Say no to reverse shoulder replacement

Posted by koneil @koneil, Mar 11 11:28am

Is anyone else regreting their decision to have a reverse total shoulder replacement?
I am about 9 months post surgery. The pain in my right shoulder has not been relieved. In fact it's much worse than prior to my surgery. I'm also very weak in my right shoulder. The doctor has sent me to PT ever since my surgery. According to my physical therapist , I have a severe deficit in the mobility and strength for my right arm. I have exercised my arm almost every day since my surgery. Does this get any better? It's definitely changed my way of life, driving and cleaning up my house is painful. I vacuumed my house, and I was sore for three days. I hope there are some insights on how to proceed with my recovery.

Interested in more discussions like this? Go to the Joint Replacements Support Group.

Profile picture for bionicwoman @bionicwoman

You might have your nerves in your shoulder/arm checked out. I was in so much pain after my RTS I couldn't see straight let alone move my arm. After I got a EMG did they find a pinched nerve in my axilla. After surgery to get the nerve untrapted, it was a game changer. I could actually use my arm and shoulder again.

Jump to this post

Bionicwoman
I had the EMG. A bit painful procedure. Nothing was found to reduce my arm pain.

REPLY

Im sorry you have had such a poor experience...I am 6 months post Reverse Total
Shoulder Replacement and I
have full range of motion...no issues what so ever...doing weight training at present....good luck!

REPLY
Profile picture for spcb @spcb

I feel your pain. I have experienced complications after the surgery as well. I have an almost unusable right hand. Before the surgery, my right hand was fine. I was told yesterday by my surgeon that it may take up to six months to a year before my right hand will be usable. They also told me that my shoulder, which I don't have full use of either will probably always be limited in movement. I've been exercising ever since my surgery. I even bought a wall walk when they discharged me from physical therapy. I know that all surgeries come with risks, but I am regretting that I even had the surgery. They also want me to have the same thing on my left side. Right now I'm saying no. I'm just hoping in time things will get better. I hope the same for you.

Jump to this post

I wish I didn't have to say this but although it is uncommon, some people just don't bounce back after reverse shoulder replacement/arthroplasty. Most are ok.
After L shoulder RSR 23 May 2025, I have my 6 month review at Orthopaedic Clinic this morning. I have been intimidated by the whole process and although my left arm was almost useless due to repeated rotator cuff injuries I wish I never had it done. I have neck damage with nerve pain due to domestic violence and the RSR exacerbated that, setting up bilateral trapezius spasm with severe nerve pain in the neck, and just for fun, severe night time trigeminal neuralgia. I am working with these issues now. Unfortunately the worst problem is a torn long head biceps due to incompetent physiotherapist. I have been rehabilitating that since I stopped all exercises three months ago to allow it to repair. I am still in pain, muslces and deep inside the joint.
I was told the other shoulder (dominant arm) would be done at 90 days. It is now twice that. I can at least use my dominant arm as it is, plus I can lie on that side in my bed. Even though there is no cartilage in that shoulder and the supraspinatus is completely retracted. So I think it is too risky to have the second shoulder done.
I hope the surgeon listens to me this time. I have written a concise summary and set of questions. Otherwise I will be back to A&E in an ambulance like the day after the 3 month appointment, just to get heard and taken seriously. At least on that occasion the kind emergency doctor looked into and ruled out nerve damage and fine bone fractures as the cause of my recalcitrant pain. So I researched post-RSR in the medical literature and reputable shoulder clinics online and found out about complications of long head biceps and conjoint tendon.
I will report back later after the appointment.

REPLY

I replied to @spcb below, I would appreciate further correspondence as I too have atypical "recovery" from RSR. Good luck.

REPLY

@koneil After my appointment today yet another xray and bloods taken to test for infection and other stuff. Another appointment in 4 weeks to discuss results.

REPLY

Thanks to all of you for your comments. It does make me feel less alone. My husband passed recently, so I am going through this solo. It's very difficult in so many ways. I think one of the main things that they did was after the surgery. They put me in a sling that was too small for my arm. This caused deep wounds to occur where the Velcro was cutting into my skin. Because my hand was numb and my nerves were so disassociated. I didn't notice these cuts until they took the sling off. I had deep cuts in the valley under my thumb, my index finger where the Velcro was attached. It was very deep and quite painful. To this day, my thumb is still completely numb and unusable. Last week I was discharged from physical therapy. They were working on my shoulder. Also occupational therapy has discharged me. They were working on my hand. I was told it will be an additional six months to a year before my hand will return to normal. I'm not giving up. I'm still trying to pick things up, unlocked doors with a key. The worst thing is not being able to drive. I cannot reach the steering wheel nor the gearshift at this time. He calls this a successful surgery? I question his judgment.

