Arthritic shoulders are stiff. One of the major goals of total shoulder replacement surgery is to relieve much of this stiffness. However, after surgery scar tissue will tend to recur and limit movement unless motion is started immediately. This early motion is facilitated by the complete surgical release of the tight tissues so that after surgery the patient has only to maintain the range of motion achieved at the operation. Later on, once the shoulder is comfortable and flexible, strengthening exercises and additional activities are started.

A careful, well-planned rehabilitation program is critical to the success of a shoulder replacement. You usually start gentle physical therapy on the first day after the operation. You wear an arm sling during the day for the first several weeks after surgery. You wear the sling at night for 4 to 6 weeks. Most patients are able to perform simple activities such as eating, dressing and grooming within 2 weeks after surgery. Driving a car is not allowed for 6 weeks after surgery.

Here are some "do's and don'ts" for when you return home:

  * Don't use the arm to push yourself up in bed or from a chair because this requires forceful contraction of muscles.
  * Do follow the program of home exercises prescribed for you. You may need to do the exercises 4 to 5 times a day for a month or more.
  * Don't overdo it! If your shoulder pain was severe before the surgery, the experience of pain-free motion may lull you into thinking that you can do more than is prescribed. Early overuse of the shoulder may result in severe limitations in motion.
  * Don't lift anything heavier than a glass of water for the first 6 weeks after surgery.
  * Do ask for assistance. Your physician may be able to recommend an agency or facility if you do not have home support.
  * Don't participate in contact sports or do any repetitive heavy lifting after your shoulder replacement.
  * Do avoid placing your arm in any extreme position, such as straight out to the side or behind your body for the first 6 weeks after surgery.
Many thousands of patienVts have experienced an improved quality of life after shoulder joint replacement surgery. They experience less pain, improved motion and strength, and better function