Shoulder Replacement/ Reverse Total Shoulder Replacement

Introduction

Shoulder replacement, including reverse total shoulder replacement, is a surgical procedure performed to replace a damaged or diseased shoulder joint with an artificial implant. While traditional shoulder replacement involves replacing the damaged humeral head (ball) with a metal or ceramic prosthesis, reverse total shoulder replacement reverses the anatomy of the shoulder joint, placing the ball component on the glenoid (socket) side and the socket component on the humeral side. This reversal is beneficial for patients with severe arthritis or irreparable rotator cuff tears, as it relies on different muscles to provide shoulder movement and stability.

Physiotherapy Management

Physiotherapy plays a critical role in the rehabilitation process following shoulder replacement surgery. The physiotherapist's primary goals are to optimise healing, restore range of motion, improve strength and function, and facilitate the patient's return to activities of daily living.

In the early stages of rehabilitation, physiotherapy focuses on pain management, reducing inflammation, and protecting the surgical site. Gentle range of motion exercises are initiated to prevent stiffness and promote healing without placing excessive stress on the new joint.

As healing progresses, the physiotherapy program is advanced to include more challenging range of motion exercises to restore shoulder mobility. Strengthening exercises targeting the muscles surrounding the shoulder joint are introduced to improve stability and support the new implant. These exercises may include resistance training with bands or weights, as well as functional exercises to simulate activities of daily living.

Physiotherapists also provide education on proper movement mechanics, and activity modification to prevent complications and optimise long-term outcomes. Manual therapy techniques such as soft tissue massage, dry needling, joint mobilisations, and stretching can also be utilised to address any residual stiffness or muscle tightness.

Conclusion

By following a comprehensive physiotherapy program, patients can achieve optimal outcomes, regain function, and return to their desired level of activity following shoulder replacement surgery. If you are recovering from a shoulder reconstruction, our physiotherapists at Brisbane Physiotherapy can help!