A structured, phase-by-phase recovery guide for patients and physical therapists following anatomic shoulder replacement with Dr. Kee.
Recommended Frequency
PT/OT 2–3x per week
Typical Duration
10–12 weeks
Precautions
No active external rotation for 6 weeks
No active internal rotation during early phase (per below)
No passive external rotation past prescribed limits (see ROM table)
No lifting greater than 1–2 lbs until cleared
No resistive exercise until cleared
Weeks 0–2Goal: Protect repair, control pain and swelling
Wear sling at all times, except to shower
Elbow, wrist, and hand range of motion only
No shoulder motion outside of supervised therapy
Ice 3–4x daily
Weeks 2–5Goal: Protect subscapularis healing
Wear sling while sleeping and walking
Gentle isometrics for all shoulder motions, within pain-free range
No active internal rotation, no passive external rotation
Ice following exercises
No lifting greater than 1–2 lbs
Motion
Weeks 2–5
Forward Elevation (passive)
0–75°
External Rotation (passive)
0°
Weeks 6–8Goal: Restore full passive motion
Active range of motion in supine position (no weights)
No resistive exercises or weights yet
Wear sling in public settings only
Motion
Weeks 5–8
Forward Elevation (passive)
0–120°
External Rotation (passive)
0–15°
Weeks 8–12Goal: Increase function and strength
Begin resistive exercises
TheraBand home strengthening program
Progress active range of motion in all planes
12+ WeeksGoal: Return to normal activity
Progress to light weights, 5–10 lbs as tolerated
Continue strengthening and endurance training
Note for physical therapists: This protocol is a general guideline. Progression should always be individualized based on intraoperative findings, tissue quality, and patient presentation. Please contact our office with any questions about a specific patient's protocol.
Questions About Your Recovery?
Our care team is available to answer questions about your protocol or recovery progress.