How long after reverse shoulder replacement can i drive a car

Q: What can you not do after reverse shoulder replacement?

Do not put your shoulder under water for four weeks after surgery, such as in a bath, hot tub, or pool. You may shower and let the water run over your incision, then pat it dry. Do not put ointment, alcohol, or lotion over your incisions, it is best to keep them dry.

Q: How long do I have to wear a sling after reverse shoulder replacement?

Patients undergoing Total Shoulder Replacement or Reverse Total Shoulder Replacement surgery will be required to wear their sling for 4 to 6 weeks postoperatively. Those patients undergoing Arthroscopic Bankart Repair or Arthroscopic Latarjet Surgery will be required to wear a sling for 6 weeks after surgery.

Q: What are the long term restrictions after shoulder replacement?

A typical set of guidelines may include no repetitive overhead sports, except for recreational swimming, and no lifting over 20 pounds. Golf, jogging, hiking and other activities are allowed.

Q: How soon after reverse shoulder replacement do you start physical therapy?

PHYSICAL THERAPY: Therapy typically starts 2-3 weeks after surgery. The timing for when you begin physical therapy will be individualized based on your surgery.

. 2016 Sep 7;98(17):1471-7.

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Changes in Driving Performance Following Shoulder Arthroplasty
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What can you not do after reverse shoulder replacement?
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How soon after reverse shoulder replacement do you start physical therapy?

doi: 10.2106/JBJS.15.00162.

Affiliations

PMID: 27605691
DOI: 10.2106/JBJS.15.00162

Changes in Driving Performance Following Shoulder Arthroplasty

Saqib Hasan et al. J Bone Joint Surg Am. 2016.

Abstract

Background: With this study, we sought to quantify perioperative changes in driving performance among patients who underwent anatomic or reverse shoulder arthroplasty.

Methods: Using a driving simulator, 30 patients (20 anatomic and 10 reverse total shoulder arthroplasties) were tested preoperatively and at 2 weeks (PO2), 6 weeks (PO6), and 12 weeks (PO12) postoperatively. The total number of collisions, centerline crossings, and off-road excursions (when the vehicle traversed the lateral road edge), and scores on a visual analog scale (VAS) for pain and the Shoulder Pain and Disability Index (SPADI) were recorded at each driving trial.

Results: The mean number of collisions increased from 5.9 preoperatively to 7.4 at PO2 and subsequently decreased to 5.6 at PO6 and 4.0 at PO12 (p = 0.0149). In addition, the number of centerline crossings decreased from 21.4 preoperatively to 16.3 at PO12 (p < 0.05). Multivariate analysis of the data demonstrated that increased VAS for pain scores, older age, and less driving experience had a negative impact on driving performance.

Conclusions: Driving performance returned to preoperative levels at 6 weeks after shoulder arthroplasty. By 12 weeks postoperatively, patients demonstrated improved driving performance compared with preoperative performance. On the basis of our findings, clinicians can suggest a window of 6 to 12 weeks postoperatively for the gradual return to driving. However, for patients of older age, with less driving experience, or with greater pain, a return to driving at closer to 12 weeks postoperatively should be recommended.

Level of evidence: Therapeutic Level IV. See Instructions for Authors for a complete description of levels of evidence.

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What can you not do after reverse shoulder replacement?

Do not put your shoulder under water for four weeks after surgery, such as in a bath, hot tub, or pool. You may shower and let the water run over your incision, then pat it dry. Do not put ointment, alcohol, or lotion over your incisions, it is best to keep them dry.

How long do I have to wear a sling after reverse shoulder replacement?

Patients undergoing Total Shoulder Replacement or Reverse Total Shoulder Replacement surgery will be required to wear their sling for 4 to 6 weeks postoperatively. Those patients undergoing Arthroscopic Bankart Repair or Arthroscopic Latarjet Surgery will be required to wear a sling for 6 weeks after surgery.

What are the long term restrictions after shoulder replacement?

A typical set of guidelines may include no repetitive overhead sports, except for recreational swimming, and no lifting over 20 pounds. Golf, jogging, hiking and other activities are allowed.

How soon after reverse shoulder replacement do you start physical therapy?

PHYSICAL THERAPY: Therapy typically starts 2-3 weeks after surgery. The timing for when you begin physical therapy will be individualized based on your surgery.