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Everything you need to stay up to date with Athletic PT news and physical therapy resources.

When Do I Get A Shoulder Replacement?

Whether or not you need a shoulder replacement depends on several factors, including the severity of your shoulder pain, the extent of damage to the joint, and how much the pain and stiffness are interfering with your daily activities and quality of life.

Your doctor may recommend a shoulder replacement if you have tried other treatments such as physical therapy, medication, and injections without success, and if your pain and stiffness are significantly affecting your ability to perform everyday tasks.

Some common reasons why someone might need a shoulder replacement include severe osteoarthritis, rheumatoid arthritis, rotator cuff tear arthropathy, avascular necrosis, and severe fractures or other types of trauma.

However, ultimately the decision to get a shoulder replacement is up to you and your doctor. If you are experiencing shoulder pain and stiffness, it’s important to see a doctor to determine the cause and the best treatment options for you. They will be able to evaluate your specific situation and advise you on whether a shoulder replacement is necessary.

Will Physical Therapy Help Shoulder Arthritis?

Yes, physical therapy can help relieve symptoms of shoulder arthritis. Physical therapy is often recommended as a conservative treatment option for shoulder arthritis, especially in the early stages of the condition.

Physical therapy can help reduce pain, improve range of motion, and increase strength in the muscles around the shoulder joint. Your physical therapist may use a variety of techniques, including exercises, manual therapy, and modalities such as ice or heat therapy, to help you manage your symptoms.

Physical therapy can also help you maintain your mobility and function, which is important for preventing further joint damage and maintaining your quality of life.

It’s important to note that physical therapy may not be enough to completely eliminate all symptoms of shoulder arthritis, especially in more advanced cases. Your physical therapist will work with you to develop a personalized treatment plan that takes into account the severity of your arthritis and your specific needs and goals.

Will PRP Help My Shoulder Arthritis?

Platelet-rich plasma (PRP) is a type of regenerative medicine that has been used to treat various musculoskeletal conditions, including arthritis. PRP involves extracting a small amount of your blood, processing it to concentrate the platelets, and injecting the platelet-rich plasma into the affected joint.

While some studies have suggested that PRP may be effective in reducing pain and improving function in people with shoulder arthritis, the evidence is still limited and conflicting.

Currently, there is no consensus on the effectiveness of PRP in treating shoulder arthritis, and more research is needed to determine its long-term effects and optimal use. PRP may be considered as a treatment option in combination with other conservative measures such as physical therapy, medication, and lifestyle changes.

It’s important to consult with your doctor to discuss whether PRP is an appropriate treatment option for your specific case of shoulder arthritis. Your doctor can evaluate your condition and help you weigh the potential risks and benefits of PRP and other treatment options.

Does An X-Ray Show If I Need A Shoulder Replacement?

An X-ray can provide important information about the condition of your shoulder joint, including the presence of arthritis, bone spurs, and other degenerative changes. However, it may not be the sole determining factor in deciding whether you need a shoulder replacement.

If you have symptoms of shoulder pain, stiffness, and limited range of motion, your doctor may recommend an X-ray to evaluate the extent of joint damage and help determine the most appropriate treatment plan.

In addition to an X-ray, your doctor may also perform other diagnostic tests, such as MRI or CT scan, to get a more detailed view of the soft tissues and structures around the shoulder joint.

Ultimately, the decision to undergo a shoulder replacement is based on a combination of factors, including your symptoms, the severity of your condition, and your overall health and lifestyle. Your doctor will consider all of these factors when making a recommendation for treatment, which may or may not include shoulder replacement surgery.

What Are The Different Types Of Shoulder Replacements?

There are several types of shoulder replacements, and the choice of procedure will depend on your specific condition and the surgeon’s recommendation. Here are some of the most common types of shoulder replacements:

  • Total shoulder replacement: This procedure involves replacing both the ball and socket of the shoulder joint with artificial implants. It is typically used to treat severe arthritis or other conditions that affect the entire joint.
  • Reverse total shoulder replacement: This procedure is used for people with severe rotator cuff damage or other conditions that prevent the normal use of the shoulder joint. In a reverse total shoulder replacement, the ball and socket are switched, with the ball being placed on the shoulder blade and the socket on the upper arm bone.
  • Partial shoulder replacement: This procedure involves replacing only the damaged portion of the joint with an implant, while leaving the healthy part intact. It may be used to treat specific types of arthritis or other conditions that affect only a portion of the joint.
  • Resurfacing shoulder replacement: In this procedure, the damaged surface of the ball joint is removed and replaced with a metal cap. This is a less invasive option for people with mild to moderate arthritis who still have good joint function.

