Physical therapy | Shoulder prosthesis – physiotherapy aftercare

Physical therapy

In physical therapy following a shoulder TEP, the initial focus is on reducing swelling and pain. Depending on patient measurements, the shoulder can be cooled intermittently to reduce inflammation and overheating. At home, for example, quark compresses can also help to treat the swelling and inflammation.

In a later healing phase, heat therapy such as a mud wrap or heat lamps can help to relax the muscles surrounding the shoulder. In addition, the muscles can be loosened by massages after the wound has healed and the blood circulation is stimulated, which in turn has a positive effect on the success of the therapy. A special treatment of the scar can already begin a few weeks after the operation and helps to prevent excessive scarring and adhesions.

Electrotherapy is not possible with a metal implant, but it is also not necessary for the success of the therapy. Physical therapy in shoulder TEP should be seen as a supplement to active therapy and in no way replaces muscle building and coordination training, which can also help to reduce tension. You should read these articles accordingly:

  • Lymphatic drainage
  • Manual lymph drainage
  • Cryotherapy/cold therapy

Medicines against inflammation

Since inflammatory processes always play a role in wound healing during major surgery such as a shoulder TEP, it makes sense to take medication that has both pain-relieving and anti-inflammatory effects. Among the so-called non-steroidal anti-inflammatory drugs are for example: These drugs also have a blood-thinning effect, so they can prevent the formation of thromboses.

  • Ibuprofen
  • Diclofenac
  • Indomethacin
  • ASS
  • Naproxen

Medication for pain

Non-opioid analgesics include NSAIDs, novalginsulfone and paracetamol. Tramadol, tilidine or codeine belong to the low-potency opioids, morphine, for example, to the high-potency opioids. At the discretion of the physician, these drugs can be prescribed for a short period of time for pain therapy. In addition, opioids can lead to dependence, which is why the cost-benefit ratio should be carefully weighed up.

  • A sedating effect
  • Constipation
  • Cough
  • Respiratory problems o
  • Nausea
  • Vomiting