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Shoulder replacement - discharge

Definition

You had shoulder replacement surgery to replace the bones of your shoulder joint with artificial joint parts. The parts include a stem made of metal and a metal ball that fits on the top of the stem. A plastic piece is used as the new surface of the shoulder blade.

Now that you're going home, be sure to follow your surgeon's instructions on how to take care of your new shoulder.

Alternative Names

Total shoulder arthroplasty - discharge; Endoprosthetic shoulder replacement - discharge; Partial shoulder replacement - discharge; Partial shoulder arthroplasty - discharge; Replacement - shoulder - discharge; Arthroplasty - shoulder - discharge

When You're in the Hospital

While in the hospital, you should have received pain medicine. You also learned how to manage swelling around your new joint.

Your doctor or physical therapist may have taught you exercises to do at home.

What to Expect at Home

Your shoulder area may feel warm and tender for 2 to 4 weeks. The swelling should go down during this time. You may want to make some changes around your home so it is easier for you to take care of yourself.

You will need help with daily tasks such as driving, shopping, bathing, making meals, and housework for up to 6 weeks.

Activity

You will need to wear a sling for the first 6 weeks after surgery. Rest your shoulder and elbow on a rolled up towel or small pillow when lying down.

Keep doing the exercises you were taught for as long as you were told. This helps strengthen the muscles that support your shoulder and ensures the shoulder heals well.

Follow instructions on safe ways to move and use your shoulder.

You may not be able to drive for at least 4 to 6 weeks. Your doctor or physical therapist will tell you when it is OK.

Consider making some changes around your home so it is easier for you to take care of yourself.

Ask your doctor about which sports and other activities are OK for you after you recover.

Pain

Your doctor will give you a prescription for pain medicines. Get it filled when you go home so you have it when you need it. Take the pain medicine when you start having pain. Waiting too long to take it allows the pain to get worse than it should.

Narcotic pain medicine (codeine, hydrocodone, and oxycodone) can make you constipated. If you are taking them, drink plenty of fluids, and eat fruits and vegetables and other high-fiber foods to help keep your stools loose.

DO NOT drink alcohol or drive if you are taking these pain medicines. These medicines may make you too sleepy to drive safely.

Taking ibuprofen (Advil, Motrin) or other anti-inflammatory medicines with your prescription pain medicine may also help. Your doctor may also give you aspirin to prevent blood clots. Stop taking anti-inflammatory medicines if you take aspirin. Follow instructions exactly on how to take your medicines.

Wound Care

Sutures (stitches) or staples will be removed about 1 to 2 weeks after surgery.

Keep the dressing (bandage) over your wound clean and dry. You may change the dressing every day if you like.

  • DO NOT shower until after your follow-up appointment with your doctor. Your doctor will tell you when you can begin taking showers. When you do, let the water run over the incision. DO NOT scrub.
  • DO NOT soak your wound in the bath tub or a hot tub for at least the first 3 weeks.

When to Call the Doctor

Call the surgeon or nurse if you have any of the following:

  • Bleeding that soaks through your dressing and does not stop when you place pressure over the area
  • Pain that does not go away when you take your pain medicine
  • Numbness or tingling in your fingers or hand
  • Your hand or fingers are darker in color or feel cool to the touch
  • Swelling in your arm
  • Your new shoulder joint does not feel secure, like it is moving around or shifting
  • Redness, pain, swelling, or a yellowish discharge from the wound
  • Temperature higher than 101°F (38.3°C)
  • Shortness of breath

References

Throckmorton TW. Shoulder and elbow arthroplasty. In: Azar FM, Beaty JH, Canale ST, eds. Campbell's Operative Orthopaedics. 13th ed. Philadelphia, PA: Elsevier; 2017:chap 12.


Review Date: 11/27/2016
Reviewed By: C. Benjamin Ma, MD, Professor, Chief, Sports Medicine and Shoulder Service, UCSF Department of Orthopaedic Surgery, San Francisco, CA. Also reviewed by David Zieve, MD, MHA, Medical Director, Brenda Conaway, Editorial Director, and the A.D.A.M. Editorial team.
The information provided herein should not be used during any medical emergency or for the diagnosis or treatment of any medical condition. A licensed medical professional should be consulted for diagnosis and treatment of any and all medical conditions. Call 911 for all medical emergencies. Links to other sites are provided for information only -- they do not constitute endorsements of those other sites. © 1997- A.D.A.M., Inc. Any duplication or distribution of the information contained herein is strictly prohibited.
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