Arthroscopic & Open Shoulder Surgeon Austin, Texas

Specializing in Arthroscopic and Open Shoulder Surgeries

What is Shoulder Surgery?

If you are experiencing shoulder pain or impaired mobility typically caused by a shoulder condition, injury, or other shoulder-related issues, arthroscopic or open shoulder surgery performed by a board-certified shoulder surgeon in Austin patients trust may be an appropriate treatment option when nonsurgical approaches, such as physical therapy with licensed physical therapists or anti-inflammatory medication, are ineffective.

Open surgery typically involves a single, large surgical incision that provides your orthopedic shoulder doctor with complete access to the desired procedure area using advanced surgical techniques. A shoulder arthroscopy is a minimally invasive surgery that involves a few small incisions, as opposed to one large incision, to allow your shoulder specialist to access specific areas of the procedure site.

The type of surgery that your orthopedic shoulder surgeon in Austin and sports medicine physician, M. Tyrrell Burrus, MD recommends will depend on your medical needs. Some procedures may require full access to the shoulder joint and rotator cuff muscles, while others may only require limited access.

The shoulder is the most flexible joint in the human body, consisting of two joints and supported by four muscles. Its remarkable mobility allows for a full range of motion, but also makes it vulnerable to injury and degenerative conditions such as arthritis.

Because the shoulder is used in nearly every upper-body movement, including motions involving the elbow and knee in athletic activities, even minor injuries or degenerative changes such as arthritis, SLAP tears, or rotator cuff tears caused by normal use can significantly affect your quality of life by causing joint pain and limiting function of the shoulder. Shoulder surgery is designed to address structural problems that cannot heal on their own or do not respond to conservative care, providing care with the latest technology to restore mobility and reduce pain.

Why is surgery needed?

If you are experiencing chronic shoulder pain in your upper arm bone or shoulder blade, or other symptoms that interfere with your daily activities, surgery may be recommended when conservative treatment is no longer effective. Your shoulder surgeon in Austin can use surgery to treat various types of shoulder injuries and painful conditions, including:

• Rotator cuff tear involving one or more rotator cuff tendons
• Labral tear and other torn ligaments
• Shoulder impingement or shoulder impingement syndrome
• Shoulder arthritis
• Fractures or damaged soft tissues
• Shoulder joint dislocation or shoulder instability
• Adhesive capsulitis (frozen shoulder), which causes pain and stiffness in the joint capsule over time

Shoulder procedures performed via surgery may include:

• Large rotator cuff tear repair, including the rotator cuff tendons
• Ligament repair
• SLAP repair
• Bone spur removal
• Extraction of swollen tissue or loose cartilage
• Recurrent shoulder dislocation repair
• Total shoulder replacement surgery

Who Is a Good Candidate for Shoulder Surgery?

Shoulder surgery is not the right choice for every patient. Austin shoulder surgeon Dr. Burrus, who is board-certified in orthopedic surgery and fellowship-trained in upper extremity and sports medicine, carefully evaluates each person before recommending a surgical approach. Understanding whether you may be a good candidate can help you have a more informed conversation with your surgeon, especially considering the complexity of the shoulder socket and the importance of matching surgical specialty to specific injury types.

Patients Who May Benefit from Shoulder Surgery

You may be a good candidate for shoulder surgery if you:

• Have a confirmed diagnosis such as a rotator cuff tear, labral tear, or shoulder instability
• Have completed a course of physical therapy without adequate pain relief or functional improvement
• Experience severe pain that interferes with daily activities, sleep, or work
• Have structural damage that imaging confirms is unlikely to heal without surgical intervention
• Are in generally good health and able to safely undergo anesthesia and rehabilitation

When Shoulder Surgery May NOT Be the Right Option

Surgery may not be appropriate if you:

• Have not yet tried conservative treatments such as physical therapy, anti-inflammatory medications, or corticosteroid injections
• Have significant medical conditions that increase surgical risk beyond acceptable levels
• Have mild symptoms that can be effectively managed through non-surgical care
• Are not willing or able to complete the post-surgical rehabilitation program, which is essential to a successful outcome

Factors Dr. Burrus Will Consider

During your consultation, Dr. Burrus, an Austin shoulder surgeon and sports medicine physician, will evaluate your age, activity level, imaging results such as MRI or X-ray findings, the nature and severity of your injury, and your overall health status, including a thorough evaluation of your health to ensure safe anesthesia. This thorough evaluation ensures that any surgical recommendation is truly in your best interest.

Arthroscopic vs. Open Shoulder Surgery: What Is the Difference?

