Shoulder Replacement Instructions

  • Below you will find some videos of movements that will be beneficial at improving your shoulder strength and mobility prior to surgery. Evidence has shown that doing physical therapy before surgery improves patient satisfaction and strength following surgery and it has been shown to shorten the recovery process following surgery.
  • A few important points
    • The movements below are not meant to increase your pain.
      • It is ok to feel stretching, muscle fatigue, and/or slight discomfort
        • Any pain should should be mild, reduced with ice, and go away within 24 hours
        • If a movement is causing a significant increase in pain, that particular movement should be avoided or you may be able to reduce the pain by going through less motion or not pushing as hard.
    • They should be done gently.
    • Below you will find a list of Basic Movements that are safe and focus on light mobilization and muscle control which are two key components to improviong your ability to recover from surgery more quickly and effectively
      • These movements can be done every day 2-3x/day as they are meant to be easy and not require singificant set up or equipment
    • Below you will also find a list titled Over Achiever Movements
      • These movments are a little more demanding and should be done every other day
      • They are meant to challenge you but in a healthy way. That means make you tired or challenge your mobility but any soreness afterwards should be mild and gone the next day
      • You should not do these movement again until any soreness as completely subsided from doing them previously
  • Basic Movements:
    • Movement #1: Shoulder extension
      • This should be done 10-15x gently
      • Can be done multiple times a day (4-5) as it is easy to do and can be done especially after periods of sitting or being sluched forward to open the chest and take some poressure off of the shoulder
    • Movement #2: Isometric humeral head depression
      • This is shown in an easier position and progresses to more demanding at higher arm elevation
      • Remain below the threshold of any pain
      • Stay low if mpore comfortable and then try higher surfaces as able
      • Hold each 5 sec and repeat 5-10x
      • Also can be done multiple times per day as it is easy to do and tries to lull your shoulder out of the rounded forward and elevated position that it finds itself in
    • Movement #3: Light Pec Mobilization
  • Over Achiever Movements: Completed every other day, 1x/day
    • IF ANY OF THE MOVEMENTS CAUSE SIGNIFICANT PAIN, STOP DOING THAT PARTICULAR MOVEMENT OR STICK WITH THE BASIC MOVEMENTS ABOVE
    • YOU MAY USE ICE FOLLOWING FOR 10-15 MINUTES TO REDUCE PAIN OR SORENESS
    • Below is a circuit of movements: You will do each movement the desired amount then move onto the next movement. You will then go thorugh the sequence again to do each movement 2x by going through the circuit 2x.
    • Movement #1: Cane External Rotation
      • If painful move gently in and out of the pain or just short of the pain 10-15x
      • If you are able to feel very mild stretch without singificant pain, only then should you hold the very mild stretch position for 10-20 sec 5x after you have done the movement in and out above
    • Movement #2: Prone or banded shoulder extension
      • Choose one of the movements below
        • Complete 10-20 reps slowly with a pause when elbow is straight or when arm is at your side
        • Option #1: Prone Shoulder Extension
        • Option #2: Band Tricep Extension
    • Movement #5: Shoulder flexion
      • Use a broomstick/post is sitting
      • make sure you are not shrugging and remain short of significant pain
      • Move slowly in and out 10-15x