Andrew Pastor M.D.

Orthopedic Shoulder and Elbow Surgeon. Engineer. Edmonds, Washington

What Is a Disappointing Shoulder?

Failed reverse shoulder arthroplasty

Failed reverse shoulder arthroplasty

What is a Disappointing Shoulder and how do I fix it?

A Disappointing Shoulder is a shoulder that has failed to improve after extensive treatment and sometimes surgery.  As a shoulder specialist, I, unfortunately, see this often.  Surgery to correct shoulder problems including rotator cuff tears and shoulder arthritis is very complex and can sometimes lead to outcomes that are disappointing to both the patient and the surgeon. Failure can result from stiffness, weakness, instability, pain or failure to heal, and from complications such as infection or nerve injury.

Many orthopedic surgeons are well-trained to perform basic shoulder surgery.  Complex, or redo surgery, is much more difficult and should be performed by shoulder and elbow surgeons with specialized training. I, as a shoulder and elbow specialist, have developed a Disappointing Shoulder program. The reasons for a Disappointing Shoulder are many, so I have developed a program that is much more than just revision surgery. I use data and up-to-date medical science to address the many reasons for a failed surgery. 

Components of the Program

My Disappointing Shoulder program is a comprehensive, evidence-based, treatment plan that utilizes the following:

  1. virtual-reality technology

  2. neuromuscular stimulation

  3. pain management and technology-assisted mindfulness-based training

  4. focused injections

  5. physical and occupational therapy

  6. revision surgery when needed

Goal of the program

My goal in treating patients with a Disappointing Shoulder is simple – to help my patients feel better than they did when I first met them.  I strongly believe in the concept of shared decision making so that my patients and I both understand the goals and how to achieve them.