If you're considering surgery, it's natural to have questions. Many patients have questions about what to expect before, during, and after shoulder replacement surgery. As a shoulder surgeon, educating patients is always a priority, with a goal to help improve patient outcomes and overall satisfaction with the procedure. Let’s explore some of the most frequently asked questions to help you understand and prepare.
- What Does Shoulder Replacement Surgery Involve?
Shoulder replacement surgery involves removing damaged bone and cartilage from the shoulder joint and replacing them with artificial components. This procedure is typically recommended for severe arthritis, fractures, or rotator cuff injuries that cause chronic pain and impaired function.
Am I a Good Candidate for Shoulder Replacement?
Candidates usually have significant shoulder pain or stiffness that affects daily life and have not responded well to conservative treatments like medication or physical therapy. Your overall health and activity level will also be evaluated to determine if surgery is appropriate.
What Are the Different Types of Shoulder Replacement?
There are mainly two types: total shoulder replacement, which replaces both the ball and socket of the joint, and reverse shoulder replacement, designed for patients with rotator cuff damage. The best option will be based on your specific condition.
How Long Does the Surgery Take?
Typically, shoulder replacement surgery lasts between 1 to 2 hours. The exact duration depends on the complexity of the case and the type of implant used.
What Should I Expect During Recovery?
Recovery involves wearing a sling for several weeks and participating in physical therapy to restore movement and strength. Most patients see significant improvement within 3 to 6 months, though full recovery can take up to a year.
Are There Risks or Complications?
Like any surgery, shoulder replacement carries risks such as infection, blood clots, nerve injury, or implant loosening. However, modern surgical techniques and careful postoperative care minimize these risks.
Will I Regain Full Range of Motion?
While many patients regain substantial function and pain relief, full range of motion depends on factors like pre-surgery joint condition and muscle strength. Physical therapy plays a critical role in maximizing movement to achieve the full range of motion.
How Long Do Shoulder Implants Last?
Most implants last 20 years or longer, depending on activity levels and overall health. Regular follow-ups help monitor implant integrity and address any issues early.
Can I Return to Sports or Physical Activities?
Low-impact activities such as swimming or walking are usually encouraged after recovery. High-impact or repetitive overhead motions may be limited to protect the implant’s longevity.
How Do I Prepare for Shoulder Replacement Surgery?
Preparation includes medical evaluations, optimizing your health, and arranging support for post-surgery care. You will be provided with detailed preoperative instructions tailored to your needs.
Personalized care can make all the difference in your recovery and long-term joint health. Schedule an appointment to explore treatment options tailored to your condition.
AUTHOR: Brian W. Hill, M.D., is a board-certified shoulder surgeon at Palm Beach Orthopedic Institute. He is an expert in advanced reconstructive and arthroscopic techniques and serves as an assistant team physician for the Washington Nationals and their affiliates. Dr. Hill treats shoulder injuries and arthritis with a focus on patient-centered care and clear communication.
