Reverse Shoulder Replacement

The recovery process

Rehabilitation after reverse shoulder replacement is a structured and progressive process designed to restore movement and function while initially protecting the joint.

Your program will be directed by Dr. Dallalana following the outline below unless advised otherwise, and guided by your physiotherapist through to completion.

General guidelines

Weeks 0–4: Early recovery and joint protection

During the first phase, the focus is on protecting the implanted joint and beginning gentle movement. Use ice for the first week to help with pain and swelling

Sling Use

Use of the arm

Simple daily tasks including desk work
Avoid lifting any heavy items or forceful pushing or pulling with the affected side
Movements are restricted and forceful use discouraged in the first 6 weeks to protect the subscapularis muscle repair - this is a part of the rotator cuff group of muscles at the front of the shoulder. It is cut to allow access and then repaired with internal stitches at the end of the replacement procedure. Protection of this muscle repair is important in the long-term success of the anatomic shoulder replacement
You cannot drive a vehicle in this time

Exercises

Maintaining mobility in the elbow, wrist, and hand
Scapular setting (posture) exercises
Perform the exercises shown at least 3 times per day at home, unless pain prevents this.
Progression of active-assisted exercises (helping move your arm using your other arm or equipment such as a stick or pulley)

Your sling is discontinued after 6 weeks

Weeks 4 – 8 : Gradual progression of movement and light strengthening

Weeks 6–9: Expanding movement and light strength

This phase includes:

Formal physiotherapy sessions beginning at 6 weeks to guide and advance exercises and optimise the final outcome
Increased range of motion in all directions, including gradual external rotation (rotation outwards to the side), to maximum extent. No movement range restrictions apply at this stage
Rotation behind the back (internal rotation) may be commenced, and is expected to be a little uncomfortable initially
Light strengthening of the shoulder muscles – Isometric contraction exercises
More active use of the arm in daily activities

Driving is resumed during this stage.

Weeks 9–12: Building strength and control

Continue regular physiotherapy visits and 3 x daily exercises at home

Weeks 8–12: Further strengthening and activities

3 to 6 Months: Advanced recovery

Peak range of motion and strength is obtained by 12 months, occasionally up to 2 years for some muscles. Formal physiotherapy can cease between 4 and 6 months after surgery depending on progress, however ongoing home exercising is useful to derive maximum benefit.

3 to 6 months: Resume normal function

3 to 6 Months: Advanced recovery

Your rehabilitation journey

Recovery timelines vary between individuals depending on muscle strength and bone quality, the state of the joint prior to surgery, general health and adherence to rehabilitation guidelines Recovery is progressive, and following your rehabilitation program is important to support a safe outcome. Further information about return to activity is found on the page relating to reverse shoulder replacement surgery

Can shoulder or elbow surgery help with ongoing pain?

In appropriate cases, modern orthopaedic techniques may help reduce pain, improve strength and mobility, and support a more active and confident lifestyle. Outcomes vary depending on your condition and individual circumstances.