7 Best Exercise After Total Shoulder Replacement

What is a shoulder replacement?

Shoulder replacement is a surgical procedure that involves replacing the damaged parts of the shoulder joint with artificial components. The shoulder joint is made up of the upper arm bone (humerus), the shoulder blade (scapula), and the collarbone (clavicle). The joint is surrounded by cartilage, tendons, and ligaments that help it move smoothly and without pain. However, due to injury, arthritis, or other conditions, the cartilage in the shoulder joint can wear away, causing pain, stiffness, and limited mobility.

Shoulder replacement surgery is typically recommended for individuals who experience severe shoulder pain and limited mobility that has not improved with other treatments such as medication, physical therapy, or injections. During the surgery, the damaged parts of the shoulder joint are removed and replaced with artificial components made from metal and plastic. This can help restore function, improve range of motion, and relieve pain in the shoulder joint. Physical therapy and exercise are important components of the recovery process after shoulder replacement surgery to help restore strength.

 

Why did it happen ?

Shoulder replacement surgery is typically performed due to damage or deterioration of the shoulder joint. The most common reasons that lead to the need for shoulder replacement surgery are:

1. Osteoarthritis:

 This is a degenerative joint disease that occurs when the cartilage in the shoulder joint wears away, causing the bones to rub against each other.

2. Rheumatoid arthritis

It is an autoimmune condition that affects the joints, including the shoulder joint, and results in inflammation.

3. Rotator cuff tear arthropathy: 

This is a condition that occurs when a rotator cuff tear is left untreated, causing the joint to deteriorate over time.

4. Avascular necrosis: 

This is a condition that occurs when the blood supply to the bones in the shoulder joint is disrupted, causing the bone tissue to die.

5. Severe fractures:

 Severe fractures of the shoulder joint can damage the bones and cartilage, leading to the need for replacement surgery.

In some cases, shoulder replacement surgery may also be recommended.

 

What is the role of physiotherapy in this?

 

While physiotherapy cannot reverse the need for shoulder replacement surgery, it plays a crucial role in the rehabilitation process following surgery. Physiotherapists work with patients to improve range of motion, strength, and flexibility in the shoulder joint, as well as to manage pain and swelling. They also provide guidance on exercises and movements to avoid during the recovery period. By working closely with a physiotherapist, patients can achieve the best possible outcome following shoulder replacement surgery.

 

7 Exercises for Shoulder Replacement Surgery

 

If you have had shoulder replacement surgery, it is important to follow a rehabilitation program to help you regain strength, flexibility, and range of motion. Here are seven exercises that can help you in your recovery:

 

Pendulum exercises: 

Stand with your unaffected arm on a stable surface and let your affected arm hang down. Gently swing your arm forward and back, side to side, and in circles.

 

Passive range of motion exercises: 

With the help of a physical therapist, gently move your arm through its full range of motion. This helps prevent stiffness and keeps your joint mobile.

 

Wall slides:

Stand facing a wall and place your hands on the wall. Slowly slide your arms up the wall as high as you can without pain, then slide them back down.

 

Scapular retraction exercises: 

sit or stand with your arms at your sides. Squeeze your shoulder blades together and hold for a few seconds, then release.

 

Shoulder Shrug : 

Stand or sit with your arms at your sides. Shoulder shrug. Take a few seconds to hold your shoulders up to your ears before letting go.

 

Internal and external rotation exercises:

 Hold a lightweight in your hand and sit or stand with your elbow at your side. Slowly rotate your arm inwards and then outwards, without moving your elbow.

 

Resistance band exercises: 

Attach a resistance band to a door or other stable object and hold the other end with your affected arm. Pull the band towards your body, then slowly release.

 

Remember to always consult with your doctor and/or physical therapist before beginning any exercise programme.

 

What is reverse shoulder replacement surgery?

 

Reverse shoulder replacement surgery is a type of joint replacement surgery that is used to treat certain types of shoulder conditions, particularly those involving rotator cuff tears or arthritis. In a normal shoulder joint, the ball-shaped end of the upper arm bone (humerus) fits into a socket on the shoulder blade (scapula). The locations of the ball and socket are switched around during a reverse shoulder replacement.

 

During the surgery, the surgeon removes the damaged or diseased parts of the shoulder joint and replaces them with artificial components. In a reverse shoulder replacement, the artificial ball is attached to the shoulder blade, and the artificial socket is attached to the upper end of the humerus. This design allows the shoulder muscles to move the arm instead of relying on the damaged rotator cuff muscles.

