{"id":1007,"date":"2010-02-03T17:34:37","date_gmt":"2010-02-03T22:34:37","guid":{"rendered":"http:\/\/www.heart-valve-surgery.com\/heart-surgery-blog\/2010\/02\/03\/sternum-shoulder-click-pain\/"},"modified":"2025-08-01T19:25:46","modified_gmt":"2025-08-02T00:25:46","slug":"sternum-shoulder-click-pain","status":"publish","type":"post","link":"https:\/\/www.heart-valve-surgery.com\/heart-surgery-blog\/2010\/02\/03\/sternum-shoulder-click-pain\/","title":{"rendered":"&#8220;Did Your Sternum and Shoulder Click after Heart Surgery?&#8221; Asks Dale"},"content":{"rendered":"<p>I just received a great email from Dale about sternum and shoulder clicking after open heart surgery.<\/p>\n<p>Dale writes, &#8220;Hi Adam &#8211; I had my surgery on November 2, 2009. The surgeon replaced <a href=\"https:\/\/www.heart-valve-surgery.com\/bicuspid-aortic-valve-symptoms.php\">my bicuspid aortic valve<\/a> (with a bovine tissue valve), the root aorta, and grafted a large piece of my ascending aorta. I have a question&#8230; I have some very occasional clicking in my sternum. However, I also have clicking in my right shoulder. It has become more intense, frequent and uncomfortable. Is this normal? Thank you for both the book and this blog! Dale Pfeiffer&#8221;<\/p>\n<p>&nbsp;<\/p>\n<div style=\"text-align: center;\"><img decoding=\"async\" src=\"https:\/\/www.heart-valve-surgery.com\/Images\/shoulder-pain.jpg\" alt=\"\" \/><\/div>\n<p>&nbsp;<\/p>\n<p><!--more--><\/p>\n<p>This email from Dale brought back some distinct memories from my early recovery.<\/p>\n<p>Like Dale, I did experience sternum clicks from time-to-time as my sternum healed. In fact, one night I had Robyn (my wife) listen to my chest &#8211; as it clicked &#8211; to confirm that I wasn&#8217;t going crazy. To ensure the &#8220;clicking&#8221; was not problematic, I discussed this noise with Dr. Starnes, my surgeon, who calmed my fears with two words, &#8220;That&#8217;s normal.&#8221;<\/p>\n<p>Unlike Dale&#8230; I did not experience any clicking or pain in my shoulder. However, <a href=\"https:\/\/www.heart-valve-surgery.com\/heart-surgery-blog\/2010\/02\/19\/start-cardiac-rehabilitation-begin\/\">after I started cardiac rehab<\/a>, I did meet several patients, including Ted, that often complained of shoulder pain.<\/p>\n<p>What is very interesting about the timing of Dale&#8217;s email, is that two other emails in my inbox &#8211; from Brian J. and Craig R. &#8211; are also asking about the exact same issue&#8230; shoulder pain.<\/p>\n<p>That said, I did some quick research. It appears that shoulder pain, like chest pain, is normal for patients. According to the University of Southern California Keck School of Medicine, &#8220;<a href=\"https:\/\/www.heart-valve-surgery.com\/heart-valve-replacement.php\">Some heart valve replacement surgery patients<\/a> experience pain in their chest and shoulder areas and become alarmed thinking it may be angina. This pain is usually due to muscle and bone aches.&#8221;<\/p>\n<p>Still, I am curious to know how many, if any, of our patient readers can relate to Dale&#8217;s, Brian&#8217;s and Craig&#8217;s shoulder pain. So, my questions to you are, &#8220;Did you experience sternum clicking? Did you experience shoulder clicking? What about shoulder pain?&#8221;<\/p>\n<p>Related Links:<\/p>\n<ul>\n<li><a href=\"https:\/\/www.heart-valve-surgery.com\/heart-surgery-blog\/2015\/02\/24\/sternal-nonunion\/\">Sternal Nonunion After Heart Surgery: Patient Information<\/a><\/li>\n<li><a href=\"https:\/\/www.heart-valve-surgery.com\/learning\/rapid-recovery-protocol-2-marc-gerdisch-dr\/\">Rapid Recovery Protocol 2.0 with Dr. Marc Gerdisch<\/a><\/li>\n<li><a href=\"https:\/\/www.heart-valve-surgery.com\/learning\/rigid-sternal-fixation\/\">Rigid Sternal Fixation: New Approach to Sternal Closure<\/a><\/li>\n<\/ul>\n<p>Keep on tickin!<br \/>\nAdam<\/p>\n","protected":false},"excerpt":{"rendered":"","protected":false},"author":1,"featured_media":22704,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[62],"tags":[],"class_list":["post-1007","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-recovery"],"acf":[],"aioseo_notices":[],"_links":{"self":[{"href":"https:\/\/www.heart-valve-surgery.com\/heart-surgery-blog\/wp-json\/wp\/v2\/posts\/1007","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.heart-valve-surgery.com\/heart-surgery-blog\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.heart-valve-surgery.com\/heart-surgery-blog\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.heart-valve-surgery.com\/heart-surgery-blog\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.heart-valve-surgery.com\/heart-surgery-blog\/wp-json\/wp\/v2\/comments?post=1007"}],"version-history":[{"count":3,"href":"https:\/\/www.heart-valve-surgery.com\/heart-surgery-blog\/wp-json\/wp\/v2\/posts\/1007\/revisions"}],"predecessor-version":[{"id":42562,"href":"https:\/\/www.heart-valve-surgery.com\/heart-surgery-blog\/wp-json\/wp\/v2\/posts\/1007\/revisions\/42562"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.heart-valve-surgery.com\/heart-surgery-blog\/wp-json\/wp\/v2\/media\/22704"}],"wp:attachment":[{"href":"https:\/\/www.heart-valve-surgery.com\/heart-surgery-blog\/wp-json\/wp\/v2\/media?parent=1007"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.heart-valve-surgery.com\/heart-surgery-blog\/wp-json\/wp\/v2\/categories?post=1007"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.heart-valve-surgery.com\/heart-surgery-blog\/wp-json\/wp\/v2\/tags?post=1007"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}