physical therapy protocol after total shoulder replacement: The intent of this protocol is to provide the clinician with a guideline of the postoperative rehabilitation course of a patient that has undergone a total shoulder replacement.

This protocol is intended to guide clinicians and patients through the post-operative course after a total shoulder arthroplasty (TSA) and hemiarthroplasty. Specific interventions should be based on the needs of the individual and should consider exam findings and clinical decision making. If you have questions, contact the referring physician.

 — Depending on the type of joint damage you have, your doctor may recommend one of the following shoulder replacement options: Anatomic total shoulder replacement. Both the ball and the socket are replaced. The implants resemble the natural shape of the bones. Reverse total shoulder replacement.

The desired effect is the optimal function of your new total shoulder replacement. Most patients, do not require physical therapy but, in certain situations, formal outpatient physical therapy after hospital discharge may be required.

A Reverse Total Shoulder is typically being performed in patients who already have some restrictions due to the fact that the primary indication for the procedure is a chronic irreparable rotator cuff.

- Understanding activity restrictions for proper soft tissue healing - Reduce pain and inflammation Precautions - Sleeping (6-8 weeks): wear sling with a small pillow or towel roll under entire upper arm

 — A reverse total shoulder replacement is a surgical procedure used to treat severe shoulder problems. The surgery involves removing the damaged parts of the shoulder joint and replacing them with a specially designed artificial joint.

We hypothesize that European and North American surgeons both recommend increasing long-term activity restrictions, moving from hemiarthroplasty to total shoulder arthroplasty (TSA) to reverse total shoulder arthroplasty (RTSA), and that both groups impose similar restrictions on their patients.

Total shoulder arthroplasty is a joint replacement surgery for a variety of painful shoulder joint conditions – most commonly osteoarthritis of the joint. Osteoarthritis is a condition where the cartilage degenerates leading to bone on bone contact and spur formation around the joint.

 — However, there are permanent restrictions after shoulder replacement surgery. "We recommend that patients not lift more than 25 pounds after total replacement surgery," Dr. Dillon said. "Activities such as weightlifting and pushups can damage the …