The operation usually takes 1.5 to 2.5 hours and the hospital stay is 1 to 3 days. A sling is worn for 4 to 6 weeks, most light daily activities return within 6 to 12 weeks, and strength and movement keep improving for 6 to 12 months.
Recovery timeline
| Phase | Approximate timing | What happens |
|---|---|---|
| Hospital | Days 1–3 | Pain control, hand and elbow movement, wound-care instructions |
| Protection | Weeks 0–6 | Sling, gentle exercises set by the surgeon, no pushing up with the arm or reaching behind the back |
| Regaining motion | Weeks 6–12 | Sling off, gradual active movement, light daily activities |
| Strengthening | Months 3–6 | Deltoid and shoulder-blade muscle strengthening |
| Final improvement | Up to 12 months | Strength and movement keep improving |
Key restrictions after a reverse replacement
- Do not push up with the operated arm to get out of bed or a chair.
- Avoid reaching behind your back (tucking in a shirt, toileting) in the first weeks.
- Do not lift anything heavier than a cup of water early on.
- Keep the sling on at night as instructed.
Sleeping, driving and returning to work
- Sleeping: usually semi-reclined or on your back with a pillow under the elbow in the first weeks.
- Driving: usually once the sling is off and you control the arm — around 6 weeks — and with your surgeon’s approval.
- Desk work: may be possible after a few weeks depending on pain.
- Heavy manual work: takes longer and needs your surgeon’s assessment.
The detailed exercise programme is in exercises after reverse shoulder replacement.
Video: why does swelling happen after surgery?
Frequently asked questions about recovery
How long does reverse shoulder replacement surgery take?
Usually 1.5 to 2.5 hours under general anaesthesia with a nerve block for the arm.
How long is the recovery?
A sling for 4 to 6 weeks, most light activities within 6 to 12 weeks, and full improvement over 6 to 12 months.
When can I sleep on my side?
Usually after the first weeks, once pain settles and your surgeon allows it; sleeping semi-reclined is advised at first.
When can I drive?
Usually once the sling is off and you control the arm — around 6 weeks — with your surgeon’s approval.
Is the pain after surgery severe?
It is managed with a nerve block and pain relief, and improves steadily over the first weeks.
To have your shoulder assessed, book a consultation, call +20 155 240 4488 or message us on WhatsApp at +20 155 554 7181.
Medically reviewed by Prof. Dr. Ibrahim Shaarawi, Professor of Orthopaedic Surgery. This article is general medical education and does not replace an examination or the plan your surgeon sets for you. See our medical disclaimer.
Related shoulder replacement guides
For the operation itself see reverse shoulder replacement, and read:
- Reverse shoulder replacement
- Exercises after reverse shoulder replacement
- Shoulder replacement complications and success rate
References
- Boudreau S, et al. Rehabilitation following reverse total shoulder arthroplasty. J Orthop Sports Phys Ther. 2007;37(12):734-43.
- American Academy of Orthopaedic Surgeons (OrthoInfo). Reverse Total Shoulder Replacement.
- American Academy of Orthopaedic Surgeons (OrthoInfo). Shoulder Surgery Exercise Guide.