The shoulder is the most common site of pain reported by the wheelchair population. More than half of all people with weightbearing shoulders. The length of weightbearing and wheelchair use correlates with the development of shoulder pain (that is, the longer you have been using a wheelchair the more likely you are to develop pain). However, no difference has been found between athletes and non-athletes, so participation in sports
Weighbearing shoulders are more prone to pathology as a result of:
Shoulder Surgery in Weight-bearing shoulders
Shoulder surgery for someone reliant on their shoulders for mobility is associated with much anxiety, particularly if you will need to keep your arm immobile in a sling for a few weeks after the operation (such as for a rotator cuff repair). People are also extremely concerned about complications of the surgery as they are so reliant on their shoulders.
Of course all surgery is associated with complications, but with arthroscopic surgery many of these complications are much reduced. Since there is no damage to muscles to gain access to the shoulder there is less chance of muscle failure and infection. However, the surgery is more technically demanding and should be undertaken by a surgeon experienced in the techniques.
After the surgery:
Experienced occupational therapists can be extremely helpful to arrange home aides pre-operatively and advice on living with a sling.