If you are living with constant shoulder pain, struggling to lift your arm, or finding daily activities like dressing or cooking difficult due to arthritis or injury, then Total Shoulder Replacement surgery may be the long-term solution you are looking for.

At London Orthopaedic Clinic, Dhantoli, Nagpur, Dr. Vishal Sahni, a renowned Shoulder Specialist and Orthopedic Surgeon with over 24 years of international experience, offers advanced solutions in shoulder joint replacement. This comprehensive guide will walk you through everything you need to know about Total Shoulder Replacement in Nagpur, including the procedure, benefits, recovery, and FAQs Shoulder Replacement to make informed decisions for your health.

What is Total Shoulder Replacement?

Total Shoulder Replacement, also called Total Shoulder Arthroplasty, is a surgical procedure where the damaged or worn-out parts of the shoulder joint are replaced with artificial components (prostheses). It is designed to relieve pain, restore function, and improve quality of life for people suffering from:

• Osteoarthritis
• Rheumatoid arthritis
• Severe fractures
• Avascular necrosis
• Rotator cuff arthropathy
• Failed previous shoulder surgeries

Types of Shoulder Replacement Surgeries

Depending on the condition of the joint and rotator cuff muscles, Dr. Sahni may suggest one of the following procedures:

1. Anatomic Total Shoulder Replacement

• The ball is replaced with a metal head
• The socket is replaced with a plastic cup
• Ideal for patients with intact rotator cuff muscles

2. Reverse Total Shoulder Replacement

• Ball and socket positions are reversed
• Suitable for patients with massive rotator cuff tears or cuff tear arthropathy

3. Partial Shoulder Replacement (Hemiarthroplasty)

• Only the ball of the shoulder is replaced
• Used in certain fractures or when socket is healthy

Why Choose Dr. Vishal Sahni in Nagpur?

What Happens During the Surgery?

Here is a step-by-step overview of what to expect:

Pre-Operative Evaluation:

• Detailed clinical assessment
• Blood tests, ECG, chest X-ray
• MRI or CT scan if needed
• Medical clearance from physician

Surgery Procedure:

• Conducted under general or regional anaesthesia
• Damaged bone and cartilage are removed
• Artificial implants are fixed to bone
• Surgery usually lasts 1.5 to 2 hours

Hospital Stay:

• Most patients stay for 2 to 3 days
• Early physiotherapy begins in hospital

Recovery and Rehabilitation

Post-surgery recovery is gradual and requires commitment:

Week 1-2:

• Arm sling for support
• Pain controlled with medications
• Begin gentle range of motion exercises

Week 3-6:

• Supervised physiotherapy
• Gradual increase in activity

Week 6-12:

• Resume daily tasks independently
• Improved shoulder strength

3 to 6 Months:

• Return to low-impact activities like swimming, driving, light yoga
• Continued improvement in function

Note: Dr. Vishal Sahni personally monitors recovery and customises physiotherapy as per your healing.

Benefits of Total Shoulder Replacement

•  Significant pain relief
•  Improved shoulder motion
•  Better quality of life
•  Long-lasting implant performance (often 15-20 years)
•  Return to active lifestyle with confidence

Risks and Complications (Rare)

Though complications are rare when performed by experienced surgeons like Dr. Sahni, potential risks include:

• Infection
• Nerve injury
• Blood clots
• Stiffness
• Loosening of implant over years

Dr. Sahni takes strict preventive measures and advanced surgical techniques to minimize these risks.

Who is Not a Candidate?

Shoulder replacement may not be suitable if:

• Active infection in the body
• Severe nerve damage around shoulder
• Poor general health making surgery risky

Dr. Sahni evaluates each patient thoroughly before recommending surgery.

Shoulder Replacement Surgery Cost in Nagpur

The cost of Total Shoulder Replacement in Nagpur depends on:

• Type of implant used (Indian or imported)
• Type of surgery (anatomic or reverse)
• Hospital stay and rehab services

At London Orthopaedic Clinic, Nagpur, the procedure is affordable and value-based, especially when compared to metro cities.

For an accurate cost estimate, contact the clinic directly.

How to Reach Dr. Vishal Sahni at London Orthopaedic Clinic?

• Address: London Orthopaedic Clinic, Dhantoli, Nagpur
• Phone: ++91 95295 52938
• Website: https://londonorthopaedicclinicngp.com
• Google Maps: Just search “Dr. Vishal Sahni Shoulder Specialist Nagpur”

FAQs on Total Shoulder Replacement Surgery

1. What is the success rate of total shoulder replacement surgery?

The success rate for total shoulder replacement is above 90%, especially when performed by experienced surgeons like Dr. Vishal Sahni. Most patients report significant pain relief, improved mobility, and better quality of life. With proper rehabilitation and care, the shoulder can function well for 15–20 years or longer.

2. How long does the artificial shoulder joint last?

Modern shoulder implants are designed to last for 15 to 20 years or more, depending on your age, activity level, and overall health. Patients who avoid high-impact activities and follow their physiotherapy routine can extend the life of their implant.

3. Is total shoulder replacement a painful procedure?

Pain during and after the surgery is well-managed using a combination of regional anesthesia, pain-relief medications, and advanced surgical techniques. Most patients feel sore but comfortable within a day or two after surgery. Long-term pain, which existed due to arthritis or injury, is significantly reduced or eliminated.

