Everyone’s pain threshold is different so it is hard to put a measure that would be applicable to each individual. For the surgery itself you will be under anesthetic & therefore won’t really even realise what is happening. It is post surgery where you will experience pain and this why it is important to consider a rehabilitation plan to help with this. Is shoulder replacement major surgery?
In most cases it is considered major surgery especially if it is a complete replacement. It requires the potential removal of bones in the body.
Normally, it is advised to sleep in a reclined position for up to 6 weeks after shoulder surgery. This may vary depending on the surgeon and/or procedure performed. This is to avoid rolling over onto the affected shoulder. Wearing a sling when sleeping during this initial period is also advised.
Normally, after surgery you will be given some instructions on precautions/limitations (as described below). Some examples of what you may not be able to do (in the short term) include:
– picking up children
– participating in jobs requiring upper limb use
– resistance training at the gym
– playing sports – e.g. golf
After shoulder surgery, you will be given a protocol which will outline precautions/limitations. These will change depending on the procedure performed. Some immediate precautions may include:
– No active motion of the shoulder in specific planes of movement for ~4 weeks
– No taking off your sling except while doing therapy
– No pushing of the upper extremity
– No external rotation past neutral (0 degrees) – during PROM with a therapist
– No lifting objects
The length of time you need physical therapy after shoulder replacement surgery will depend on each patient’s circumstances and how extensive the replacement was. At Switch Physiotherapy we create a custom treatment plan that is evidence based to ensure you get the required rehab that gets you moving the way you are meant to.
This will vary based on your general health, age & what you need to do with the shoulder ie general house duties vs an elite athlete.
It is not advised, as doing a pull up will place a huge amount of stress on the artificial joint surfaces, leading to an increased risk of a failed replacement. As well as this, after shoulder replacement it is difficult to achieve full ROM of the shoulder which means that being able to do a pull up would be almost impossible anyway.
This will depend on the situation but it could be a few days if it is major complete shoulder replacement surgery. It is important to consider the time you will need for rehab when you get home including physiotherapy so that you can manage your daily living or work requirements.
You can lay flat after shoulder surgery, however, you should try to avoid it where possible- especially when sleeping as this can place the shoulder in a position which may lead to injury.