For arthrosis: Shoulder follow-up treatment to remain pain-free

Patients with arthrosis are generally not able to load and use their shoulder to full capacity prior to surgery. A shoulder that has been operated on therefore requires time to become fully mobile again. The objective of the follow-up treatment phase is for you to be able to fully utilise your shoulder in everyday life, without any pain.

Rehabilitation and aftercare

Rehab after the implantation of a shoulder prosthesis

Rehabilitation after an inverse and anatomical shoulder prosthesis differ greatly. If you received an anatomical shoulder joint, we recommend immobilising the shoulder in a bandage for around four to six weeks to ensure the tendon heals. During this time, you should only perform passive movement exercises with your physiotherapist. Intensive outpatient or inpatient rehabilitation is not yet recommended during this phase. Starting from the fourth or sixth week, you will start doing active exercises to increase the range of mobility. If good and pain-free mobility is achieved, strength training will follow. Follow-up treatment takes approximately three to four months. Strength training exercises for the shoulder muscles in particular should be performed longer.

After the implantation of inverse shoulder prostheses, active movement can commence earlier. The shoulder generally has to be immobilised in a sling for one to three weeks. Inpatient rehabilitation can take place directly after the hospital stay. Similar to the anatomical prosthesis, first, the mobility of the shoulder joint is improved, then, progressive strength training is started. Our patients usually achieve adequate everyday functionality after six weeks.

Careful physiotherapy after a shoulder total prosthesis (TEP)

Shortly after the operation, your shoulder will usually be immobilised in a stabilising bandage. This is the only way for it to properly heal. To restore mobility as quickly as possible, our physiotherapists will start practising initial movements out of the bandage, starting from the first day after the operation. If you are able to move your shoulder with little pain, the movement therapy can be supplemented by a passive motor splint, a so-called motion chair, during the first few days.