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.

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@koneil Has your therapist communicated their findings to the surgeon? Has their been any evaluation of the implant, healing, etc? Not just an x-ray, but a CT or MRI that can see muscles, tendons, etc?

It sounds like once there I confirmation that all is well, you might need a total rehab evaluation, and specific therapies designed just for you. Continuing after several months to do exercises that aren't working won't suddenly make you better.

I always try to tell people that successful surgery is, at most, 50% of the equation. The rest is hard work, but it needs to be the right work. Vacuuming is still not possible for me 4.5 months after extensive rotator cuff surgery, so I am not surprised it caused you pain.

Can you talk to the surgeon about evaluating what is happening?

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I had reverse shoulder replacement in October. Have had little or no pain ever since. Was in an i mobilizers for 30 days and started PT 15days after that. I am still in PT . Getting a little better each week. Has been a slow process,but I see light at end.. I think there is a difference in where you have it done. Going to do other shoulder done in Oc

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Thank you for the comment
, ranch. My surgery was all unorganized. The shoulder surgeon forgot to order pain medication for the days after my surgery. That was the most painful day and night of my life.
I don't think that's the reason for my continuous pain. I really dont know why my shoulder is taking so long to heal
I felt a lot better prior to my shoulder replacement. They keep saying it can take up to a year to recover. I was hoping it would feel better by now.

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@koneil

Thank you for the comment
, ranch. My surgery was all unorganized. The shoulder surgeon forgot to order pain medication for the days after my surgery. That was the most painful day and night of my life.
I don't think that's the reason for my continuous pain. I really dont know why my shoulder is taking so long to heal
I felt a lot better prior to my shoulder replacement. They keep saying it can take up to a year to recover. I was hoping it would feel better by now.

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Sorry that you are having so much trouble. Both my sons have had shoulder surgery and don’t have any problems. They both play golf. They didn’t have replacement. My doctor said it would take 8 months for recovery and I think he is right. I am 85 years old.

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Thanks for your comment ranch. I doubt my shoulder will be well in a week, but that's again for your post. It's not just the pain, but the range of motion too. If I try to move it too much it jabs me with pain.
I'll see my doctor in a week or so. I'll see what he says.

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I had my reverse total shoulder in Feb 2019 surgeon said prior it would take a year of physical therapy and a lot of commitment to do what I needed. He also said it was the hardest of the joint replacements to recover from. I had a difficult time he wasn’t happy with my recovery it was taking so long but I had an excellent DPT with many qualifications. It took me 3 1/2 months before I could drive without pain. My therapist had me using a muscle stimulator which helped my muscles to do what they should be doing and then when it was time he utilized dry needling. My muscles were so tight and this treatment totally relaxed the muscles which helped me with my exercises. I still have issues and recently found out that I have a complication related to joint replacement called conjoint tendonitis. It’s going to be a challenge but surgeon gave me a one time injection which lasted 3 months. I’m back in therapy and continue to use ice/heat and dry needling and am trying to be extra careful so the joint doesn’t keep locking up. I also have good days where for 12 years before surgery I was in excruciating pain. Not sure what my plans are if it starts locking up again they are doing experimental surgery now releasing the tendon so I hope that will be available. Hang in there it’s not a sprint but a marathon
I had a total knee done in 2021 and it’s awesome no complaints there

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Thanks dmk for your reply. I've
had some doctors tell me that full use and the shoulder pain would take a year to resolve. The surgeon that I went to for a TKR postponed the knee replacement surgery until I am able to use a walker. I'm sure that would have been a horrible experience hopping around everywhere. I posted before that I see my shoulder surgeon this next week. I'll share my concerns at that time. I know the surgeon has lots of experience in the recovery with my RTSR. He offered the surgery two years ago and I just wasn't ready. I still don't think I was ready for this.
I have certain movements or positions that my arm is in that buckles my knees it hurts so much.
Thank you again for your reply.

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