
Many people are anxious to have shoulder replacement because they would like to relieve their pain. Pain relief is the primary indication- or reason- to have a shoulder replacement. However, people are also hoping that shoulder replacement may allow them to return to activities that they enjoy. That leads many patients to ask me about what kinds of activities will be allowed after shoulder replacement, and when they will be able to return to sports or activities.
For my patients, I allow light to moderate activities, such as golf, swimming, bowling with a 12-pound ball, tennis, and light weight-training up to 15 pounds for the upper extremity. If you would like to throw a ball or play catch with grandchildren, I allow that within limits of comfort. That means if it is comfortable during the activity and not sore afterward, that activity is okay. For lifting, pushing and pulling around the home or on the job, I will allow up to 25 pounds intermittently at or below shoulder level.
I allow full return to work and sport by 3-4 months after surgery.
These above guidelines are general, and I may change or modify them depending on the type of replacement you have, whether your surgery is a primary (first time) or revision (re-do) surgery, whether you require bone grafting or additional procedures, and other factors. Please ask me if you have any questions about particular activities or work requirements before surgery.
And remember that not all surgeons agree. See below:
Other Surgeons’ Recommendations:
In a recent survey of shoulder and elbow surgeons, surgeons’ restrictions varied based on where they practiced (Europe v. the United States), type of shoulder replacement, and patient’s experience with the activity. In this survey of surgeons, baseball/softball and snowboarding were undecided, and martial arts, lacrosse, and team handball were not allowed. Surgeons were undecided about doubles tennis, bowling, downhill skiing, and rowing, among other activities. Numerous activities were not allowed particularly with reverse, including singles tennis, football (soccer), weightlifting, basketball, and track and field.
General Guidelines:
Table IX. 1999 American Shoulder and Elbow Society Survey – Activity after Shoulder Arthroplasty
Recommended/allowed | Allowed with experience | Not recommended | No conclusion |
---|---|---|---|
Cross-country skiing Stationary skiing Speed walking or jogging Swimming Doubles tennis Low-impact aerobics Bicycling, road and stationary Bowling Canoeing Croquet Shuffleboard Horseshoes Dancing: ballroom, square, and jazz | Golf Ice skating Shooting Downhill skiing | Football Gymnastics Hockey Rock climbing | High-impact aerobics Baseball/softball Fencing Handball Horseback riding Lacrosse Racquetball, squash Skating, roller/inline Rowing Soccer Tennis, singles Volleyball Weight training |
References:
http://www.ncbi.nlm.nih.gov/pubmed/21051242 Long-term activity restrictions after shoulder arthroplasty: an international survey of experienced shoulder surgeons.
http://www.ncbi.nlm.nih.gov/pubmed/22365817 Reported activities after reverse shoulder arthroplasty: part II.
Leave a reply
I have a left TSR three years ago with no problems and am wanting to go IFLY in Kansas City. I have not ever experienced a shoulder separation, Dr recently has said it is okay to go zip lining. Is indoor sky diving advisable?
ReplyGood to go. I found no stress on the shoulder. I have bee three times.
ReplyI’m in need of a left shoulder replacement. I have also ruptured the long end of the bicep muscle resulting in the "popeye" arm. Will that cause any additional complications during surgery or recovery?
ReplyThank you.
Larry, a biceps rupture should not cause any additional complications or problems during surgery or recovery for shoulder replacement.
Thanks,
Dr. Burns
*Disclaimer: This response is not medical advice and does not constitute a physician-patient relationship.
ReplyHas anyone tried to play disc golf after total reverse shoulder replacement?
Reply