50% of patients having rotator cuff repair, shoulder arthroplasty, and fracture surgery are deficient in Vitamin D. While 10% of patients having shoulder surgery are protein deficient before surgery, as many as 40% have insufficient protein reserve to mount the necessary healing response. Insufficient Vitamin D and protein place the patient at increase risk for complications including delayed healing and infection.
For this reason we provide our patients scheduled for surgery with the following letter:
"Dear Patient
Good nutrition plays an important role in how your body heals after surgery. Unfortunately, many people don't get optimal levels of key nutrients through diet alone, especially during recovery from an operation when you need extra support.
To give your body the best chance to heal well, I recommend two simple supplements starting 2 weeks before your surgery and continuing for 4-6 weeks afterward:
Vitamin D: 4000 IU daily
Most people have low vitamin D levels, particularly in the Pacific Northwest. Vitamin D supports bone healing and may reduce infection risk. This dose is safe and well below levels that could cause any problems.
Protein Powder: 25-30 grams daily
Your body needs protein to heal surgical wounds, maintain muscle mass, and recover strength. A scoop of whey protein ensures you're getting enough even if your appetite is reduced after surgery. Use a plant-based alternative if you prefer.
You can find both supplements at any pharmacy or grocery store. Generic or store brands work fine—you don't need expensive formulations. The cost of this program is usually only $30 - a great investment in your recovery.
When to start: 2 weeks before surgery if possible
How long to continue: 4-6 weeks after surgery
If you have kidney disease, are on blood thinners, or have concerns about these supplements, please let me know.
Taking these simple steps won't guarantee a perfect outcome, but they address common nutritional gaps that can interfere with healing. Think of this as giving your body the raw materials it needs to do its job.
Please email me if you have any questions."
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Here are some videos that are of shoulder interest
Shoulder arthritis - what you need to know (see this link).
How to x-ray the shoulder (see this link).
The ream and run procedure (see this link)
The total shoulder arthroplasty (see this link)
The cuff tear arthropathy arthroplasty (see this link).
The reverse total shoulder arthroplasty (see this link).
The smooth and move procedure for irreparable rotator cuff tears (see this link)
Shoulder rehabilitation exercises (see this link).
