What Causes Shoulder Pain After Laparoscopic Surgery?

Why Does It Happen?

Carbon Dioxide Gas

• Used to inflate abdomen during surgery
• Creates necessary space for surgical instruments
• Can irritate the diaphragm
• Results in referred pain to shoulder area

Mechanism of Pain

• Gas pushes against diaphragm
• Nerve pathways share connections
• Results in referred shoulder pain
• Some CO2 remains after surgery

Managing the Pain

Immediate Relief

• Walking and gentle movement
• Deep breathing exercises
• Position changes
• Heat or cold therapy

Medication Options

• Over-the-counter pain relievers
• Prescribed pain medications
• Anti-inflammatory drugs

Recovery Timeline

• Pain typically peaks 24-48 hours after surgery
• Gradually improves over 3-5 days
• Should resolve within a week
• Contact doctor if pain persists longer

Prevention and Tips

Early Mobilization

• Walk as soon as cleared by medical team
• Start with gentle movements
• Follow physical therapy guidance
• Gradually increase activity

Breathing Exercises

• Practice deep breathing
• Perform shoulder rolls
• Try gentle stretches
• Maintain good posture

Position Changes

• Avoid lying completely flat
• Use multiple pillows for support
• Change positions regularly
• Keep upper body slightly elevated

When to Contact Your Doctor

Seek medical attention if you experience:

• Severe or worsening pain
• Difficulty breathing
• Fever or chills
• Pain lasting more than a week