Shoulder surgery can be performed as either open surgery or arthroscopic surgery. Open surgery involves a larger incision and direct access to the shoulder joint, while arthroscopic surgery uses small incisions and a camera to guide the procedure. Each type has its own set of advantages, disadvantages, recovery times, and outcomes.

Comprehensive orthopedic care may also be recommended during surgery to aid in healing and improve recovery time. Platelet-rich plasma therapy may also be recommended during surgery to aid in healing and improve recovery time.

Shoulder Arthroscopy

A shoulder arthroscopy involves your surgeon making small keyhole-sized incisions around the surgical area. Your shoulder doctor Austin will then insert a thin instrument equipped with a light and camera to navigate the joint. A TV monitor displays the inside of the shoulder, allowing the shoulder surgeon Austin to diagnose and treat the injury, such as a labral tear or damaged ligaments, without the need for a large incision.

Open Shoulder Surgery

Open surgery, such as adult reconstructive surgery, typically involves a full incision to access the shoulder joint. Once the incision is made, your shoulder surgeon in Austin can directly view and address the condition. This approach is often used for complex rotator cuff repairs, joint reconstruction, or severe structural damage to bones and soft tissues.

After either arthroscopic or open surgery, some post-operative pain, stiffness, and swelling around the upper arm and shoulder are expected. Recovery varies depending on the procedure, the extent of the injury, and the patient’s overall health.

What to Expect: Before, During, and After Shoulder Surgery

Consultation with Your Shoulder Surgeon Austin, TX

During your initial consultation, Dr. Burrus, a fellowship-trained shoulder specialist Austin with expertise in orthopedic care and sports medicine, will review your medical history, discuss your current symptoms, and perform a physical examination of your shoulder. Imaging studies such as X-rays or an MRI may be ordered to evaluate the extent of the damage. He will explain your diagnosis, walk you through all available treatment options, and help you understand what to expect if surgery is recommended. You are encouraged to ask questions at every step of this process.

Preparing for Shoulder Surgery

Prior to shoulder surgery, you will receive detailed preparation instructions. These may include stopping certain medications such as blood thinners, fasting beginning the night before surgery, and arranging for a responsible adult to drive you home and assist you in the first days of recovery. A pre-operative health assessment may also be required to confirm that you are medically cleared for surgery.

Immediate Post-Operative Orthopedic Care

After surgery, you will be monitored in a recovery area before being discharged. Your arm will likely be placed in a sling to immobilize the shoulder and protect the repair. Pain management instructions, wound care guidelines, and activity restrictions will be provided before you leave. Most patients are able to go home the same day as surgery, though some complex procedures may require an overnight stay.

What are the Benefits of Arthroscopic & Open Surgery Done by Shoulder Surgeons?

Shoulder surgery may be beneficial when conservative treatments fail to help with shoulder instability and symptoms persist. If you have a painful condition or injury affecting your shoulder, surgery can:

• Restore quality of life
• Improve mobility
• Reduce pain
• Treat decreased range of motion caused by damaged ligaments or rotator cuff injuries

Recovery and Outcomes After Shoulder Surgery

Recovery from shoulder surgery depends on the type of procedure performed, the severity of the injury, and your commitment to rehabilitation. The timeline below provides general guidance, though your actual recovery plan will be personalized by Dr. Burrus, a fellowship-trained Austin shoulder surgeon with expertise in orthopedic care and sports medicine.

Recovery Timeline

Weeks 1 to 2: Rest and Protection

Your arm will be in a sling to protect the surgical repair. Pain, swelling, and limited motion are expected and normal during this phase. Gentle range-of-motion exercises may be introduced as directed by your surgeon.

Weeks 3 to 6: Early Rehabilitation

Formal physical therapy typically begins during this phase. The focus is on gradually restoring shoulder mobility and reducing stiffness. Sling use may continue depending on the procedure.

Months 2 to 4: Strength and Function

Strengthening exercises are introduced as healing progresses. Most patients begin noticing meaningful improvement in pain levels and shoulder function during this phase.

Months 4 to 6 and Beyond: Return to Activity

Many patients can return to light work and daily activities within 3 to 6 months. Return to sports, overhead labor, or physically demanding occupations may take 6 to 12 months depending on the procedure and individual healing progress.

Activity Restrictions During Shoulder Surgery Recovery

• Avoid lifting, pushing, or pulling with the affected arm during the early healing phase
• Do not drive until cleared by Dr. Burrus
• Follow your physical therapy program consistently as directed
• Avoid overhead activities until your surgeon gives specific approval
• Do not return to sport or heavy labor without surgical clearance

Expected Outcomes

Most patients experience a significant reduction in shoulder pain and improved range of motion following surgery. Long-term outcomes are strongly influenced by the type of procedure performed, the severity of the original injury, and the patient’s adherence to rehabilitation. Dr. Burrus will discuss realistic and personalized outcome expectations with you during your consultation.

