Total Shoulder Replacements

A Physical Therapist (PT) plays a vital role in the recovery and rehabilitation process following a Total Shoulder Replacement (TSR) surgery. This procedure, typically performed to alleviate severe shoulder pain and restore function in cases of advanced arthritis, fractures, or degenerative conditions, involves replacing damaged shoulder joint surfaces with artificial components. Post-surgery, a PT helps guide patients through a structured rehabilitation program aimed at gradually restoring range of motion, strength, and function while ensuring the new joint is well-protected.

Initially, a PT focuses on gentle, passive range-of-motion exercises within safe limits to prevent stiffness and promote circulation, while managing pain and swelling. As healing progresses, the therapist introduces active-assisted and active range-of-motion exercises to improve shoulder flexibility. Gradually, the PT incorporates strengthening exercises that target the muscles around the shoulder, particularly the rotator cuff and scapular stabilizers, to enhance joint stability and support the new shoulder structure. Education on posture, proper movement mechanics, and strategies to safely perform daily tasks is also a key part of PT’s role, empowering patients to resume activities without risking injury to the shoulder. By the end of therapy, patients typically achieve a marked reduction in pain and improved shoulder function, allowing them to return to their daily routines with confidence.