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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Profile picture for spcb @spcb

@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.

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@spcb Thanks for getting back on these issues. Keep up your self-help, you husband would have wanted that if he had noticed your pain. Good luck.
I wish I hadn't been so intimidated by them and their "one-size-fits-all" attitudes and over used one-liners. I have been just in too much pain to do anything but outright weep or cringe in their appointments until now.
I intend to get on with life as best I can. At least I have a good physiotherapist I had prior to the surgery- she is back from long service leave. And I have a new GP who is intellectually interested in my complex neck-shoulder-trigeminal neuropathy pain* issues. This is good.
Keep in touch. I will too, after my appointment in one month.
* I did not have severe trigeminal neuropathy before the surgery.

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Profile picture for debTrog @debhunter

@spcb Thanks for getting back on these issues. Keep up your self-help, you husband would have wanted that if he had noticed your pain. Good luck.
I wish I hadn't been so intimidated by them and their "one-size-fits-all" attitudes and over used one-liners. I have been just in too much pain to do anything but outright weep or cringe in their appointments until now.
I intend to get on with life as best I can. At least I have a good physiotherapist I had prior to the surgery- she is back from long service leave. And I have a new GP who is intellectually interested in my complex neck-shoulder-trigeminal neuropathy pain* issues. This is good.
Keep in touch. I will too, after my appointment in one month.
* I did not have severe trigeminal neuropathy before the surgery.

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@debhunter just one more comment. My surgeon when he showed me the x-ray of my left shoulder where I'm bone on bone. He was so matter of fact about having the surgery on the left side. I almost felt like I gone through a drive-through in order to hamburger and he just said "would you like a side of fries with that" it may not be a big deal to him, but it's a very big deal to me. I am in my 70s and I am not planning on having this surgery ever again.

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Ranjan Gupta CHI
Orthopedic Surgeon
Omaha NE
Success story‼️

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Profile picture for spcb @spcb

@debhunter just one more comment. My surgeon when he showed me the x-ray of my left shoulder where I'm bone on bone. He was so matter of fact about having the surgery on the left side. I almost felt like I gone through a drive-through in order to hamburger and he just said "would you like a side of fries with that" it may not be a big deal to him, but it's a very big deal to me. I am in my 70s and I am not planning on having this surgery ever again.

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@spcb wow. Same here; that's still a shock to me, that such a serious and potentially fraught intervention is so perfunctorily suggested. My surgeon was reluctant to approach the left side first. I insisted, standing firm that it had poor function despite xrays that showed him the right was "worse" - bone on bone (and completely detached supraspinatus even though that is less painful than partially detached). He has never, then or since surgery, examined soft tissues, helped plan rehabilitation or discussed my soft tissue recovery concerns I expressed to him. I'm 69 and was a really fit and active person, regularly doing several outdoor activities, yoga and swimming. I'm still unable to return to those.
We must be patient and self-confident to recover from this with the help or advice we can get.

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Profile picture for spcb @spcb

@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.

Jump to this post

@spcb I still have pain and don’t feel normal after my reverse shoulder replacement which was done 9/2023. I’ve tried everything for pain, but still have that among other things. The surgeon pretty much suggested my petite stature may have something to do with it, as everything is in perfect place. I had an ablation done but still no luck. Anyone have suggestions? Acupuncture, nerve block, trigger points didn’t work. I pray for all of us struggling! I know that prayer is my go to, and there is always someone struggling with much worse. Don’t give up!! Hugs you all!!

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Hello everyone,

I'm new here and for the first time I am really reconsidering having this surgery. I met 3 surgeons and found The One. I trust him completely and he has an excellent reputation and track record. I am 68 years old.

I've done a lot of reading about RTSRs. To make a very long story short, I believe this surgery is far more brutal and risky than our surgeons lead us to believe. While I've read a lot of success stories, I'v also noticed that when things go south, they *really* go south.

I've begun searching for alternatives: various injections I was never educated about nor offered, Tumeric for inflammation, acupuncture, the injections seem to have the most potential, Have any of you tried alternatives to surgery? What were they like?

Thanks in advance for your responses!

REPLY
Profile picture for babette @babette

Hello everyone,

I'm new here and for the first time I am really reconsidering having this surgery. I met 3 surgeons and found The One. I trust him completely and he has an excellent reputation and track record. I am 68 years old.