Risks, Complications, and Nonsurgical Alternatives

Common Risks of Shoulder Surgery

As with any surgical technique, shoulder surgery carries potential risks. These include but may not be limited to:

• Infection at the surgical incision site
• Bleeding or blood clot formation
• Injury to nearby nerves or blood vessels
• Shoulder stiffness or reduced range of motion following surgery
• Incomplete healing or re-tear of the repaired tissue
• Adverse reaction to anesthesia
• Prolonged swelling or pain during recovery

Dr. Burrus will discuss the risks specific to your procedure in detail during your consultation and will take every precaution to minimize them.

Nonsurgical Alternatives to Shoulder Surgery

Before recommending surgery, Dr. Burrus, an experienced shoulder doctor Austin, typically explores conservative treatment options. Nonsurgical alternatives may include:

• Physical therapy and targeted shoulder strengthening exercises
• Nonsteroidal anti-inflammatory medications (NSAIDs) to reduce pain and inflammation
• Corticosteroid injections for short-term pain relief and swelling reduction
• Platelet-rich plasma (PRP) therapy to support tissue healing
• Activity modification and temporary rest to allow the shoulder to recover
• Bracing or supportive devices to reduce joint stress

Surgery is generally considered when conservative treatment plans have been tried for an appropriate period and have not provided adequate relief of symptoms or restoration of function.

When Surgery May Not Be the Best Option

If your symptoms are mild, your shoulder function is not significantly impaired, or if you have medical conditions that increase surgical risk beyond acceptable levels, a non-operative management plan may be more appropriate. Dr. Burrus takes a conservative, patient-centered approach and will only recommend surgery when it is genuinely in your best interest.

What Patients Say About Austin Shoulder Surgeon Dr. M. Tyrrell Burrus

Based on Dr. Burrus’ clinical experience treating shoulder surgery patients in Austin, Texas, here is what patients have shared about their care and outcomes.

Dr. Burrus restored my useless right arm after a complete rotator cuff tear and bicep injury to as good as new. I was hoping for a 50% improvement but his excellent skills returned my arm to full strength. Didn’t think that was possible. He’s a fantastic surgeon and a very good person in general. I would NEVER go to any other orthopedic doctor. I have had several surgeries including 4 spinal and none achieved this level of recovery. He is absolutely the best in his field. Fantastic staff also.

– William, Shoulder Surgery Patient

Dr. Burrus is fantastic, and I recommend him highly. He worked on my torn rotator cuff and bicep tendon, as well as cleaning up all the fuzzy bits left over from 60 years of abuse. The surgery went well, and my pain is vastly reduced. His manner is very down-to-earth and friendly. Great guy!

– Howard, Shoulder Surgery Patient

Dr. Burrus operated on my shoulder. He is a very competent surgeon and is very attentive and responsive to my needs as his patient.

– Jacque, Shoulder Surgery Patient

Frequently Asked Questions: Shoulder Surgery in Austin, TX

Before your consultation with Dr. Burrus, an orthopedic shoulder surgeon in Austin and sports medicine physician, reviewing these commonly asked questions can help you feel prepared and confident. Each answer gives you a direct starting point for the conversations that matter most.

How long will I be out of work after shoulder surgery?

It depends on your procedure and the physical demands of your job. Desk workers can often return within 2 to 4 weeks, while people whose jobs involve lifting, reaching, or overhead work may need 3 to 6 months before returning. Driving is typically restricted until you are out of a sling and have enough strength and range of motion to control the wheel safely, which can range from 2 to 6 weeks depending on which shoulder was operated on and the type of surgery performed. Dr. Burrus will give you a specific timeline based on your procedure and recovery progress.

Will I need physical therapy after shoulder surgery?

Yes. Physical therapy is a required part of recovery after shoulder surgery, not optional. It typically begins within the first few weeks after your procedure and continues for 3 to 6 months depending on the surgery. Therapy focuses first on restoring gentle motion, then building strength and function over time. Patients who follow their rehabilitation plan consistently achieve better outcomes than those who skip or delay it.

What happens if I decide not to have shoulder surgery?

