Everything You Need to Know About Total Shoulder Replacement

Total shoulder replacement, also known as total shoulder arthroplasty, is a surgical procedure that involves replacing the damaged or diseased shoulder joint with a prosthetic implant. The procedure aims to alleviate pain, restore range of motion, and improve overall function of the shoulder joint.

The shoulder joint is a ball-and-socket joint that allows for a wide range of motion, but it is susceptible to wear and tear, as well as degenerative conditions such as osteoarthritis. When conservative treatments fail to provide relief, total shoulder replacement may be recommended by a healthcare professional.

During the procedure, the surgeon removes the damaged parts of the shoulder joint, including the head of the humerus (upper arm bone) and the glenoid (socket of the shoulder blade). These are then replaced with artificial components made from metal and/or plastic. This new joint allows for smoother movement and reduces pain and discomfort.

Total shoulder replacement is typically performed under general anesthesia, and most patients are able to return home on the same day or the following day after the surgery. Rehabilitation and physical therapy are crucial aspects of the recovery process, as they help restore strength, flexibility, and function to the shoulder joint.

Who is a Candidate for Total Shoulder Replacement?

Total shoulder replacement is most commonly recommended for individuals who have severe shoulder pain and disability due to osteoarthritis, rheumatoid arthritis, or a previous shoulder injury. Candidates for this procedure often experience symptoms such as persistent pain, limited range of motion, weakness, and difficulty performing everyday activities.

Before considering total shoulder replacement, healthcare professionals will typically explore non-surgical treatments such as physical therapy, medication, and injections. If these interventions fail to provide sufficient relief, a total shoulder replacement may be recommended.

It is important for candidates to undergo a thorough evaluation by their healthcare provider to determine if they are suitable for the surgery. Factors such as overall health, age, and the severity of the shoulder condition will be taken into consideration. The healthcare provider will discuss the potential risks and benefits of the procedure, as well as alternative treatment options.

The Advantages Of This Procedure

Total shoulder replacement offers several advantages for individuals suffering from shoulder pain and disability.

Firstly, the procedure can provide significant pain relief. Many patients experience a significant reduction in shoulder pain and discomfort following surgery, allowing them to resume their daily activities and enjoy a better quality of life.

Secondly, total shoulder replacement can improve range of motion and function of the shoulder joint. By replacing the damaged joint with an artificial implant, the new joint allows for smoother movement and increased mobility. This can help individuals regain strength, perform tasks that were once difficult or impossible, and participate in recreational activities.

Furthermore, this procedure can also enhance stability and stability of the shoulder joint. This can be particularly beneficial for individuals who have experienced shoulder dislocations or instability due to a previous injury or condition.

It is important to note that while total shoulder replacement can provide significant benefits, it is not without risks. Patients should discuss the potential risks and complications with their healthcare provider before making a decision.

The Procedure

Total shoulder replacement is typically performed by an orthopedic surgeon who specializes in shoulder surgery. The procedure involves several steps:

1. Anesthesia: The patient is placed under general anesthesia to ensure they are comfortable and do not experience any pain during the surgery.
2. Incision: The surgeon makes an incision in the shoulder area to access the shoulder joint.
3. Joint preparation: The damaged parts of the shoulder joint, including the head of the humerus and the glenoid, are carefully removed.
4. Implant placement: The surgeon replaces the damaged parts with artificial components made from metal and/or plastic. The new components are designed to mimic the natural structure and function of the shoulder joint.
5. Closure: The incision is closed using sutures or staples, and a sterile dressing is applied to the surgical site.

Following the procedure, the patient is monitored in a recovery area until they are fully awake from anesthesia. Pain medication and antibiotics may be prescribed to manage pain and prevent infection. Physical therapy and rehabilitation are typically initiated soon after surgery to promote healing and restore function to the shoulder joint.

Recovery and Rehabilitation 

Recovery and rehabilitation after total shoulder replacement are crucial for achieving the best possible outcomes. The length of the recovery period can vary depending on individual factors such as age, overall health, and the extent of the surgery.

In the initial days after surgery, pain and discomfort are common. Medications may be prescribed to manage pain and swelling. It is important for patients to keep the surgical site clean and dry, as well as follow any specific post-operative instructions provided by their healthcare provider.

Physical therapy is a key component of the recovery process. The therapist will guide the patient through exercises and stretches designed to improve range of motion, strength, and flexibility of the shoulder joint. It is important to attend all scheduled therapy sessions and follow the prescribed exercises at home to optimize recovery.

During the rehabilitation period, it is important for patients to gradually increase their activity level while avoiding excessive strain on the shoulder joint. It is common for patients to experience some stiffness and discomfort, but these symptoms typically improve over time with consistent rehabilitation efforts.

Frequently Asked Questions About Total Shoulder Replacement

1. How long does a total shoulder replacement last?
   • Total shoulder replacements can last for 15 to 20 years or more, depending on various factors such as the patient’s age, activity level, and adherence to post-operative care.
2. What are the potential risks and complications?
   • Potential risks and complications include infection, blood clots, nerve damage, shoulder stiffness, implant loosening or dislocation, and allergic reactions to anesthesia or the implant materials.
3. Can I drive after total shoulder replacement?
   • It is generally advised to avoid driving until the surgeon gives clearance, which is usually around six weeks post-surgery. This ensures that the shoulder has healed adequately and that the patient has regained sufficient strength and range of motion.
4. When can I return to work after surgery?
   • The time it takes to return to work varies depending on the type of work and the individual’s recovery progress. Jobs that require heavy lifting or repetitive shoulder movements may require a longer recovery period.
5. Can I participate in sports or physical activities after total shoulder replacement?
   • While total shoulder replacement can improve function, it is important to consult with the surgeon or physical therapist before participating in sports or physical activities. Low-impact activities such as swimming, golfing, and cycling are generally recommended over high-impact activities.

Conclusion and Final Thoughts

Total shoulder replacement is a surgical procedure that can provide significant pain relief, improve range of motion, and enhance overall function for individuals suffering from shoulder pain and disability. Candidates for the procedure are typically those who have exhausted conservative treatment options and continue to experience persistent symptoms.

The procedure itself involves replacing the damaged parts of the shoulder joint with artificial components, which mimic the natural structure and function of the joint. Recovery and rehabilitation are crucial for achieving optimal outcomes, and patients are encouraged to actively participate in physical therapy and follow post-operative instructions.

While total shoulder replacement can provide numerous benefits, it is important to consider the potential risks and complications associated with the procedure. It is recommended to have a thorough discussion with a healthcare provider to determine if total shoulder replacement is the appropriate treatment option.

By understanding the procedure, recovery process, and potential outcomes, individuals can make informed decisions regarding their shoulder health and overall well-being. If you are considering total shoulder replacement, consult with a healthcare professional to determine the best course of action for your specific needs.

If you are experiencing persistent shoulder pain and limited mobility, consult with a healthcare professional at Aligned Orthopedic Partners to determine if total shoulder replacement is a suitable treatment option for you.