 

Reverse shoulder replacement surgery is typically recommended for people with severe rotator cuff tears or other conditions that have resulted in a loss of function in the shoulder. It can help relieve pain, improve range of motion, and restore function to the shoulder joint. As with any surgery, there are risks and potential complications, and the decision to undergo a reverse shoulder replacement should be made in consultation with a qualified medical professional.

 

Complications After Shoulder Replacement Surgery 

 

As with any surgery, there are potential complications associated with shoulder replacement surgery. Some of the possible complications include:

 

1. Infection: Infection can occur in the surgical wound or in the joint. This is more common in people with weakened immune systems or other health problems.

 

2. Blood clots: Blood clots can form in the veins of the legs and travel to the lungs, causing a serious condition called pulmonary embolism.

 

3. Nerve damage: Nerves near the shoulder joint can be damaged during surgery, leading to numbness, weakness, or pain.

 

4. Dislocation: The artificial joint can become dislocated, causing pain and limited mobility. This is more common in people who do not follow the recommended postoperative precautions.

 

5. Loosening or wear of the joint components: The artificial joint can loosen over time or the components can wear down, requiring revision surgery.

 

6. Fracture: Fractures can occur during surgery or as a result of stress on the shoulder joint after surgery.

 

7. Adverse reactions to anaesthesia: Some people may experience an allergic reaction or other complications related to the anaesthesia used during surgery.

 

It is important to discuss the potential risks and complications of shoulder replacement surgery with your doctor before the procedure. Additionally, following your doctor's postoperative instructions and attending recommended physical therapy can help reduce the risk of complications and promote a successful recovery.

 

Precautions After Shoulder Replacement Surgery 

 

After shoulder replacement surgery, it is important to follow your doctor's instructions to promote healing and reduce the risk of complications. Here are some general precautions to keep in mind:

 

1. Keep the surgical incision clean and dry. Avoid getting the incision wet until it has fully healed. Follow your doctor's instructions for changing dressings and keeping the area clean.

 

2. Follow a prescribed physical therapy programme. Physical therapy is an important part of recovery after shoulder replacement surgery. Your physical therapist will design a programme to help you regain strength, mobility, and range of motion. It is important to follow the programme as prescribed.

 

3. Avoid heavy lifting or strenuous activity: You will need to avoid lifting heavy objects or engaging in activities that could strain the shoulder joint, especially in the first few weeks after surgery. Your doctor will provide guidance on when it is safe to resume normal activities.

 

4. Use assistive devices as needed: You may need to use a sling or other assistive device to support your arm and shoulder as you heal. Your doctor or physical therapist can provide guidance on the proper use of these devices.

 

5. Take pain medication as prescribed. Your doctor may prescribe pain medication to manage pain and discomfort after surgery. It is important to take the medication as prescribed and to notify your doctor if you experience any unusual side effects.

 

6. Attend all follow-up appointments. Your doctor will schedule follow-up appointments to monitor your progress and check for complications. It is important to attend all appointments and to notify your doctor if you experience any new or worsening symptoms.

 

By following these precautions, you can promote healing and reduce the risk of complications after shoulder replacement surgery.

 

 

Conclusion of Shoulder Replacement Surgery and Exercise
 

Shoulder replacement surgery is a procedure in which a damaged shoulder joint is replaced with an artificial implant. The surgery is typically performed when non-surgical treatments, such as physical therapy and medication, are no longer effective in managing pain and restoring mobility.

 

Following shoulder replacement surgery, it is important to engage in a rehabilitation programme to promote healing and restore strength and range of motion. Physical therapy typically begins soon after surgery and can include a variety of exercises such as range of motion exercises, stretching, and strengthening exercises for the muscles surrounding the shoulder.

 

It is important to follow the advice of your healthcare provider and physical therapist regarding when to start and how to progress with exercise. In general, it is important to avoid exercises that may put too much stress on the shoulder joint, such as heavy lifting or overhead activities.

 

With proper care and rehabilitation, many individuals who undergo shoulder replacement surgery are able to regain mobility and return to their daily activities with minimal pain. However, recovery time can vary depending on the individual and the extent of the surgery, so it is important to be patient and follow a structured rehabilitation programme.