week 3 · last reviewed 2026-06-08
Shoulder replacement recovery: week 3
Clinical procedure: Total shoulder replacement.
what's typical at week 3
Is pain at week 3 of shoulder replacement recovery normal?
typical pain · week 3
Across published cohorts, typical pain around week 3 of shoulder replacement recovery sits at 1.8/10 (range 0.8–3.8). This exact week wasn't measured — the band is bridged between the measured points at weeks 2 and 6, so treat it as a rough guide, not a target to hit. Typical, evidence-anchored estimate only. It is not medical advice, not a prediction for your body, and not a substitute for your surgeon or clinician.
Estimated between measured weeks 2 and 6 · 1 study · Variations in 1-year trajectories of pain and capability after shoulder arthroplasty (n=755) (registry study / retrospective cohort)
weeks 2–6
Weeks 2-6 · in the sling, restricted motion
The sling stays on through this entire phase in most protocols. Passive ROM under physiotherapist supervision typically begins by week 4-6 (active-assisted ROM is the gate). The 6-week measured pain in the cohort is a median of 11/100 (1.1/10) — mostly stiffness and post-activity soreness rather than rest pain.
Some sling-weaning starts at week 4 in anatomic TSA protocols; reverse TSA generally holds the sling through week 6 with the option to wear it longer if the tissue quality was concerning.
documented at this week
This week
Sling weeks — hand and elbow stay free
The sling is worn continuously for the first 4-6 weeks (generally 4 with an isolated reverse replacement, up to 6 with a tendon transfer or subscapularis repair). Elbow, wrist, and hand keep moving.
What's typical
5 of 6 people reach low pain by week 2
Latent-trajectory modeling of the first 8 weeks found 5 of 6 patients reach pain of 2/10 or less by just two weeks post-op. The early cliff is steep, in a good way.
milestones around now
- wk 5 ·Active-assisted range of motion / sling weaning starts (About 4-6 weeks; sling weaned during the day over ~2 weeks)
- wk 6 ·Sling discontinued / sleep without sling (About 6 weeks; reverse TSA may extend with poor tissue quality or tendon transfer)
- wk 9 ·Return to light activity / household & light work (About 9-12 weeks; no lifting heavier than ~10 lb until strengthening; manual labor much later)
sources
What this page is built from
- Variations in 1-year trajectories of pain and capability after shoulder arthroplasty (n=755) registry study / retrospective cohort · reliability 7.5/10
- Trajectory of recovery after the Big 3 shoulder surgeries (anatomic vs reverse VAS 3/6/12mo) prospective cohort · reliability 7.5/10
- MGH rehabilitation protocol for total shoulder arthroplasty and hemiarthroplasty clinical protocol · reliability 7/10
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