Barrett S. Brown, MD

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What are the Limitations After Reverse Shoulder Replacement?

  • August 15, 2025
  • 493 Views
Reverse shoulder replacement can help reduce shoulder pain and improve movement for people with severe joint damage, especially those with torn rotator cuffs or arthritis.

Even though many patients experience improved shoulder function after surgery, some limitations may still remain. In this blog, we’ll go over what to expect after reverse total shoulder replacement surgery, so you can better care for your new joint and avoid future problems.

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    1. Range of Motion May Not Fully Return

    One of the most common limitations after reverse shoulder replacement is reduced range of motion.

    While the surgery can greatly relieve pain and allow you to lift your arm better than before, you may not be able to raise it as high or move it behind your back like you once did. Activities that involve reaching overhead or behind, like tying an apron or grabbing something from a high shelf, might remain difficult.

    This happens because reverse shoulder replacement changes the joint’s structure. The artificial joint relies more on the deltoid muscle rather than the rotator cuff, which means the motion is not quite the same as the natural shoulder.

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    2. Heavy Lifting Should Be Avoided

    After the shoulder heals, you might be able to return to light daily activities. However, lifting heavy items with the operated arm should be avoided.

    Most surgeons recommend not lifting more than 10 to 15 pounds on a regular basis. Lifting heavier weights can put stress on the artificial joint and may lead to faster wear or even joint failure.

    Jobs or hobbies that require frequent or intense shoulder use, such as construction, heavy gardening, or weightlifting, may need to be modified or avoided altogether. It’s best to use your non-operated arm for such tasks whenever possible.

    3. Overhead Activities May Stay Limited

    Even after rehab, raising your arm fully above your head may still be difficult. While some patients regain the ability to reach overhead, many are only able to lift their arm to shoulder height or slightly above. Movements like painting a ceiling, playing certain sports, or performing overhead exercises may be restricted.

    Your therapist will guide you through exercises to improve your motion safely, but it’s still good to have realistic expectations. The goal of this surgery is mostly to reduce pain and improve basic arm use, not necessarily to return to full athletic ability.

    4. Sports with High Impact or Full Arm Rotation Should Be Avoided

    After reverse shoulder replacement, certain sports and exercises are not recommended. These include tennis, racquetball, swimming strokes like freestyle or butterfly, and any sport that requires fast arm movement or overhead motion.

    These activities may put the new joint at risk of loosening or dislocation. It’s better to focus on low-impact exercises like walking, cycling, and gentle stretching routines that help keep you active without stressing your operated shoulder.

    5. Long-Term Care is Important

    Even after complete recovery, it’s necessary to protect your new shoulder. Avoid falling or putting sudden pressure on the arm. Use handrails when going up or down stairs, and take your time when walking on slippery or uneven surfaces.

    Over time, all artificial joints go through wear and tear. Regular follow-up visits with your surgeon will help check the implant’s condition and catch any early signs of damage.

    Some patients may eventually need revision surgery, especially if they return to high-demand activities too soon or use the arm improperly.

    6. Daily Routines and Sleeping Positions May Need Adjustments

    Most patients return to an independent lifestyle after healing, but small changes can make daily tasks easier.

    Using the non-dominant hand for certain activities, such as installing grabbers, and asking for help with overhead tasks can reduce strain on the shoulder and support long-term joint health.

    Sleeping on the operated shoulder may feel uncomfortable at first, so it’s better to sleep on your back or the opposite side with a supporting pillow. Even after recovery, it may take time to find a comfortable sleeping position, but most people adjust well.

    What Our Patients Are Saying

    From appointment scheduling, receptionist, nurse, xray to Dr. Barrett Brown, all friendly and professional. Thank God that Dr. Brown wants to try physical therapy instead of jumping to surgery. I am well pleased!!
    Shelia Briggs

    Shelia Briggs

    Dr Brown was very professional and explained everything. He helped me with decisions of my care. Highly recommend him.
    Cathy Arroyo

    Cathy Arroyo

    I had the best experience with Doctor Brown and staff They are so Thorough and nice. He did amazing job on my shoulder I would recommend him And his staff any day thank you so much Doctor Brown.
    Karen Larocca

    Karen Larocca

    Dr. Barrett Brown is a very fine physician. He is also a friend. While he is a surgeon he said this about my horribly painful shoulder. First we will try an injection performed by our specialist using ultra sound. (It was painless.) If that does not relieve your pain we will do a cat scan to evaluate the rotator cuff.
    Lynn Russell

    Lynn Russell

    Highly recommend Dr Brown!!! He took time to answer all questions without rushing. I called his office in severe pain and received the in- office MRI and Dr appt the next day then Dr Brown explained my condition and I was booked for surgery with their on-site hospital days later. The surgery went great and I was treated great by all staff. They have valet service as well. Thanks Dr Brown and all staff!!!
    Kimberley Gomez

    Kimberley Gomez

    I had the best experience with Doctor Brown and staff They are so Thorough and nice. He did amazing job on my shoulder I would recommend him And his staff any day thank you so much Doctor Brown.
    Karen Larocca

    Karen Larocca

    I had a rotator cuff repair with Dr. Brown. Everyone at this hospital from the registration staff, pre-op nurse, surgery staff, recovery room nurse, the anesthesiologist, and of course, the surgeon, Dr. Brown were all professional and caring.
    Mary Isern

    Mary Isern

    I have, unfortunately, been a frequent visitor to the Fondren Orthopedic clinic as I cannot seem to stay on my feet 😅. My most recent experience with Dr. Brown has been nothing short of excellent. From the initial exam to surgery and then the follow up and discussion of how I am healing have been extremely thorough and communication has been a 10. I would definitely recommend.
    Jenna Hunter

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    The Bottom Line

    A reverse shoulder replacement can dramatically improve pain and function, but it’s important to understand the limitations. You may not get back full motion, and some activities may need to be changed. Listening to your doctor and sticking to safe movements will help protect your new shoulder.

    If you’re considering this surgery or need guidance on recovery, consulting a specialist like ours at Barrett S. Brown, M.D., can help you make the best decision for your shoulder health. Give our clinic a call at (346) 247-2531.

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