Undergoing shoulder replacement surgery can feel overwhelming. Whether prompted by severe arthritis, chronic shoulder pain, or an injury, deciding on this major procedure is a significant step. Among the most critical yet often underappreciated aspects of this process is the role of physiotherapy or specialist hand & upper limb therapy in preparing for the surgery.

Proper preparation helps ensure that you approach surgery in the best possible condition, while also laying the groundwork for a smoother recovery and better long-term results.

What Is Shoulder Replacement Surgery?Shoulder replacement surgery, or shoulder arthroplasty, involves replacing damaged components of the shoulder joint with artificial parts. This procedure is commonly recommended for individuals experiencing severe osteoarthritis, rotator cuff injuries, or complex fractures. Its primary goals are to reduce pain, restore mobility, and improve overall quality of life and function.

However, surgery itself is just one part of the solution. Physiotherapy/ Upper Limb Therapy, both before and after the procedure, is essential for achieving the best outcomes. We devise a carefully tailored treatment plan to significantly enhance the speed and success of recovery, making it a cornerstone of the process.

Why Preparation MattersPreparing for shoulder replacement surgery involves more than just selecting a surgery date. Physical preparation is key to strengthening the muscles surrounding the shoulder, improving movement, and boosting overall fitness levels. These steps can make recovery smoother, minimize post-operative complications, and reduce the overall rehabilitation time.

Here are the essential elements of preparation:

• Overall health and conditioning Working on your general health and fitness pre-op will assist your outcome. We can guide you to help build cardiovascular fitness.
  
• Range of Motion Exercises Maintaining or improving shoulder mobility before surgery is important for retaining as much range of motion as possible post op.
  
• Strengthening Exercises Targeted strengthening to the muscles which stabilise the shoulder joint and contribute to smooth and pain-free shoulder movement is key.
  
  Our Physio and Occupational Therapists can guide you to help achieve this. Our team specialise in the treatment of elbow shoulder and hand conditions, and are dedicating to providing excellence in upper limb rehabilitation.
  
  

Shoulder bursitis, the inflammation of the bursa (fluid-filled sacs that reduce friction between tissues), can significantly impact daily life. This condition often causes pain, swelling, and restricted movement, making it challenging to perform routine tasks. Fortunately, at AHHOT we offer a combination of occupational therapy (OT) and physiotherapy (PT) providing a holistic approach to managing and overcoming shoulder bursitis.

What is Shoulder Bursitis?The shoulder joint requires precise coordination between bones, muscles, and tendons to function smooth and painlessly.
Bursitis occurs when the bursa (a fluid sack in the joint) becomes irritated due to overuse, repetitive motions, poor posture, or injury.

Common symptoms include:

• Pain, especially when moving the arm, and in bed at night
  
• Swelling and tenderness around the shoulder joint
• Stiffness & weakness in the shoulder and arm
  

Addressing this condition requires more than rest and pain relief; targeted therapy ensures a sustainable recovery and prevents future complications.

The Role of OT and Physiotherapy in Shoulder Bursitis Treatment
Our treatment focuses on restoring movement, strength, and function through targeted interventions. Your therapist will tailor a plan to address the underlying causes and symptoms of shoulder bursitis.

1. Pain Relief and Inflammation Management
   Modalities like ultrasound, heat packs, or cold therapy can alleviate pain and reduce swelling.
   
   
2. Range of Motion (ROM) Exercises
   Stretching and mobilisation techniques restore shoulder movement and prevent stiffness.
   
   
3. Strengthening Exercises
   Gradual strengthening of the rotator cuff muscles and surrounding areas improves joint stability and prevents further injury.
   
   
4. Manual Therapy
   Hands-on techniques, such as joint mobilisation and soft tissue release, reduce tension and improve joint mechanics.
   
   
5. Movement Retraining
   Targeted treatment help retrain movements to correct faulty patterns that may have contributed to bursitis, promoting long-term health.
   
   
6. Task Modification
   Therapists assess how shoulder pain limits your ability to perform everyday activities, like dressing, cooking, or writing. They suggest adaptive tools and techniques to minimise strain on the shoulder.
   
   
7. Postural Education
   Poor posture is a common contributor to bursitis. We guide clients in maintaining ergonomic alignment during tasks to reduce stress on the shoulder joint.
   
   
8. Energy Conservation Techniques
   By teaching pacing strategies and efficient movement patterns, our therapists help clients reduce unnecessary strain during repetitive or strenuous tasks.
   
   
9. Home and Workplace Adaptations
   Changes in your environment, such as adjustable workstations or ergonomic tools, can minimise pain triggers and support your recovery.
   
   

Self-Management Tips for Shoulder Bursitis
In addition to professional therapy, integrating these practices into your routine can support recovery:

1. Stretch Daily: Incorporate gentle stretches to maintain mobility.
   
2. Warm up before use
   
3. Use Cold or Heat Packs: Apply as needed to manage pain and swelling.
4. Avoid Overuse: Rest your shoulder, and avoid repetitive or strenuous activities during flare-ups.
5. Maintain Proper Posture: Be mindful of your shoulder alignment, especially during desk work or lifting.

Shoulder bursitis doesn’t have to limit your quality of life. A combination of occupational therapy, physiotherapy, and self-care practices can help you recover and return to your daily activities with confidence. Consult with our therapy team to start your personalised treatment plan and take the first step toward pain-free living.