It is possible. Stiffness after surgery can happen after virtually any shoulder procedure. Therapy can help usually. Speak to the surgeon who did the procedure and see if you are where you are supposed to be, from a motion standpoint.
Technically, no. Post-op range of motion correlates with pre-op range of motion. You can become stiff following a total shoulder, which occurs much more frequently in patients are stiff to start. Pt is very important in gaining range of motion post-op, and typically begins soon after surgery. Technically speaking, however, we don't call this a frozen shoulder.
There will be pain. Shoulder replacements are associated with post-op pain. The pain is worse right after surgery and gets better. There are many ways that your pain can be alleviated and we get people through it. Such pain relieving methods include medications, block, positive imagery, etc. Talk to your surgeon about the details.
Why are you having. A total shoulder at 30. You will have a 1-2 day stay in hospital. Incision at the front of the shoulder. Sling for 4 weeks. Therapy for 3 months. Pain is usually worst for the first day and then improves to a dull toothache for weeks.
I am having total shoulder replacement surgery next week. Is the pain unbearable immediately following surgery?
No. The pain isn't unbearable and can be decreased with regional anesthesia, called a "shoulder block". You will be uncomfortable, but its important to remember that the pain you are having now is going to keep getting worse. The pain that you have after surgery will keep getting better.
Usually not. Nerve blocks and IV pain meds usually provide good post-op pain relief.
Pain after surgery. Interscalene block can be helpful at blocking pain before surgery. This has been shown to reduce post-op pain immediately after surgery, and in the weeks to follow. Patients frequently report that the pain they had pre-op is literally gone immediately after surgery. The surgical pain improves quickly. Patients who have shoulder replacement are among the happiest patients in my practice.
No. Total shoulder arthroplasty (replacement) is a very well tolerated procedure. Nerve blocks are commonly done for post-operative pain control in this procedure. Once the block wears off, oral narcotic pain medications are used for pain control. You will need to take the medication for a few weeks after surgery. The pain may get worse during therapy, but will be well worth it! Good luck!
I had total shoulder replacement surgery 4 mos ago but still can't lift my arm to shoulder level, should I be worried?
Probably not. Without complications it usually takes 6 mos-1yr to obtain the maximum benefits from shoulder replacement including range of motion and strength.
Possibly. 4 months after surgery it is common to have continued stiffness and weakness of the rotator cuff. If your xrays look good and your therapist can move your shoulder farther than you can without much pain than you might just need more rehab. It can take up to a year to fully recover. If you still have pain then there might be a tear in the rotator cuff. Nerve injury is a rare possibility as well.
Maybe. If arm can be moved passively further than you can move it actively, that is weakness. One possible cause of weakness after shoulder replacement is failure of the subscapularis to heal. This can be detected on examination. This is uncommon, can be very difficult to re-repair, and functional result unpredictable. If passive and active motion are equally limited, this is stiffness. Ask your doc.
Total Shoulder. The website Liftmyarm. Com has great information on total shoulders. My website WilsonShoulder. Com also has a procedure tab detailing this procedure. Hope this helps, Joe Wilson.
Relax. Typically, shoulder arthritis limits motion so much that it is difficult to perform any exercises beforehand. The surgery itself is usually quite successful with limited complications. If you have picked a surgeon you like and trust, just relax and ease your mind!
Patience! Joint replacement surgery is a great solution for arthritic joint pain. But it does take time to heal and recover. Shoulder range of motion is typically restricted for about 6wks after surgery. Therapy may be needed for 6-12wks after immbolization has ended. You will need to take pain medicine after surgery, but you will feel better. Find an orthopaedic surgeon with experience in shoulder surgery.
Shoulder specialist. Best advice I can give is to not let anyone do your replacement. A recent article in jbjs noted that surgeon experience greatly impacts outcome. They looked at partial knee replacements but this can be extrapolated to other surgeries. Most docs doing replacements do less than 5/year. A shoulder specialist "high volume" does more than 50/ year. Seek out someone experienced! Www. Indyshoulder. Com.
Relax. Anxiety before surgery is to be expected. I suggest methods of relaxation such as meditation, music, exercise, sexual activity (protection), moderate use of alcohol (if ok with surgeon), family/friends support. I also ask patients to remember that objectively speaking, they should be aware that they will be safer during the time of surgery that driving on the freeway. Best wishes.
8-16 weeks. Total shoulder arthoplasty is very involed procedure, the rotator cuff have to be open or repaired.
Average 6 months. Everybody recovers differently after a total shoulder replacement. Your recovery will be influenced by the severity of your arthritis, how stiff your shoulder is prior to surgery, the condition of your rotator cuff, and the amount of therapy and exercise you do. The more dedicated the patient is to his/her recovery, the quicker they will recover and the more successful the surgery will be.
Probably 6 months. A shoulder replacement is a complicated procedure where the muscular rehab it critical I would figure it will continue to get stronger with rehab for at least 6 months.
Immediately. Shoulder replacements don't typically violate or damage the deltoid muscle (we are very careful not to!), so the deltoid muscle does not typically need strengthening. Most shoulder replacements need 6-12 weeks of rest before you are allowed to stress the rotator cuff tendon that has been cut and reattached at surgery. After this time, therapy is focused more on motion.
Time can vary. The recovery time for deltoid function is less important for total shoulder replacement as strength and function relies more on the rotator cuff. It's recovery however in reverse total shoulder replacement is an important factor in function afterwards. Deltoid strength usually requires anywhere between 3-12 months to improve. The better your strength before surgery the quicker the recovery.