Hemiarthroplasty

Shoulder Hemiarthroplasty

Shoulder hemiarthroplasty is a surgical procedure in which only the damaged humeral head of the shoulder joint is replaced with a prosthetic implant. The shoulder functions as a ball-and-socket joint, with the humeral head (ball) fitting into the glenoid cavity of the scapula (socket). A smooth layer of articular cartilage normally protects this joint, allowing pain-free movement by reducing friction. When this cartilage is severely worn or the humeral head is damaged due to arthritis, injury, or overuse, patients often experience persistent pain and restricted mobility. In such cases, replacing just the humeral head with a metal prosthesis helps restore smoother articulation and shoulder function. Hemiarthroplasty may also be recommended for complex fractures, failed prior shoulder replacements, bone tumours, or avascular necrosis, where the blood supply to the bone has been compromised.

Physiotherapy Before Shoulder Hemiarthroplasty Surgery

Physiotherapy before undergoing shoulder hemiarthroplasty plays a vital role in preparing your shoulder for surgery and ensuring the best possible recovery afterwards. It helps manage pain and stiffness, addresses muscle imbalances, and builds a strong foundation for rehabilitation following surgery. Early physiotherapy intervention also reduces complications and speeds up post-surgical recovery. Treatments may include:

  • Cryotherapy
  • Pain management strategies
  • Protective taping or bracing
  • Acute symptom management
  • Strengthening of supporting muscles
  • Gentle stretching and soft tissue techniques
  • Pre-surgical advice and post-surgery education

Symptoms Following Shoulder Hemiarthroplasty Surgery

After surgery, your shoulder will typically be supported in a protective sling for 4–6 weeks to aid recovery and safeguard the joint. During this time, you may experience:

  • Pain
  • Swelling
  • Bruising
  • Stiffness

These are common post-operative symptoms, and physiotherapy will help in effectively managing them while promoting healing.

Physiotherapy After Shoulder Hemiarthroplasty Surgery

A structured and progressive rehabilitation programme is essential for regaining movement, strength, and function. With Acephysiosports.com, you will receive a tailored programme based on your individual needs, surgical outcomes, and lifestyle demands. Initial focus will be on pain control and joint protection, progressing to strength, mobility, and functional recovery.

Weeks 1–3

Early rehabilitation aims to minimise complications, manage pain, encourage safe movement, and promote tissue healing. Treatment may include:

  • Cryotherapy and pain relief techniques
  • Sling advice and safe in-sling exercises
  • Active hand, wrist, and elbow movements to prevent stiffness
  • Passive and assisted shoulder movement
  • Isometric strengthening
  • Scapular stabilisation exercises
  • Postural correction
  • Wound care and education

Weeks 4–6

With the sling removed, therapy focuses on gradually increasing mobility and controlled strengthening. Your programme will include:

  • Progression of passive to full range of motion
  • Introduction of active shoulder movement
  • Scapular stabilisation exercises
  • Stretching and soft tissue release
  • Strengthening and resistance training
  • PNF (Proprioceptive Neuromuscular Facilitation) techniques
  • Closed chain functional exercises
  • Scar care and management

Weeks 7–12

At this stage, rehabilitation progresses toward functional independence, improved endurance, and strengthening for daily activities. Treatment may include:

  • Full active range of motion
  • Progressive strengthening of the shoulder and scapula
  • Open and closed chain strengthening activities
  • Muscular endurance training
  • Functional activity retraining in stages
  • Proprioceptive and balance re-education

Weeks 12+

From 12 weeks onwards, your recovery should show significant improvements in motion and strength, with most patients nearing pre-operative ability. Acephysiosports.comwill provide a long-term plan to restore full functional use of your arm, helping you return to occupational, sporting, and social activities. Ongoing treatment may include:

  • Achieving full range of movement
  • Advanced strengthening across all planes
  • High-level proprioceptive training
  • Functional and task-specific training
  • Long-term management strategies

Summary

Shoulder hemiarthroplasty is performed when the humeral head is irreversibly damaged due to arthritis, severe trauma, or other conditions causing pain and loss of movement. Recovery depends heavily on a dedicated and comprehensive physiotherapy programme. At Physio.co.uk, you will receive structured care at every stage, from pre-surgery preparation to long-term rehabilitation, ensuring optimal recovery of strength, mobility, and shoulder function.

To arrange an assessment with AcephysioSports.com, please contact us or call +65 8153 5374. Alternatively, you can book an appointment online today!

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