Total Shoulder Replacement

Total Shoulder Replacement



Post op

Day 1-3


  • Sling 4 weeks, remove for ADLs at 2 weeks
  • Passive table slides
  • Gentle active assisted exercises (limiting external rotation) in safe zone
  • Scapula setting & axillary hygiene
  • Neck, elbow, wrist & hand exercises

3-6 Weeks

  • Progress AAROM
  • Assisted stretches in all directions – care with external rotation
  • Begin proprioceptive exercises

6 Weeks +

  • Push stretches
  • Progress to active movement and resisted as able



Week 3

Comfortably out of sling for ADLs

Week 6

Sling discarded, increasing active and passive movement

Week 12

Improving strength

Return to Functional Activities


Driving 6 weeks

Swimming 6 weeks

Lifting 3 months +

Work Sedentary – 3-6 weeks

Manual - 3 months +


Courtesy - NC/RC

Guidelines for post-operative physiotherapy listed here should be used as reference points and are best used in conjunction with individualised post operative instructions and titrated appropriately as per patient progress. This guideline is designed and used by physiotherapists at the Wrightington Hospital and The Arm Clinic.

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