REPLY

Have any of your therapists used dry needling

REPLY
Profile picture for elizabethjean9339 @elizabethjean9339

I had total reverse shoulder replacement 3/24. Did ok for 3 months. Then my shoulder muscles had a feeling that they were drawing up-being squeezed and tight On any movement. I was in physical therapy at that time and continued PT for 4 more months. 3 Drs ( including Neuro) could not find cause. Had MRI which didn’t reveal reason. It is driving me insane. Anyone else have a squeezing, tight, drawing up feeling? It has now been 10 months of this.No response to pain meds or muscle relaxers or anxiety meds.

Jump to this post

@elizabethjean9339 How are you going now? Is your pain resolved? I wish you well.

REPLY
Profile picture for spcb @spcb

I feel your pain. I have experienced complications after the surgery as well. I have an almost unusable right hand. Before the surgery, my right hand was fine. I was told yesterday by my surgeon that it may take up to six months to a year before my right hand will be usable. They also told me that my shoulder, which I don't have full use of either will probably always be limited in movement. I've been exercising ever since my surgery. I even bought a wall walk when they discharged me from physical therapy. I know that all surgeries come with risks, but I am regretting that I even had the surgery. They also want me to have the same thing on my left side. Right now I'm saying no. I'm just hoping in time things will get better. I hope the same for you.

Jump to this post

@spcb At yesterday's 6 month review (among other things I read out from a prepared sheet) I told the surgeon I have problems I didn't have before surgery. Pain is similar level at rest 3/10 but different parts hurt. Function is not as good as before surgery and sleeping is not good. I am saying no to the prospect of the other one, even though the surgeon said it is in worse shape with arthritis. The left side was worse functionally due to soft tissue damage repeated injuries.
Thanks everyone here for the discussion and for leaving comments. It is helping me sort out what is going on and is of great comfort that I am not alone..

REPLY
Profile picture for debTrog @debhunter

@spcb At yesterday's 6 month review (among other things I read out from a prepared sheet) I told the surgeon I have problems I didn't have before surgery. Pain is similar level at rest 3/10 but different parts hurt. Function is not as good as before surgery and sleeping is not good. I am saying no to the prospect of the other one, even though the surgeon said it is in worse shape with arthritis. The left side was worse functionally due to soft tissue damage repeated injuries.
Thanks everyone here for the discussion and for leaving comments. It is helping me sort out what is going on and is of great comfort that I am not alone..

Jump to this post

@debhunter this week I too had my last appointment with my surgeon and my occupational therapist until August of next year. I too had a list of questions but it just seemed to me that they were bound and determined to get me out of their care for now. I have been going every week solid to occupational therapy since the surgery in May. He claims he has done everything in his power to get my hand back. It's not even close. The surgeon passes it off as arthritis. I told him that's really funny that you say that because before I had the surgery, I had a completely usable right hand. He mumbled something about my nerves being disassociated from my arm. Wants me to continue to take pain pills says it will help my shoulder and my nerves to reconnect

Like you sleeping is difficult. I still have to sleep on my back. They are telling me that my left shoulder is worse than my right shoulder was before the surgery. I was in a freak accident in 2018. That's when all this started. It was also the year that I knew my husband of 41 years was dying. I knew that if I submitted to an MRI And all the testing they wanted to do that surgery would follow. I had been taking care of my husband 24 seven for over 20 years. I wasn't going to stop now.

Of course my left shoulder is worse. My husband was diabetic in a wheelchair without a leg and he was obese not grossly. I had to compensate and not use my right hand arm and shoulder as much as I was using my left.

Oddly enough, I had less pain in my shoulder than I did in my hand right after the surgery. That remains true. I've had to make changes around the house because I can't get my arm very high. In the kitchen, I've taken everything out out of the top shelves and put them on lower shelves. A friend of mine made me a finger walk. I have that installed in my dining room. I use it every day.

Now they're telling me at the end of that visit that they want me to order a paraffin bath. They say that it will help my hand not be so painful. I have a feeling they didn't like my prepared questions. I've done a lot of research before making that list. Was honestly starting to feel like a guinea pig anyway under their care

No, you are not alone. I'm sure there are other people who are also suffering
From complications from a complete reverse shoulder replacement.

Hang in there hopefully it will get better for both of us.

REPLY
Please sign in or register to post a reply.