shoulder, and whether you've had any non-surgical treatments for your shoulder joint pain. The initial consultation may also involve a physical examination, during which your consultant will walk you through some range of motion tests, as this may help them understand where your joint problem and/or inflamed tissue lies.

To gain a clearer picture of your problem and what kind of shoulder arthroscopy you might need, your consultant may also order an MRI scan. This test uses radio waves and a magnetic field that produces detailed images of your bone, joints, and cartilage, enabling your consultant to see any inflammation and/or tears taking place. MRIs are a highly effective way of diagnosing rotator cuff tears and any other conditions that affect the bones and muscles.

Once the physical examination and MRI is complete, your surgeon will be able to confirm whether you need a shoulder arthroscopy. They will generally only recommend surgery when more conservative treatments (rest, medication, physiotherapy, etc.) have not made a difference.

There are several ways to make sure you are fully prepared for a shoulder arthroscopy, including:

Tests

To make sure that you are suitable for a shoulder arthroscopy, your consultant may carry out a series of preoperative tests. Taking your blood count, for example, helps them know that you won't experience any issues with bleeding during and/or the surgery. They may also run a chest X-ray and/or an electrocardiogram (ECG) to check the performance of your heart.

Stop smoking

If you are a smoker, you run a greater risk of experiencing heart issues and trouble breathing after surgery, along with needing more general anaesthetic during the surgery, which can cause further complications. Your chances of making a full recovery from surgery are also reduced if you continue to smoke. So, to make sure you are as ready as possible for your shoulder arthroscopy, we recommend that you stop smoking at least two weeks before your procedure. If you need some help with smoking cessation, or have any questions, please speak to your consultant.

Prepare your home

For the first week or so after surgery, you will be in some pain and your movement will be limited. You won't be able to do any lifting, so you won't be able to make a quick trip to the shop to grab something. In advance, then, make sure you stock up on everything you need and create a nice recovery space that has important supplies within easy reach. If you need anything as you're recovering during that first week, see if a family member or friend can grab it for you.

Please also be careful of any tripping hazards at your home, such as loose tiles, rugs, or carpets, furniture, or general mess. Remove anything that might cause you to trip before coming to hospital for surgery.

Speak to your consultant about medication

Your consultant will check which medication or supplements you are taking before booking you in for surgery. You may need to stop taking certain medications - particularly any blood-thinners, such as aspirin, anti-inflammatories, or warfarin, as these can increase the chances of unwanted bleeding during and/or after the procedure.

Food and drink

If you are going under general anaesthetic, you will need to avoid eating and drinking after midnight on the day of your surgery, so take care to drink plenty of water and eat healthy food beforehand. Please also refrain from drinking any alcohol 48 hours prior your shoulder arthroscopy.

We run you through the process of shoulder arthroscopy below.

Anaesthesia

Typically, shoulder arthroscopy is performed under general anaesthetic, which means you'll be asleep for the full operation and won't feel any pain at all.

Another option is to use regional nerve blocks that numb your shoulder and arm for around 12 hours. The regional nerve block may be combined with lighter general anaesthetic, as this makes sure you feel comfortable throughout the entire process. You won't see the operation taking place, and you won't feel discomfort of any kind.

Where possible, you will be given the chance to decide what kind of anaesthesia feels right for you. Some people don't like the idea of being put to sleep, while others may not want to be awake during a surgical procedure. Let us know what is preferable to you.

During your shoulder operation

Depending on the kind of repair work you might need, a shoulder arthroscopy lasts anywhere between 30 minutes and one hour. This is an outpatient surgery, meaning you'll be able to go home on the same day as your treatment.

You will be positioned in a reclined sitting position, or potentially on your side, so that your surgeon can easily adjust their arthroscope (the camera that looks inside your shoulder) and have a clear view of what they are doing. They will then remove any hair (if required) and clean your shoulder skin with sterile drapes, ahead of putting your forearm in a holding device to ensure your arm remains perfectly still.

Once the site of the incision has been fully prepared, your surgeon can begin the shoulder arthroscopy, which commonly follows the same series of steps:

• Fluid is injected into your shoulder joint, inflating your joint and making it easier for your surgeon to see all the different muscles and tendons in your shoulder
• A small puncture is made in your shoulder (about the size of a buttonhole) to create space for the arthroscope
• The arthroscope is inserted into the incision that has been made and guided towards your shoulder joint, with images from the arthroscope being projected onto a video screen to show your surgeon the inside of your shoulder and the exact location/nature of your shoulder damage. Fluid flows through the arthroscope to give your surgeon a clear view at all times and control any bleeding
• After your surgeon has completed an assessment of your shoulder with their arthroscope, they will then make other small cuts in your shoulder and insert tiny specialist instruments that address your particular issue. These instruments can be used for anchoring stitches into bone, removing loose cartilage, knot tying, or shaving off and/or cutting away parts of bone that have become compressed
• Having made the necessary repairs to your shoulder, your surgeon will close the incisions with either stitches or small band-aids known as steri-strips, ahead of covering the area with a large bandage

There are different kinds of repair work that might be needed during your shoulder arthroscopy, with some leading to a longer recovery time than others. You might be back to full fitness after a few weeks, or it may take a few months. Along with the type of surgery you had, there are various factors that can influence your recovery timeline, such as:

• Your fitness levels
• Your everyday activities
• The nature of your job
• General health
• Your age
• The type of arthroscopy you have had (diagnostic or treatment)

Recovering at hospital

If your operation was performed under general anaesthetic, you will feel a bit groggy when you wake up, so you'll be given couple of hours to rest and feel more like yourself. Your arm will be placed in a sling to rest your shoulder and keep it in the correct position. You will need to wear this sling for two to four weeks.

