Frequently Asked Questions for Shoulder Replacement Surgery

Shoulder replacement surgery can feel like a big step, especially if you’ve been living with chronic shoulder pain or stiffness. Many people delay treatment simply because they’re unsure what the process involves or what recovery looks like.

If you’re considering this procedure or supporting someone who is, this guide is here to answer your most pressing concerns. From preparation to recovery, here are the most frequently asked questions for shoulder replacement surgery.

At our practice in Austin, Texas, Benjamin W. Szerlip, DO, a fellowship-trained shoulder and sports medicine surgeon, is here to guide you every step of the way. If you’re looking for expert care and personalized treatment options, contact us today to schedule a consultation!

What is Shoulder Replacement?

Total shoulder replacement (also known as total shoulder arthroplasty) is a surgical procedure used to treat severe shoulder joint damage. The damage is typically caused by arthritis, complex fractures, or long-term wear and tear.

The surgery involves replacing the damaged parts of the shoulder joint (the humeral head and glenoid) with an artificial joint. This helps relieve pain and improve mobility when other treatments like physical therapy or medications haven’t worked.

There exist different types of shoulder joint replacement surgeries. An anatomic total shoulder replacement involves replacing the ball and socket components with a prosthesis mimicking the natural shoulder joint. A partial shoulder replacement involves replacing just the humeral head (the ball).

A reverse shoulder replacement involves reversing the ball and socket position so that the ball is attached to the shoulder blade and the socket at the end of the arm bone. This procedure is used when there is significant rotator cuff damage.

A swimmer with shoulder problems is in pain in Texas.

How Should I Prepare for Shoulder Surgery?

Preparation is key to a smooth surgery and recovery. Here’s how you can get ready:

  • Medical clearance: Your surgeon may recommend blood tests, an EKG, and other exams to ensure you’re fit for surgery.
  • Medication review: Let your care team know about all medications and supplements you take.
  • Plan for help: Arrange transportation and post-surgery assistance since you’ll have limited use of your arm.
  • Home setup: Make temporary changes at home to avoid lifting, reaching, or climbing stairs unnecessarily.
 

What Happens During Shoulder Replacement Surgery?

The procedure typically takes about 1.5 to 2 hours. You’ll be placed under general anesthesia or a nerve block to minimize discomfort.

Here’s a simplified breakdown:

  1. Incision: A small incision is made on the front of the shoulder.
  2. Joint preparation: The damaged areas of the shoulder joint are removed.
  3. Implant placement: A metal ball and a plastic socket (the artificial joint) are positioned and secured.
  4. Closure and recovery: The incision is closed, and you’re moved to recovery.
 

In some cases, patients may also need a rotator cuff repair or may be better candidates for a reverse shoulder replacement, depending on the extent of tendon damage.

 

Are There Risks Involved with Shoulder Replacement?

Yes, like all surgeries, shoulder replacement surgery comes with potential risks. These may include:

  • Infection
  • Blood clots
  • Nerve damage
  • Joint instability
  • Continued shoulder stiffness or limited range of motion
 

That said, serious complications are rare, especially when the procedure is performed by experienced orthopedic surgeons like Dr. Szerlip. We use state-of-the-art surgical techniques to minimize risks and enhance outcomes. Always talk to your surgeon about your specific risks based on your health profile.

What Should I Know About Postoperative Recovery?

Recovery begins immediately after surgery, and it’s important to follow instructions closely for the best outcome.

Here’s what to expect:

  • Hospital stay: Many patients go home the same day, while some may stay overnight.
  • Sling usage: You’ll wear a sling for several weeks to immobilize the joint.
  • Pain management: Medications and ice packs help reduce shoulder pain and swelling.
  • Physical therapy: This is a major part of recovery. A customized physical therapy program will guide you through mobility and strengthening exercises.
 

Recovery varies by individual, but most people see significant improvements within 3 to 6 months.

A man stretching his shoulder after recovering from replacement surgery while on a run in Texas.

When Can I Return to My Normal Routine?

Most patients return to light daily activities, like dressing and self-care, within 2 to 6 weeks. Driving is usually safe after 4 to 6 weeks, once you can control your arm comfortably.

However, full recovery from shoulder replacement can take up to a year, especially if you had extensive joint damage or needed additional repairs, such as a rotator cuff repair.

Here’s a rough timeline:

  • 0–4 weeks: Rest, use of a sling, basic mobility exercises
  • 4–12 weeks: Active physical therapy, limited lifting
  • 3–6 months: Return to most normal activities
  • 6–12 months: Final strength and flexibility improvements

Are There Activities I Can’t Do After Shoulder Replacement?

While shoulder replacement surgery restores much of your shoulder function, some limitations remain. You should avoid the following activities until you have returned to full strength:

  • Heavy lifting (especially overhead)
  • Contact sports (like football or rugby)
  • Repetitive overhead motions (e.g., certain gym workouts)
 

Your orthopedic surgeon will provide activity guidelines tailored to your lifestyle. The goal is to protect the new artificial joint from excessive wear. Most patients return to low-impact hobbies like swimming, golfing, gardening, and recreational biking, often with better comfort and performance than before surgery.

Is Shoulder Replacement Right for You?

If you’ve been living with persistent shoulder pain, shoulder stiffness, or joint dysfunction that limits your daily life, it might be time to consider a more lasting solution. Whether you’re dealing with arthritis, a past injury, or a worn-out shoulder joint, this procedure could be the answer.

We hope this guide to the most frequently asked questions for shoulder replacement surgery helps you feel more confident about your next steps.

Still have questions? Contact us at our Austin office to speak with Dr. Szerlip, a fellowship-trained shoulder and sports medicine surgeon who is committed to helping you get back to what you love with less pain and more mobility.

  1. https://orthoinfo.aaos.org/en/treatment/shoulder-joint-replacement/
  2. https://my.clevelandclinic.org/health/treatments/8290-shoulder-replacement