Exercises after reverse shoulder replacement start in the first days with the hand, wrist and elbow, then the shoulder movement your surgeon allows, then gradual strengthening of the deltoid, which the reverse implant depends on. Your surgeon and physiotherapist set the programme; the timings below are approximate.
Exercise phases
| Phase | Approximate timing | Example exercises |
|---|---|---|
| 1. Protection | Weeks 0–6 | Hand squeezes, elbow bending and straightening, wrist circles, gentle pendulums if your surgeon allows |
| 2. Assisted motion | Weeks 6–12 | Lifting the arm with help from the other hand or a stick, table slides, water exercises if available |
| 3. Strengthening | Months 3–6 | Light resistance-band deltoid work, shoulder-blade muscles, very light weights |
| 4. Function | After 6 months | Daily activities and light hobbies as your surgeon advises |
Exercises for the first weeks
- Hand squeezes: squeeze a soft ball several times a day.
- Elbow bending and straightening: keep the shoulder still by your side.
- Wrist movement: up, down and in circles.
- Pendulum: lean forward and let the arm hang and swing in small circles — only if your surgeon allows.
- Shoulder-blade squeeze: gently draw both shoulder blades back.
Movements to avoid in the first weeks
- Pushing up with the arm to get out of bed or a chair.
- Reaching behind your back (tucking in a shirt, toileting).
- Lifting, pulling or pushing heavy objects.
- Sudden jerky movements or contact sports.
When to stop and call your doctor
- Sudden severe pain or a feeling that the joint has come out of place.
- Heat, redness or discharge from the wound.
- Increasing numbness or weakness in the hand.
- Increasing swelling of the arm.
Video: a simple home shoulder movement test
Frequently asked questions about exercises after shoulder replacement
When do exercises start after shoulder replacement?
In the first days with the hand, wrist and elbow, then shoulder movement as your surgeon instructs.
Which exercises should be avoided after a reverse replacement?
Pushing up with the arm, reaching behind the back and lifting weights in the first weeks.
When does strengthening start?
Usually around 3 months, with light resistance bands and slow progression.
Do I need a physiotherapist?
It is recommended to assess progress and adjust exercises, alongside daily home exercises.
Can I lift my arm above my head after a reverse replacement?
Most patients regain good elevation after rehabilitation, though internal rotation may stay limited.
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
Exercise is one part of recovery after reverse shoulder replacement. Read also:
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). Shoulder Surgery Exercise Guide.
- American Academy of Orthopaedic Surgeons (OrthoInfo). Reverse Total Shoulder Replacement.