One to seven days after surgery

You will experience some pain for a few weeks after your surgery, and we will make sure you are given all the pain relief medication you need for this period. Keep your shoulder iced throughout the day to reduce discomfort and swelling. To start with, you may find that sleeping flat is uncomfortable, so prop yourself up on some pillows or sleep in a reclining chair for the first week or so if that feels better.

After a few days, you should be able to replace your large bandage with basic band-aids. If your surgeon used stitches, you must avoid getting them wet until they are removed (usually five days after the surgery). However, in cases where stitches weren't used, you can shower normally once the wounds are no longer seeping. Please be careful to avoid soaking or scrubbing your incisions, though.

One week to three weeks after surgery

If your job does not involve any physical exertion, you can probably return to work after about a week, but please note that your arm will not be fully functional by this stage. You will need to wait longer if your job involves lifting or other forms of physical exercise (anywhere between one and three months). Your surgeon will give you detailed advice about when you can make a return to certain activities.

You may still experience some pain during this period, so keep your arm rested as much as possible. Your physiotherapist will run you through a series of exercises - ones based on the exact kind of shoulder arthroscopy you had - that gradually increase the strength and mobility of your arm. You'll also receive an exercise sheet of exercises that you can do at home every day.

Three weeks to two months after surgery

In some cases, you may feel almost back to your best after three or four weeks, whereas others could still be experiencing some pain and/or stiffness. Your sling would have been removed after around three weeks, and you'll be able to resume most everyday activities during this period, including driving, which you can do as soon as you're able to grip the steering wheel and perform an emergency stop.

At this stage of your rehabilitation process, you will be able to step up the level of exercise you do. Your physiotherapist may prescribe weight-bearing exercises, gym work, and swimming when they judge that you are ready.⁴ These exercises will help you on your journey towards regaining a full range of motion. Eventually, you should be able to return to the activities you love - football, tennis, cricket, etc. - without any discomfort.

Shoulder arthroscopy is an extremely common surgery, so it is virtually risk-free. However, some complications can occur, which your consultant will explain to you in full ahead of you having the procedure.

General complications of any operation

• Pain
• Bleeding
• Infection in the surgical wound
• Unsightly scarring
• Blood clots
• Difficulty passing urine
• Chest infection
• Heart attack or stroke

Specific complications of a shoulder arthroscopy

• Excessive bleeding into your joint
• Damage to blood vessels and nerves
• Wound becomes hot, red, or swollen
• Wound oozes and/or bleeds
• High fever and/or temperature

Is shoulder surgery a big surgery?

At Circle Health Group, we believe that the term 'big surgery' can mean different things to different people. Here's what to know about shoulder arthroscopy:

• It's a minimally invasive procedure compared to open shoulder surgery
• It's typically performed as an outpatient procedure
• Recovery time is usually shorter than with open surgery

While any surgery carries risks, shoulder arthroscopy is considered a relatively routine and safe procedure. Your consultant will discuss the specifics of your case and what to expect during your initial consultation.

How long does a shoulder surgery take?

The duration of shoulder arthroscopy at Circle Health Group can vary depending on the specific procedure and the extent of repair needed. Usually:

• A shoulder arthroscopy lasts between 30 minutes and one hour
• The entire process, including preparation and recovery, may take several hours

Your consultant will provide a more accurate estimate based on your individual case during your pre-surgery consultation.

How long does pain last after shoulder surgery?

Pain after shoulder arthroscopy at Circle Health Group is typically manageable and improves over time:

• Most patients experience some pain for a few weeks after surgery
• The first week tends to be the most uncomfortable
• Pain generally improves significantly within 2-4 weeks
• Some patients may experience mild discomfort for up to 6 weeks

We provide appropriate pain management strategies and medications to ensure your comfort during recovery. If you have concerns about pain, don't hesitate to discuss them with your healthcare team.

How to relieve shoulder pain after laparoscopic surgery at home?

We recommend the following strategies to manage pain at home after shoulder arthroscopy:

• Take prescribed pain medications as directed
• Apply ice packs to the shoulder for 15-20 minutes every 2-3 hours
• Keep your arm in the sling as instructed by your surgeon
• Perform gentle exercises recommended by your physiotherapist
• Avoid sudden movements or lifting with the affected arm
• Sleep in a reclined position to reduce pressure on the shoulder

Always follow the specific post-surgery instructions provided by your healthcare team. If pain worsens or you have concerns, contact us as soon as possible.

