Shoulder Replacement

Posted by fignolia @fignolia, Apr 16, 2022

Any success stories out there? I will probs have a TSR early next year Too much pain and range of motion restriction.

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

Question. I am considering total shoulder replacement. I have been getting three different versions of what I will be able to do after I finished rehab. I am an active gym rat so lifting actively is important to me. Here are the overlapping and slightly conflicting versions of what I have heard. 1. You will never ever be able to lift anything more than 25 pounds. 2. You will never ever be able to lift anything more than 40 pounds. 3. You can get back to a fairly heavy weight lifting routine if you go slow and do not push past discomfort. Any thoughts?

REPLY
@amicuspublio753

Question. I am considering total shoulder replacement. I have been getting three different versions of what I will be able to do after I finished rehab. I am an active gym rat so lifting actively is important to me. Here are the overlapping and slightly conflicting versions of what I have heard. 1. You will never ever be able to lift anything more than 25 pounds. 2. You will never ever be able to lift anything more than 40 pounds. 3. You can get back to a fairly heavy weight lifting routine if you go slow and do not push past discomfort. Any thoughts?

Jump to this post

I don't know for sure. I am a gym rat myself and had both knees replaced last year. All good except for impact exercises - no running, no court sports.

I will likely need a TSR in a few years. I've talked to people who have had successful recoveries. I think lifting 25 and 40 lbs should not be a problem. Lifting over your head will be more difficult, but with proper form, should still be doable. The PT will help, and I'd hire a very skilled trainer who has worked with TSR patients.

Instead of lifting heavy weights, especially overhead, I'd probably go with a lighter weight and more repetitions (hypertrophy). But as for the doomsday predictions, I don't believe that.

All the best!

REPLY

You should be sure to discuss this with your surgeon before surgery, and again with your physical therapy specialist after surgery. I'm guessing recommendations will vary depending on your age, current physical condition, and the type of surgery, normal TSR, reverse TSR and no complications during or after surgery. I think the best case scenario is that after full recovery, you can do most types of weight machine lifting within reason. My surgeon said that lifting or carrying heavy items should be done with your elbows bent. What you don't want is a straight downward drag on the TKR shoulder, so maybe no olympic snatch and grabs? Once the muscles heal after surgery and the prosthesis is well seated and grown over, it should be able to support weight as well or better than natural bone, because the weight should really be supported by the workings of your muscle and tendon system. What should be avoided is excessive heavy straight downward pull that not countered by muscle support, which might pull on the implant itself. Thence the advice to always lift with a bent elbow. It's possible to dislocate the new ball and joint, and also get bursitis or any of the muscle overuse pains you had before, so you do need to be smart about taking care of the new TSR.

REPLY

Your surgeon and therapist are your guide for weights I am not suppose to lift more than 5 lbs but what surgeons do and find during surgery is different for all
For me I have limits not everyone has the same I believe good luck had RTS 2019

REPLY

My question is "how do you know if you have a good doctor"? I have had 3 shoulder surgeries. This new doctor says I need a reverse shoulder replacement. Others have told me, when the weather gets cold and the titanium gets cold, it is pretty painful. Would you recommend going to the Mayo Clinic for surgery? I have had two different types of surgery in the last 5 years and they did not turn out like they were suppose to . I am a bit nervous.

REPLY
@cherrie

My question is "how do you know if you have a good doctor"? I have had 3 shoulder surgeries. This new doctor says I need a reverse shoulder replacement. Others have told me, when the weather gets cold and the titanium gets cold, it is pretty painful. Would you recommend going to the Mayo Clinic for surgery? I have had two different types of surgery in the last 5 years and they did not turn out like they were suppose to . I am a bit nervous.

Jump to this post

Good evening @cherrie ......Happy New Year and welcome to Connect.

Let's see if I can help you with your question about selecting a surgeon for a reverse shoulder replacement. Of course, I highly recommend the Mayo Clinic for surgery. My first experience with the Mayo Clinic was as a caregiver to my life partner for prostate surgery. I was very impressed with the way Mayo personnel handled every aspect of the surgery and the post-surgery care which still goes on today 6 years after the surgery.

I also was very pleased with my reverse shoulder replacement surgery performed at the Eisenhower Hospital in California. So far I have had 4 shoulder surgeries, 3 on the right and 1 on the left. My surgeon actually and quite painstakingly taught me everything he could about the reverse shoulder. We watched a movie together and he made sure there was an engineer in the surgery room.

At that time. about 12 years ago...reverse shoulder surgeries were pretty new here in the US. The surgery was developed in France and brought to the US. Insurance companies were hesitant to approve them and felt I was too young ....meaning that I might have post-surgery issues for which they would have to pay. My surgeon talked to the insurance company to reassure them of his expertise and my need for the surgery.

My surgeon was with me every step of the way. In the evening after the surgery, he was in my room just sitting and making sure I didn't make any wrong moves or have issues that perhaps the nursing staff wouldn't know how to handle. Even the anesthesiologist stopped by to find out how I recovered from the anesthesia.

The engineers have worked on the mechanism a bit more in the last few years and you can have the replacement made to fit your shoulder. I had only two options and although there is no pain, I can tell it isn't a perfect fit.

Are you already a Mayo Clinic patient? Do you have a medical professional who can refer you to the Mayo Clinic? You can find the application for Mayo Clinic on the Connect home page. Please let me know if you have additional questions or worries. Getting accurate information can help release your anxiety.

May you be free of suffering and the causes of suffering.
Chris

REPLY
@artscaping

Good evening @cherrie ......Happy New Year and welcome to Connect.

