Shoulder Surgery and Treatment in Durban
Non-surgical and surgical shoulder care in Durban.
Table of Contents
Non-surgical treatment first
Most shoulder conditions respond to non-surgical care. Dr Ryan's usual first steps:
- Physiotherapy to restore movement and strengthen the shoulder
- Activity and posture changes to reduce strain
- Anti-inflammatory medication where appropriate
- Guided injections for pain and inflammation
He reviews your progress and only discusses surgery if these steps don't resolve the problem, or if your specific condition needs it from the start.
Many people never need surgery at all, especially for impingement or early arthritis, and stick with a home exercise programme long term.
When surgery is the better option
Some shoulder problems, like a significant rotator cuff tear, recurrent dislocation or advanced arthritis, are better treated surgically. Dr Ryan explains exactly what the operation involves, what to expect and what the alternatives are before you decide.
Shoulder surgery is usually done under general anaesthetic. Many procedures are keyhole (arthroscopic), using small incisions and a camera rather than a large open cut. Dr Ryan operates at Ahmed Al-Kadi Private Hospital and Busamed Hillcrest Private Hospital, both in Durban.
Common shoulder procedures include arthroscopic rotator cuff repair, stabilisation surgery for recurrent dislocation, and shoulder replacement for advanced arthritis. Most keyhole procedures are done as day surgery or with an overnight stay, while a shoulder replacement usually needs a longer hospital stay of a few days.
Recovery
Recovery time depends on the procedure. A sling is common in the first weeks after shoulder surgery, followed by a structured physiotherapy programme to rebuild movement and strength. Dr Ryan gives you a specific recovery timeline for your operation and checks your progress at follow-up appointments. A sling is typically worn for two to six weeks depending on the procedure, and early gentle movement exercises usually start within the first week or two under physiotherapy guidance. Full strength and range of motion can take three to six months to return, longer after a shoulder replacement.
Is shoulder surgery safe?
Shoulder surgery is generally safe, but every operation carries some risk. Uncommon risks include infection, stiffness and the shoulder not regaining full movement. Serious complications are rare. Dr Ryan discusses the risks relevant to your specific procedure before you consent to surgery. Specific risks vary by procedure: rotator cuff repair carries a small risk of the repair not healing fully, stabilisation surgery carries a small risk of recurrent instability, and shoulder replacement carries risks around the implant itself, including loosening over time. General anaesthetic risks are also discussed as part of your pre-operative assessment.
Frequently asked questions
How long until I can use my arm normally again?
It depends on the procedure. Dr Ryan gives you a specific timeline for your operation at your consultation.
Is shoulder surgery keyhole or open?
Many shoulder procedures are done arthroscopically (keyhole), through small incisions. Some conditions need an open approach. Dr Ryan explains which applies to you.
Will I need physiotherapy afterwards?
Yes, in almost all cases. Physiotherapy after shoulder surgery is part of getting your movement and strength back, not optional extra care.
Does medical aid cover shoulder surgery?
Yes, in most cases. Contact the practice directly to confirm your specific scheme and any authorisation requirements before your procedure.
Ready to discuss your treatment options?
Medically reviewed by Dr Paul Ryan, Orthopaedic Surgeon (HPCSA Mp0541214). Last reviewed 2026-09-17. This page is general information and does not replace a consultation. Dr Ryan discusses risks and options specific to your condition before any treatment decision.
Related: Shoulder Conditions · Shoulder Resource · Elbow Treatment · About Dr Paul Ryan