For some conditions, avoiding surgery is a reasonable choice, particularly if symptoms are manageable and the injury is not worsening. For others, such as a large rotator cuff tear or significant instability, delaying surgery can allow the injury to progress to a point where repair becomes more difficult or less effective. Dr. Burrus will explain whether your specific condition is likely to improve, stay the same, or worsen without surgical intervention, so you can make a fully informed decision. He will also evaluate your imaging results such as MRIs and consider nonsurgical treatments like physical therapy, steroid injections, and R.I.C.E (rest, ice, compression, and elevation) before recommending surgery.

What results can I realistically expect from shoulder surgery?

Most patients experience a significant reduction in pain and a meaningful improvement in shoulder function after surgery. However, outcomes vary based on the type and severity of the injury, the patient’s age and overall health, and how consistently they complete rehabilitation. Full recovery, including return to sport or physically demanding work, can take 6 to 12 months for more complex procedures. Dr. Burrus will set realistic, personalized expectations during your consultation based on your specific diagnosis.

Is there anything new in shoulder surgery I should know about?

Shoulder surgery has advanced significantly in recent years. Improvements in arthroscopic instruments allow surgeons to address more complex injuries through smaller incisions than ever before. Biologic therapies such as platelet-rich plasma are increasingly used alongside surgery to support tissue healing and may improve recovery outcomes for some patients. Implant design for shoulder replacement has also continued to improve, offering more natural movement and longer durability. Dr. Burrus stays current with advances in orthopedic shoulder care and can advise whether any newer techniques or treatments are appropriate for your case.

How painful is shoulder surgery recovery?

Some pain and discomfort after shoulder surgery is expected and normal, particularly in the first one to two weeks. Most patients manage this with prescribed pain medication and ice during the early recovery phase. Pain typically decreases steadily as swelling subsides and healing progresses. By weeks three to four, most patients find they can manage with over-the-counter pain relief. If pain is severe, worsening, or not responding to medication as expected, it is important to contact Dr. Burrus’ office right away.

Dr. Burrus, who performs both arthroscopic and open shoulder surgeries, emphasizes thorough evaluation and integrated physical therapy to minimize complications and enhance recovery outcomes.

Will I be put to sleep for shoulder surgery?

Most shoulder surgeries are performed under general anesthesia, meaning you will be fully asleep during the procedure. In some cases, a regional nerve block is used alongside or instead of general anesthesia to numb the shoulder and affected arm. A nerve block also provides extended pain relief in the hours after surgery, which can make the early recovery more comfortable. Your anesthesia team will review the options with you during your pre-operative appointment and recommend the approach that is safest for your situation.

How do I know if I need surgery or just physical therapy?

Physical therapy is typically the first line of treatment for most shoulder conditions and should be tried before surgery is considered. Surgery becomes the more appropriate option when a structural problem is confirmed on imaging, when conservative treatment has not provided adequate relief after a reasonable period, or when the injury is severe enough that it is unlikely to heal on its own. Dr. Burrus will review your imaging, assess your symptoms, and give you a clear recommendation based on your specific situation rather than a one-size-fits-all approach.

Can shoulder surgery fix my shoulder permanently or will the problem come back?

For most patients, shoulder surgery provides high-quality, lasting relief, particularly when the underlying structural problem is fully corrected and rehabilitation is completed properly. However, outcomes depend on the type of injury, the quality of the tissue repaired, and whether the patient follows post-operative guidelines. Larger tears, older tissue, and returning to high-demand activity too soon can increase the risk of re-injury. Dr. Burrus will discuss the long-term durability of your specific repair and what steps you can take to protect the result over time.

How long does shoulder surgery take?

Most arthroscopic shoulder procedures take between 45 minutes and 2 hours depending on the complexity of the repair and the surgeon’s experience, as those performing more surgeries typically have lower complication rates. Open procedures or more extensive reconstructions such as shoulder replacement surgery may take longer. Total time at the surgical facility, including preparation, anesthesia, the procedure itself, and time in the recovery area before discharge, is typically 3 to 5 hours. Dr. Burrus can give you a more specific estimate once your procedure has been confirmed.

Have a question not answered here? Call Dr. Burrus’ office at (512) 324-9170 to speak with the care team or to schedule your consultation.

Schedule Your Consultation With The Best Shoulder Surgeon in Austin, TX Today!

If you are experiencing shoulder pain, discomfort, or reduced shoulder mobility, a consultation with the best shoulder specialist in Austin, Dr. M. Tyrrell Burrus, may be your first step toward finding a personalized treatment plan and recovery solution. Dr. Burrus is a compassionate, fellowship-trained shoulder surgeon Austin with expertise in orthopedic care and sports medicine. He is committed to providing high-quality, compassionate care and personalized attention to each patient. Call (512) 324-9170 to schedule an appointment and experience expert orthopedic care in the Austin area.