4. How soon can I use my arm after the surgery?

Patients usually start gentle arm movements within 24 to 48 hours under the guidance of a physiotherapist. Lifting or heavy use is restricted for several weeks. Full functional use, including dressing, eating, and light tasks, usually returns by 6 to 12 weeks post-surgery.

5. Can I drive after total shoulder replacement surgery?

Yes, most patients can resume driving within 6 to 8 weeks, once they have regained sufficient strength and control of their arm. Your doctor will assess your recovery before giving clearance to drive safely.

6. Is physiotherapy required after shoulder replacement surgery?

Absolutely. Physiotherapy is critical to the success of shoulder replacement. A structured rehab plan helps in restoring movement, strengthening muscles, and reducing stiffness. Dr. Vishal Sahni works closely with physiotherapists to ensure each patient gets a personalised recovery plan.

7. Are there any non-surgical alternatives to shoulder replacement?

Yes, but they work best in early stages. Options include:

• Painkillers and anti-inflammatory medications
• Corticosteroid injections
• PRP (Platelet-Rich Plasma) therapy
• Physiotherapy exercises

If these fail to provide relief, shoulder replacement becomes the recommended option, especially in advanced arthritis or rotator cuff arthropathy.

8. What is reverse shoulder replacement and who needs it?

Reverse shoulder replacement is a special type of surgery where the ball and socket positions of the joint are reversed. It is recommended for patients with:

• Torn or non-functioning rotator cuff muscles
• Cuff tear arthropathy
• Failed previous shoulder surgeries

This technique allows other muscles (like the deltoid) to take over shoulder function.

9. Is total shoulder replacement covered under health insurance in India?

Yes, most major insurance providers cover total shoulder replacement surgery if it is medically necessary. Dr. Vishal Sahni’s clinic provides assistance in insurance documentation and pre-approvals to make the process smooth for patients.

10. How will I sleep after shoulder replacement surgery?

Initially, you may need to sleep in a semi-upright position using a recliner or multiple pillows for 2 to 4 weeks. This helps reduce swelling and discomfort. After this period, most patients can sleep on their back or non-operative side.

11. Is there any age restriction for total shoulder replacement surgery?

No strict age limit exists. Patients from 40 to 85+ years old undergo successful shoulder replacement, as long as they are medically fit. Fitness for surgery is assessed by your orthopedic surgeon and anesthetist before the operation.

12. What is the difference between shoulder and knee replacement?

Both procedures involve replacing a damaged joint with artificial implants, but:

• The shoulder joint is more complex, allowing a wider range of motion
• Shoulder replacement recovery is often quicker in terms of walking, as weight-bearing is not involved
• Rehab goals are different: shoulder surgery focuses on rotation and reach, while knee surgery focuses on walking and bending

13. How can I prepare for shoulder replacement surgery?

You should:

• Stop smoking (it delays healing)
• Control diabetes or hypertension
• Inform your doctor about any medications
• Strengthen your shoulder with light exercises (if advised)
• Arrange for help at home during the first few weeks after surgery

14. Can I lift weights or exercise after total shoulder replacement?

Yes, but only after full recovery. Light exercises like swimming, walking, yoga, or golf may be resumed in 3 to 6 months. Heavy weight lifting or contact sports are discouraged to avoid implant wear or dislocation.

15. Is total shoulder replacement a permanent cure for shoulder arthritis?

It is not a “cure” but a highly effective long-term treatment. Most patients experience dramatic pain relief and restored mobility. With proper care, the joint can last 15–20 years. In some cases, revision surgery may be needed after many years.

16. What is the cost of total shoulder replacement in Nagpur?

Costs vary based on:

• Type of implant (Indian vs imported)
• Nature of the surgery (anatomic or reverse)
• Hospital stay duration and services

At London Orthopaedic Clinic, Nagpur, Dr. Vishal Sahni offers affordable and transparent pricing. Insurance and EMI options may also be available.

17. Can both shoulders be replaced if needed?

Yes, both shoulders can be replaced, but not at the same time. Usually, the more painful shoulder is operated on first. The second surgery can be planned 3 to 6 months later, depending on recovery.

18. Will I regain full range of motion after surgery?

Most patients regain 70–90% of shoulder movement if they follow rehab guidelines. Activities like combing hair, reaching overhead, or using utensils become easy again. However, full rotation or overhead sports may not always be possible.

19. Can people with diabetes have this surgery safely?

Yes. Many patients with controlled diabetes successfully undergo shoulder replacement. However, strict sugar control is essential before and after surgery to reduce the risk of infection and delayed healing.

20. Who is the best doctor for shoulder replacement in Nagpur?

Dr. Vishal Sahni is among the best orthopedic and shoulder surgeons in Nagpur. With 24+ years of global experience (UK and India), and specialised training in shoulder replacement surgery, he is trusted by hundreds of patients across Central India.

21. What kind of implants are used in shoulder replacement?

Dr. Vishal Sahni uses FDA-approved, high-quality titanium and polyethylene implants that are proven for durability and compatibility. The choice of implant is personalised based on your age, bone quality, and activity level.

Final Thoughts

Total Shoulder Replacement is a life-changing procedure for people suffering from chronic shoulder pain, stiffness, and arthritis. Under the expert care of Dr. Vishal Sahni at London Orthopaedic Clinic, Nagpur, patients can expect safe surgery, expert guidance, and personalised recovery programs.

Whether you’re in Nagpur or nearby cities like Jabalpur, Chhinwara, Rewa, Sagar, Raipur, Bhopal, Amravati, Chandrapur, Wardha, or Bhandara your journey to a pain-free shoulder starts here.