When to get a shoulder replacement?

Day 1 post op:

1) Wearing a sling 24/7.
2) Applying icepacks 3-4 times a day. Went online before surgery and found really functional and nice reusable icepacks: by Comfytemp. Two icepacks that fit nicely into a well designed shoulder "holster type" soft bag with adjustable straps. Highly recommend, icing this way really helps. The packs are also microwaveable, but using the packs frozen feels really good.
3) Pain isn't terrible unless I move certain ways. Brachial plexus nerve block lasted from when it was injected at 7am before surgery yesterday until 7pm last night. worst part of the nerve block was the numbness/tingling in hand and zero muscle control; my whole right arm was like an elephant trunk, and very heavy; only way to move it was by using my left arm. Once yesterday, without realizing how "dead" my right arm was, I bent over to pick up a dropped hairbrush. As I bent over my dead arm slid completely out of my sling and my fingertips hit the floor!! Didn't hurt as nerve block was doing its job but am now a bit concerned that could have messed up the newly installed joint hardware? We shall see in 10 days at F/Up appt X-rays.
4) Tried to sleep, in bed; no way; then went to recliner. I tend to be a back sleeper, sleep was pretty much nil either way. Doubled up on my oxycontin which did allow me to doze off an on for an hour or two 3;30am to 5;30am...one tab simply does not relieve pain enough.
5) Pain is there, but manageable, am not a whiner and understand it is what it is and will get better.
6) Swelling was pretty significant first 18 hrs; has gone away by about 80% today.

Also before I had surgery I found these super soft very stretchy Tshirts that have snaps all over, to make putting on and taking off easy. Amazon again. I got 2 short sleeve and 2 sleeveless. The softness allows me to wear them braless...as wearing a bra just isn't going to be possible, along with this sling.

Thanks for the update, hopefully no damage was done when your hand hit the floor! It sounds like you have a traditional sling. I had an "immobilizer" which is a wide piece of padding that velcros around your waist, it has a sewn on velcro strap that attaches around your upper elbow area to keep the upper arm perfectly still. It has another velcro strap for the wrist which can attach at the front waistband area. The nice thing is you can detach the wrist at any time for things you need to do with your hand, but your shoulder remains unaffected and immobilized. I was able to resume activities like computer keyboarding, and light cooking tasks very quickly because I could swing my lower arm out without affecting the shoulder area. When you are done with your task, you just velcro your wrist back to your waist area, giving you the traditional sling pose. I was sent home from the hospital with device and it probably saved my sanity.

@slarson14
How are you doing now at day 10, is it?
Your story reminded me of when I had rotator cuff repair surgury, I was wearing the sling, fishing around in the top freezer, and out rolls a 6 pound frozen chicken, that I instinctively caught with my repaired arm... Sore for a few days but ok, though!! Luckily I had that sling on!!
Give us an update when you can...I hope you're doing well!

@ddsack can I ask you your age range, I had one total reverse at 70 and my husband now need one and the work comp Dr. told him he was to old at 73, even though he is employed full time, and works circles around much younger workers, they said there is no treatment but PT and injections and he had an injection, that did nothing.