Your surgeon will discuss with you which type of shoulder replacement is most appropriate for your individual condition and medical history. It’s important to carefully consider the risks and benefits of each option before making a decision.

How Long Do I Need Physical Therapy After Shoulder Replacement?

The length of physical therapy after shoulder replacement can vary depending on several factors, including the type of surgery, the extent of joint damage, and your overall health and rehabilitation goals.

In general, physical therapy is an important part of the recovery process after shoulder replacement surgery. Your physical therapist will work with you to develop a personalized treatment plan that is tailored to your individual needs and goals.

The initial phase of physical therapy typically begins soon after surgery and focuses on managing pain, reducing swelling, and regaining range of motion in the shoulder. You may be asked to perform gentle exercises and stretches to help improve flexibility and strength in the shoulder and surrounding muscles.

As you progress in your recovery, your physical therapist will gradually increase the intensity and complexity of your exercises to help you regain functional use of your shoulder. You may also be given exercises to help improve your posture and balance, and to reduce the risk of falls.

The length of physical therapy after shoulder replacement can vary, but it typically lasts several months. Your physical therapist will monitor your progress and adjust your treatment plan as needed to ensure that you are making steady progress towards your goals.

It’s important to follow your physical therapist’s recommendations and continue with home exercises and activities as directed to achieve the best possible outcomes after shoulder replacement surgery.

Will I Get All Of My Range Of Motion Back After I Have A Shoulder Replacement?

The degree to which you regain your range of motion after a shoulder replacement surgery can vary depending on several factors, including the extent of joint damage prior to surgery, the success of the surgery, and the effectiveness of your post-operative rehabilitation.

In general, most people do experience significant improvements in their range of motion following shoulder replacement surgery, and many are able to return to their previous level of function and activity. However, it’s important to note that complete restoration of range of motion is not always possible, especially in cases where there was significant joint damage prior to surgery.

Rehabilitation and physical therapy are essential to maximizing your recovery and regaining your range of motion. Your physical therapist will work with you to develop a personalized treatment plan that includes exercises to improve flexibility, strength, and range of motion in the shoulder joint.

It’s important to follow your physical therapist’s recommendations and continue with home exercises and activities as directed to achieve the best possible outcomes after shoulder replacement surgery. It may take several months to achieve maximum range of motion, and ongoing physical therapy may be necessary to maintain your progress over time.

How Strong Will My Shoulder Be After Shoulder Replacement?

The strength of your shoulder after a shoulder replacement surgery can vary depending on several factors, including the extent of joint damage prior to surgery, the success of the surgery, and the effectiveness of your post-operative rehabilitation.

In general, most people experience significant improvements in their shoulder strength following shoulder replacement surgery, and many are able to return to their previous level of function and activity. However, it’s important to note that complete restoration of strength is not always possible, especially in cases where there was significant muscle atrophy or weakness prior to surgery.

Rehabilitation and physical therapy are essential to maximizing your recovery and regaining your strength. Your physical therapist will work with you to develop a personalized treatment plan that includes exercises to improve strength, stability, and function in the shoulder joint.

It’s important to follow your physical therapist’s recommendations and continue with home exercises and activities as directed to achieve the best possible outcomes after shoulder replacement surgery. It may take several months to achieve maximum strength, and ongoing physical therapy may be necessary to maintain your progress over time. Your surgeon may also recommend avoiding certain activities or exercises that could potentially damage your new shoulder joint.

What Are The Best Exercises To Do After A Shoulder Replacement?

The best exercises to do after a shoulder replacement surgery will depend on several factors, including the extent of joint damage prior to surgery, the type of surgery performed, and your individual rehabilitation goals and needs. However, here are some examples of exercises that may be included in a post-operative rehabilitation program:

  • Passive range-of-motion exercises: These exercises involve gently moving the shoulder joint through its full range of motion, using the opposite arm or a pulley system to assist with movement. This can help improve flexibility and prevent scar tissue from forming.
  • Active-assisted range-of-motion exercises: These exercises involve actively moving the shoulder joint with the assistance of the opposite arm or a therapist. This can help improve strength and control in the shoulder joint.
  • Strengthening exercises: These exercises focus on building strength and stability in the muscles surrounding the shoulder joint, including the rotator cuff, deltoids, and scapular stabilizers. Examples include shoulder presses, external rotation exercises, and scapular retractions.
  • Functional exercises: These exercises focus on improving your ability to perform everyday activities, such as reaching overhead, lifting, and carrying objects. Your physical therapist may design exercises that mimic the movements and demands of your specific job or hobbies.

It’s important to work closely with your physical therapist and follow their recommendations for exercises and activities to ensure a safe and effective recovery. Your therapist may also recommend modifications or adjustments to exercises based on your progress and any limitations or discomfort you may experience.