Let's see if I can help you with your question about selecting a surgeon for a reverse shoulder replacement. Of course, I highly recommend the Mayo Clinic for surgery. My first experience with the Mayo Clinic was as a caregiver to my life partner for prostate surgery. I was very impressed with the way Mayo personnel handled every aspect of the surgery and the post-surgery care which still goes on today 6 years after the surgery.

I also was very pleased with my reverse shoulder replacement surgery performed at the Eisenhower Hospital in California. So far I have had 4 shoulder surgeries, 3 on the right and 1 on the left. My surgeon actually and quite painstakingly taught me everything he could about the reverse shoulder. We watched a movie together and he made sure there was an engineer in the surgery room.

At that time. about 12 years ago...reverse shoulder surgeries were pretty new here in the US. The surgery was developed in France and brought to the US. Insurance companies were hesitant to approve them and felt I was too young ....meaning that I might have post-surgery issues for which they would have to pay. My surgeon talked to the insurance company to reassure them of his expertise and my need for the surgery.

My surgeon was with me every step of the way. In the evening after the surgery, he was in my room just sitting and making sure I didn't make any wrong moves or have issues that perhaps the nursing staff wouldn't know how to handle. Even the anesthesiologist stopped by to find out how I recovered from the anesthesia.

The engineers have worked on the mechanism a bit more in the last few years and you can have the replacement made to fit your shoulder. I had only two options and although there is no pain, I can tell it isn't a perfect fit.

Are you already a Mayo Clinic patient? Do you have a medical professional who can refer you to the Mayo Clinic? You can find the application for Mayo Clinic on the Connect home page. Please let me know if you have additional questions or worries. Getting accurate information can help release your anxiety.

May you be free of suffering and the causes of suffering.
Chris

Jump to this post

Great advice Chris! Thank you. I had both knees replaced, and the surgeon I chose had done his residency at the Cleveland Clinic. He did a great job and I did the work that was assigned. But it's a good idea to research surgeons covered by your insurance. There are choices.

I'm probably gonna need a shoulder replacement in the next ten years. I think one reason RSRs are a bit problematic is that they aren't 100% anatomically correct. TKRs are the same. Only a normal shoulder replacement and hip replacements are 100% anatomically correct.

Thanks again and I'm glad you are all doing well!

REPLY
@cherrie

My question is "how do you know if you have a good doctor"? I have had 3 shoulder surgeries. This new doctor says I need a reverse shoulder replacement. Others have told me, when the weather gets cold and the titanium gets cold, it is pretty painful. Would you recommend going to the Mayo Clinic for surgery? I have had two different types of surgery in the last 5 years and they did not turn out like they were suppose to . I am a bit nervous.

Jump to this post

If you can get in to the Mayo Clinic, there is not a better place to go! They are experts with wide experience solving problems.
My reverse TSR was not there, but was successful as well, about 2 years ago. Cold weather has no effect on my shoulder implant, the metal is well insulated by surrounding flesh, keeping it at body temperature.

REPLY
@artscaping

Good evening @cherrie ......Happy New Year and welcome to Connect.

Let's see if I can help you with your question about selecting a surgeon for a reverse shoulder replacement. Of course, I highly recommend the Mayo Clinic for surgery. My first experience with the Mayo Clinic was as a caregiver to my life partner for prostate surgery. I was very impressed with the way Mayo personnel handled every aspect of the surgery and the post-surgery care which still goes on today 6 years after the surgery.

I also was very pleased with my reverse shoulder replacement surgery performed at the Eisenhower Hospital in California. So far I have had 4 shoulder surgeries, 3 on the right and 1 on the left. My surgeon actually and quite painstakingly taught me everything he could about the reverse shoulder. We watched a movie together and he made sure there was an engineer in the surgery room.

At that time. about 12 years ago...reverse shoulder surgeries were pretty new here in the US. The surgery was developed in France and brought to the US. Insurance companies were hesitant to approve them and felt I was too young ....meaning that I might have post-surgery issues for which they would have to pay. My surgeon talked to the insurance company to reassure them of his expertise and my need for the surgery.

My surgeon was with me every step of the way. In the evening after the surgery, he was in my room just sitting and making sure I didn't make any wrong moves or have issues that perhaps the nursing staff wouldn't know how to handle. Even the anesthesiologist stopped by to find out how I recovered from the anesthesia.

The engineers have worked on the mechanism a bit more in the last few years and you can have the replacement made to fit your shoulder. I had only two options and although there is no pain, I can tell it isn't a perfect fit.

Are you already a Mayo Clinic patient? Do you have a medical professional who can refer you to the Mayo Clinic? You can find the application for Mayo Clinic on the Connect home page. Please let me know if you have additional questions or worries. Getting accurate information can help release your anxiety.

May you be free of suffering and the causes of suffering.
Chris

Jump to this post

Chris,
Funny you should mention that your reverse replacement was sort of made to fit you. I had mine done 3 months ago and it looks nothing like my normal shoulder.Everything falls off that shoulder and it seems to not have any protective tissue covering it. Therapist says when I build up more muscle that would help,but I am asking the provider tomorrow .when I go for my visit. I am worried about bumping into things but I am sure it is not breakable? Nonna

REPLY
@nonnahelen

Chris,
Funny you should mention that your reverse replacement was sort of made to fit you. I had mine done 3 months ago and it looks nothing like my normal shoulder.Everything falls off that shoulder and it seems to not have any protective tissue covering it. Therapist says when I build up more muscle that would help,but I am asking the provider tomorrow .when I go for my visit. I am worried about bumping into things but I am sure it is not breakable? Nonna

Jump to this post

NonnaHelen - when is a RSR done rather than a regular TSR? Thanks! Hope you get better! Joe

REPLY
Please sign in or register to post a reply.