Shoulder Replacement Surgery: Range of motion?

Posted by Leonard @jakedduck1, Jun 21, 2018

Curious if anyone’s had a shoulder replacement. I’m in need of a couple replacements. After the doctor I wanted decided he wanted a Neurological evaluation because of my Seizures he was reluctant to do my surgeries fearing I’d continue to have seizures and damage the replacements so I decided to wait. I’m interested in knowing if anyone with a replacement had increased or decreased range of motion and substantially reduced pain and how long did the complete recovery period take. I’ve heard the recovery time was one year. Any information would be greatly appreciated.

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Chris,
I consider my surgeon "great" because I have gone through three different surgeries with him, two knees, one shoulder, and all have been with less pain than I could ever have imagined, and with successful recoveries to as full a range of movement as one can expect with artificial parts. This is a small town with a regional medical center, and it was easy to find neighbors and acquaintances by word of mouth, with whom I could discuss their recent ortho surgeries done by my surgeon. All that I spoke to were very happy with their surgeries, as well as his nursing team and physical therapy follow up care. His skill was also praised by my internist, and other local doctors I spoke with. He refers cases to Mayo that he feels need intensive specialized treatment.
We did not discuss much about Mako. At time of my surgeries and as far as I know, that equipment is not available in our hospital. I had no interest in being referred elsewhere in the state, being confident my surgeries could be done successfully here.
I constantly marvel at the many advances in medical technology that are now available to patients and if you are in a position to take advantage of them, you should certainly advocate for yourself and do so. That said, the personal skill, medical knowledge and care with which an experienced surgeon conducts his operation is still probably the biggest factor in the patient's successful recovery, in my mind.

On a note of interest, I recently received my itemized Medicare summary notice from the time of my TSR surgery and I was struck by how expensive everything is.
I was incorrect in my previous post, I had two CT scans, and one MRI. The 2nd CT was for calibrating the shoulder prosthesis. Each CT was $1,712 and the MRI was $3,188. The pre-op set of 3 x-rays were only $558. Now, I have both Medicare and a supplemental insurance, so I did not have to pay out of pocket, but I can understand where unless a doctor sees a special need for a $3,000 MRI, he may not request one for routine knee surgery if he already sees what he needs to from the set of x-rays.

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@sueinmn

Please check again on the rehab! Medicare will pay beyond 6 weeks on a case-by-case basis if you are progressing. After my wrist surgery a few years ago, healing was slower than anticipated and I was able to get 2 extensions - the first for 6 weeks, the second foe 3 more. The same applied in 2020 to my pain rehab PT - it lasted over 3 months 2X/week, then 3 more months weekly - since I was making progress.
Have you had the therapist and/or referring doc request an extension?
Sue

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Extension request comes up next week and it will be done....I am making progress with the PT so likely recommendation to continue for a while. I am not feeling very optimistic about recovery even though my range of motion has gotten better. I hurt alot and it seems in different places from the last hurt.

Do you or others wear a sling? Something to hold your shoulder/arm still? Thank you in advance for information xo

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@dedehans

Extension request comes up next week and it will be done....I am making progress with the PT so likely recommendation to continue for a while. I am not feeling very optimistic about recovery even though my range of motion has gotten better. I hurt alot and it seems in different places from the last hurt.

Do you or others wear a sling? Something to hold your shoulder/arm still? Thank you in advance for information xo

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Hi there @dedehans. Are you thinking of an immobilizer? . I used one for my reverse replacement and it did a great job…..even at nighttime. Just remember, you may not be able to drive with one on your arm. At least, in CA you cannot be behind the wheel of a vehicle with one.
What do you use for support while sleeping?

May you be safe and protected from inner and outer harm.
Chris

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@dedehans

Extension request comes up next week and it will be done....I am making progress with the PT so likely recommendation to continue for a while. I am not feeling very optimistic about recovery even though my range of motion has gotten better. I hurt alot and it seems in different places from the last hurt.