I've done a lot of reading about RTSRs. To make a very long story short, I believe this surgery is far more brutal and risky than our surgeons lead us to believe. While I've read a lot of success stories, I'v also noticed that when things go south, they *really* go south.

I've begun searching for alternatives: various injections I was never educated about nor offered, Tumeric for inflammation, acupuncture, the injections seem to have the most potential, Have any of you tried alternatives to surgery? What were they like?

Thanks in advance for your responses!

Jump to this post

@babette Good evening. I didnt have a good result in my reverse shoulder repair.
The pain is the same if not worse,and I am weak as a kitten in my right arm.
My doctor "forgot" to order pain medication after my surgery, so I was in agony that night in the hospital. No one was willing to step up and say he needs pain meds. Even as I was screaming in my room. That was the worst night of my life.
Im over a year out from surgery, and the pain has not gone away. I do not care if they amputate my other arm but I will never have this surgery again.

REPLY
Profile picture for babette @babette

Hello everyone,

I'm new here and for the first time I am really reconsidering having this surgery. I met 3 surgeons and found The One. I trust him completely and he has an excellent reputation and track record. I am 68 years old.

I've done a lot of reading about RTSRs. To make a very long story short, I believe this surgery is far more brutal and risky than our surgeons lead us to believe. While I've read a lot of success stories, I'v also noticed that when things go south, they *really* go south.

I've begun searching for alternatives: various injections I was never educated about nor offered, Tumeric for inflammation, acupuncture, the injections seem to have the most potential, Have any of you tried alternatives to surgery? What were they like?

Thanks in advance for your responses!

Jump to this post

@babette @joannee
I am 69 and 6 months after RSR. I have slowly come to the view that the majority or most people sail through (examples I've seen here and other fora (forums), someone does weights at 6 months, people who can drive at 2 weeks) but when it goes wrong it is disastrous. The mental struggle is worse than the pain because the surgeons avoid discussion and because no one medical professional will help you consider the overview. If you find one, stick with them.
I now intend to avoid having the second shoulder done.
I have heard dry needling for pain relief but there is nobody nearby who does it.
Walk, walk, walk! Learn self-compassion techniques to use as you walk and walk every day, get everything moving that you can safely get to move.
I constantly have a heat pack on my sore shoulder when at home (which is most of the time because I had to retire because of this surgery). I use comfrey ointment on the sore spots a few times a day. It is used topically for bone and deep tissue repair. I have stuck with P.E.A. (an anti-inflammatory) twice daily these 6 months and MSM each morning. Increasing water intake is essential to clearing toxicity of pain meds, waste products of tissue repair and for healthy fascia and nerves. I used to take liquid hyaline for my arthritis but it was discontinued. Somewhere I read about injections? Anyone?

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Hi there - If you had known then what you know now would you have had your surgery 6 months ago?

Here's a clip from what I wrote above:

I believe this surgery is far more brutal and risky than our surgeons lead us to believe. While I've read a lot of success stories, I'v also noticed that when things go south, they *really* go south. And sometimes years later! I don't know if those people are considered in formal research.

I've begun searching for alternatives: various injections I was never educated about nor offered, Tumeric for inflammation, acupuncture, the injections seem to have the most potential, Have any of you tried alternatives?

REPLY
Profile picture for babette @babette

Hi there - If you had known then what you know now would you have had your surgery 6 months ago?

Here's a clip from what I wrote above:

I believe this surgery is far more brutal and risky than our surgeons lead us to believe. While I've read a lot of success stories, I'v also noticed that when things go south, they *really* go south. And sometimes years later! I don't know if those people are considered in formal research.

I've begun searching for alternatives: various injections I was never educated about nor offered, Tumeric for inflammation, acupuncture, the injections seem to have the most potential, Have any of you tried alternatives?

Jump to this post

@babette yes I would have gone ahead. For the sole reason that my left shoulder was totally shredded. I had little use left. It was already injured when I broke my ankle, and that accident finished off my shoulder. (When I broke my ankle I was expected to hop around using a frame, because the shoulder was too sore to use crutches. But jolting around on the frame was excruciating. I later found out about knee scooters but this is another story)
I would say if you can function and if you're careful not to have other injuries that might strain the shoulder even worse then put it off for now. Try supplements, try out the different anti-inflammatories (NSAIDs) and use stronger analgesia when you need it (codeine with paracetamol). KEEP ACTIVE; WALK DAILY. I lasted years like that.
Here's the name of the joint injections:
Hyaluronic Gel injection
I am going to look into this.

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