What should I expect once I’ve decided to have shoulder replacement surgery?

Once you’ve decided the course of your treatment, your healthcare professional, usually your primary care physician or internist, will take you through a preoperation medical evaluation. You will be asked to do some laboratory tests, and an EKG and chest x-ray may be requested as well. As part of the preparation for surgery you will be given the option of donating blood prior to surgery. You may also be asked to attend a pre-op educational class explaining shoulder replacement and the recovery from shoulder replacement surgery. The more educated you are prior to surgery, the easier your post-operative course will be.

Is shoulder replacement surgery covered by insurance?

Shoulder replacement surgery is covered by most insurance companies as well as Medicare and Medicaid. You should contact your insurance provider to see whether shoulder replacement is covered under your plan.

How long will recovery and rehab take?

After surgery, a few days in the hospital are normal. During that time, your surgical pain may gradually decrease and your strength and ability to get up and move about may slowly increase. The postoperative rehabilitation program normally begins the day of surgery. It consists of stretching exercises and normal gentle daily activities. The postoperative rehabilitation program is critical and it is important to follow your surgeon's instructions.

When will I be able to move my shoulder?

You will be instructed in the active use of your arm for the gentle activities of daily living on the first postoperative day.

What do I wear?

You should be able to wear regular clothes after surgery, i.e., a loose fitting, buttoned shirt and comfortable trousers/skirt. Women may find a bra uncomfortable in the early days. You will be instructed to wear your sling for a week or two after your surgery when you are out in public. It usually is not necessary to wear the sling when you are at home.

Will I need to do anything special when I go home?

You will need to perform the special rehabilitation exercise program as directed by your surgeon.

When can I return to work?

You may return to work when your surgeon gives the OK.

When can I drive?

Your surgeon will let you know when you can start driving again.

Will I have a scar?

Yes, there will be a scar, however, the formation of scars varies from patient to patient. The incision is usually only about three inches long.

How can I protect my new shoulder?

• Follow your surgeon’s instructions.
• Stay healthy and physically active without straining your shoulder.
• Avoid lifting, pushing or pulling heavy objects.
• Talk to your surgeon before starting any sport or activity that might affect your new shoulder.

How long will my new shoulder last?

Many factors affect the life of a typical shoulder implant, including:

• Your preoperative physical condition and activity level
• The design and materials of the shoulder
• The surgeon’s skill in positioning the implants
• Your willingness to undertake rehabilitation according to your surgeon’s directions

You and your surgeon can discuss your particular situation, the type of shoulder you will have, and your postoperative lifestyle as all these factors will affect the performance of your shoulder implant.