Do you or others wear a sling? Something to hold your shoulder/arm still? Thank you in advance for information xo

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Good evening @dedehans. I am sorry that you are feeling less optimistic about your recovery. You ask about a sling. Yes, I wore an immobilizer for about 6 weeks. Hope it helps. Are you still using ice and elevation?
May you be free of suffering and the causes of suffering.
How can you have more hope for your recovery?
Chris

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I am trying to recover without anesthesia shots and without surgery (shoulder replacement). I do my therapy, try to stay active. I am rather type A so I can't stop using it and if I am not thinking....OWWWWwwwww.

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@artscaping

Good evening @ddsack and @kartwk. Perhaps this might help with the issue at hand. I had a Mako Robotic surgery for my second TKR. There were lots of special images taken to be used to create the model that guided this minimally. invasive surgery.. I had an MRI before my first TKR 10 years ago. As technology continues to make better surgical techniques, the support images may change. And this is my own opinion. However, I will ask my surgeon when I go for my 6-month appointment.

Did you discuss this with your "great" surgeon?

May you have comfort and ease.
Chris

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Thank you. I am having real regrets about my surgeries. Silly to say I almost regret having to see him again because I am so angry. I am angry at myself for what happened but I didn't know much about surgery and what I found on line went along with what he said b4 the surgery. It is what he did and what he did after that is the problem.

I had seen a PA there for Spur shots, that were working, b4 I was transferred over to this surgeon, which really came as a complete surprise.

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@ddsack

@callie642 - slower healing just seems to be something we have to accept at our older age. Seems like any bump or bruise looks worse than it is and takes longer to heal.
About the only thing you can do is make sure you have a healthy diet with extra calcium and vitamin D and maybe other supplements. Before my recent TSR, the nurse giving the pre-op presentation stressed that it was important to eat lots of protein during the healing process to aid the damaged muscles in repairing themselves. The easy change I made was for breakfast, eating more eggs instead of always my usual oatmeal.

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Thanks for thoughts!!!

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@JustinMcClanahan

@jakedduck1, I apologize for the delay in my response as I am actually recovering from shoulder surgery myself. I just had a partially torn rotator cuff repaired and am now in the wait in a sling phase of my recovery. I was also just informed that the overall recovery period before I might get back to feeling "normal" could take up to around one year as well.

I'd like to invite @amber67, @lynnmorgan0916, @mschock, @peterauen, @jpdunlap, @rosysharon, @annmerc to this discussion as they have all discussed needing or having a shoulder replacement on Connect in the past.

@jakedduck1, if your are comfortable sharing, what in particular was your physician concerned about regarding the seizures and your recovery? Is the involuntary movement that may occur when you are supposed to be immobilized in a sling?

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I had right shoulder replacement and humerus fixed as well about 6 weeks now. Have had constant extreme pain throughout entire arm and constant shaking and tremors to where I can’t even use my dominant hand anymore . Is there anything to expect or does this get any better ?

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@steeldove

Best option is to sleep in a recliner. I refuse to own a recliner, but it's possible to rent one for use during the six-week post-op period.

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Yes. That’s what I’m doing but make sure it has electric recline buttons and not manual. I found one in my neighboring town in MA for sale for $100. Much cheaper than renting and big and
Comfortable. Now all I have to do is get it here.

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@ltsally

Just an idea for people who have torn rotator cuffs that are not repairable. I begin PT today....6 weeks after Lower Trapezius Tendon Transfer. The surgery took a muscle from my back and 2 achilles tendons from a cadaver and recreated the rotator cuffs that cover the top on my shoulder. The surgeon also repaired a torn rotator on the front of my shoulder. Chose this surgery instead of replacement because I didn't have arthritis in the shoulder and wanted to get back to playing tennis. Have been told after 6 months, no restrictions. The pain has been non existent although I've been in an arm immobilizer for 6 weeks, 24/7. Just an idea for folks with more than just 1 rotator cuff tear. For any shoulder surgery... if you can get a nerve block that took ALL pain away for the first 5 days and I've just had a few tylenols since then. Good luck.

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Yes, everyone had told me that. I just texted my surgery coordinator to tell her I definitely want that.
Also, ask if your insurance will cover 4 or 5 days recovery in a rehab facility. I did that for a week when I had knee surgery. Just tell them you have no one to help. Also, contact your local se our citizens group to see if they can offer help like meals, and visits and driving you around later.

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