Can you go home right after shoulder replacement surgery?

At Circle Health Group, we typically perform shoulder arthroscopy as an outpatient procedure, which means:

• Most patients can go home on the same day as their surgery
• You'll need to stay for a few hours after the procedure for monitoring
• In some cases, particularly for more complex procedures, an overnight stay may be recommended

Your consultant will discuss the expected length of your hospital stay during your pre-operative consultation. We ensure you're ready for discharge before sending you home, with all necessary aftercare instructions and support in place.

How soon can I drive after arthroscopic shoulder surgery?

We advise patients on driving after shoulder arthroscopy based on their individual recovery:

• Most patients can resume driving 2-4 weeks after surgery
• You should be able to comfortably control the steering wheel and perform an emergency stop
• You must be off all strong pain medications before driving
• Your arm should be out of the sling

Your consultant will provide specific guidance based on your procedure and recovery progress. Always ensure you feel confident and safe before getting behind the wheel.

What clothes to wear after shoulder surgery with a sling?

After shoulder arthroscopy at Circle Health Group, we recommend wearing:

• Loose-fitting, button-up shirts or tops that are easy to put on and take off
• Comfortable, elastic-waisted trousers or shorts
• Slip-on shoes to avoid bending over
• Avoid clothing that needs to be pulled over your head

Remember, you'll be wearing a sling for 2-4 weeks, so choose clothes that accommodate this. Your comfort is important during recovery, so opt for soft, non-restrictive fabrics.

How to sleep after shoulder surgery?

At Circle Health Group, we advise the following sleeping positions after shoulder arthroscopy:

• Sleep in a reclined position, either in a recliner chair or propped up with pillows in bed
• Use extra pillows to support your affected arm
• Avoid sleeping on your affected side for at least 6 weeks

Everyone's comfort levels differ, so find a position that works for you while keeping your shoulder protected. If you're having trouble sleeping, discuss this with your healthcare team.

When can I sleep on my side after shoulder surgery?

We generally advise:

• Avoid sleeping on the affected side for at least 6 weeks after surgery
• You may be able to sleep on your unaffected side after 2-4 weeks, with a pillow supporting your affected arm
• Always follow your consultant's specific instructions, as they may vary based on your individual case

Remember, proper sleep positioning is crucial for your recovery. If you're unsure, don't hesitate to ask your consultant or physiotherapist for guidance.

Can you walk around after shoulder surgery?

We encourage gentle movement after shoulder arthroscopy:

• You can and should walk around after surgery, as this promotes circulation and prevents blood clots
• Start with short, gentle walks and gradually increase as you feel comfortable
• Avoid strenuous activities or exercises until cleared by your physiotherapist
• Always wear your sling when walking to protect your shoulder

Remember, while walking is encouraged, listen to your body and don't overexert yourself. If you experience increased pain or discomfort, rest and consult your healthcare team.

How do you wipe your bottom after shoulder surgery?

We understand this can be a sensitive topic. Here are some tips for managing personal hygiene after shoulder arthroscopy:

• Use your unaffected arm for wiping
• Consider using a long-handled sponge or toileting aid
• Wet wipes or a bidet can make cleaning easier
• If needed, ask a family member or caregiver for assistance

What are the don'ts after shoulder surgery?

We advise patients at Circle Health Group to avoid the following after shoulder arthroscopy:

• Don't remove your sling unless instructed by your healthcare team
• Don't lift anything heavier than a cup of tea with your affected arm
• Don't push or pull with your affected arm
• Don't participate in contact sports or heavy lifting for at least 6 weeks
• Don't drive until cleared by your consultant
• Don't ignore any unusual pain, swelling, or fever – contact us if you experience any of these

Always follow the specific post-surgery instructions provided by your consultant. If you're unsure about any activity, it's best to ask before attempting it.

When you choose to go private with Circle Health Group, you can expect:

• Flexible appointment times and locations to fit your routine
• The autonomy to choose which hospital and consultant suit your needs
• Personalised, consultant-led treatment plans tailored to your particular preferences
• Comfortable and safe private facilities maintained by expert multidisciplinary teams
• Private ensuite rooms as standards and delicious healthy meals
• Affordable, fixed-price packages with aftercare included
• Flexible payment options to help you spread the cost of your care

If you would like to learn more about shoulder arthroscopy, book your appointment online today or call a member of our team directly on 0141 300 5009.

Content reviewed by Circle in-house team in September 2024. Next review due September 2027.

1. Shoulder arthroscopy, OrthoInfo
2. Rotator cuff tears, OrtoInfo
3. Correlation between MRI and Arthroscopy in Diagnosis of Shoulder Pathology, NIH
4. Shoulder arthroscopy rehab protocol, The Stone Clinic
5. Arthroscopy Recovery, NHS
6. Shoulder Arthroscopy, Cleveland Clinic