Would like others experience on Reverse Total Shoulder Replacement
I'm scheduled for reverse TSR (left shoulder) in August. Right now I have great range of motion upward with my arm, no pain. Lateral moves hurt though, sleeping on it hurts and the arm is weak. I have a full through rotator cuff tear that is irreparable. Surgeon feels Reverse TSR is way to go but I'm worried if I'm making the right decision. Has anyone else had this done? I'm not quite 70 years old, in good physical health otherwise. Ten years ago I had rotator cuff tear repair and bicep repair on right shoulder for massive tear. Recuperation was the pitts!!
Needless to say I'm not looking forward to this though the surgeon keeps telling me replacement will be easier. Can anyone give me their experience the good, bad, ugly??
Thanks so much!!
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HI @kcoxit, How are you doing now?
A shoulder replacement was suggested for me, probably the Reverse TSR. I just saw a PA yesterday about my lack of mobility and shoulder pain. She said my shoulder was "horrible" based on Xray (arthritis) and she felt no rotator cuff when she injected me with a steroid. I've had no ability to lift my arm overhead for a couple of years.
She said recovery would be grueling for a few months.
Problem for me is I'm caregiver to my husband with dementia, and a long recovery, more pain and immobility seems out of the question right now.
My husband had RSR in November. We had also heard that the recovery was grueling. My husband is 72 and has been in a lot pain for a long time. Steroid injections stopped giving relief. We had an exceptional Dr but the recovery was a surprise. He needed pain medicine for the first week only. Then NSAIDS were enough. Very little pain week two and out. Physical therapy went really well. Did not need pain medicine. So talk to your doctor in depth and don’t listen to people that have had surgery some years ago. It has improved. Good luck to you. And, God Bless.
Thank you fo r your reply @pworley1955. Was your husband's surgery on his dominant hand side? Was he able to drive right away or did it take time? What about tasks that take hand skills like cooking? I'm asking because as caregiver those are some of the things I do for my husband.
Good evening @tsc, I have just read your post to @kcoxit. I hope this member is still posting with Connect so that you can receive a response.
In the meantime Teri, I would like to share some of my experience with RSR in hopes that you will find it helpful.
My right (dominant) shoulder was severely injured in a fall from the American Legion platform down the mountain. The snow plow had removed the railing and I walked right off the deck.
My shoulder was displaced and my elbow had 3 fractures. After a hospital stay and the swelling had gone down, I had surgery to repair my rotator cuff. It failed. A second surgery was scheduled to use cadaver material to replace the damaged rotator cuff. It failed.
My insurance company would not approve an RSR until I had been exposed to opioids, acupuncture, and other known healing agents. They did not work. Finally, the RSR was approved and my surgeon spent considerable time showing me videos and helping me prepare for the surgery.
With help from the engineer of the replacement, I had the surgery. My surgeon even came to the hospital and sat with me to make sure everything went well and I could sleep the first night. All taped up, I went home the following day with high hopes.
Within three days I was out to dinner with friends and learning how to make adjustments in my daily activities e.g. learning how to write left-handed. The surgeon and our local PA chatted and decided on what turned out to be a pretty darn perfect rehabilitation program.
At this point, I have no pain, just some moderate difficulty in eating ice cream cones because my elbow sticks out a bit unevenly. This was not a grueling procedure.
I have every hope that my replacement will be with me for the rest of my life.
May you find a pain-free life and the ability to plant flowers, make ice cream, and dance around the floor whenever you have a chance.
May you be safe, protected, and free from inner and outer harm.
Chris
Are you serious about the lifting weights?
35 pounds?
I have to be able to lift 50 pound bags!
Turns out the the bone structure would not work with the regular shoulder replacement. I had a TRS and could not be happier. Since I am so active the TRS will last much longer.
@artscaping, Chris, thank you for sharing your story. You really went through the mill with your shoulder and I'm glad it worked out for you.
I haven't had a traumatic injury to my shoulder. It's been gradual wear and tear. The osteoarthritis may have been accelerated by an autoimmune disorder I had for a couple of years.
I wish you continued health, freedom from pain and good mobility and use of your shoulder for life.
Thank you so much!
Teri
My RSR was dominant right side one year ago. I did take pain meds for a couple weeks but the pain was manageable after that. I couldn’t drive for 6 weeks. We knew I would not be able to do much around the house so we lived on Healthy Choice micro meals for most of our dinners. My husband waited on me for most everything. I had difficulty laying down so slept on my recliner for several weeks. It would be very difficult as a caretaker. You would need help for a while, imo.
Hi @twinkie 23. Thank you for replying.
Earlier, I watched a video Kaiser Permanente posted on recovery from Shoulder Replacement Surgery, saw sleeping in the recliner, limited range of motion, etc.
My husband can do most things for himself. He doesn't drive, cook or do anything related to home maintenance, though he can sweep and wash dishes. He mainly has to be told what to do.
Four years ago I had open heart surgery, couldn't drive for 6 weeks, managed simple meals, etc.
Are you glad you had the surgery? Has your range of motion improved? How is your pain now?
I really had no choice but to have the surgery. I had a bad fall in my garden that created a massive tear in my rotator cuff. They originally did the rotator cuff repair but the muscle just shredded after 6 weeks. So, had the reverse replacement. Under those conditions I’m glad I had the surgery. After one year, my strength and range of motion is pretty good. I have not gained all my strength but was never promised I would. I find that I can do most things but it did take a full year to heal this well. Not to say it will take you that long. Everyone’s different. As far as pain I have none, just limited strength. Once in a while I’ll get a twinge if I move the wrong way. All in all, I’m satisfied.
When is your surgery? Did you have rotator cuff surgery before now or did you have an injury?
I really am glad we decided to go with the microwave meals. We each found our favorites and it made recovery easier not having meal prep a problem.
I pray that all goes well for you and that you have lasting benefit.