🎾 Returning to Tennis After Shoulder Arthroplasty: What Patients Should Know

Posted by Eric J. Sanders, MD | Shoulder & Elbow Specialist

As a shoulder surgeon, one of the most common and meaningful goals I hear from patients after shoulder replacement is this:
“When can I play tennis again?”

For many, tennis is more than just exercise—it's a way of life. Fortunately, research now shows that with the right procedure, rehab plan, and commitment, a return to the court is not only possible—it’s likely.

🏌️‍♂️ New Research Brings Encouraging News

A 2023 report from the American Academy of Orthopaedic Surgeons (AAOS) highlighted compelling findings:

“Many shoulder arthroplasty patients are able to return to golf and racket sports like tennis with less pain—and often at their prior level of play.”
(AAOS via PR Newswire, 2023)

This announcement was based on data presented at the AAOS Annual Meeting, where surgeons reviewed real-world outcomes for athletes undergoing shoulder replacement.

📈 Tennis After Shoulder Replacement: What the Data Shows

The AAOS report summarized findings from a large-scale study of patients who underwent shoulder arthroplasty (including anatomic total shoulder arthroplasty [TSA] and reverse total shoulder arthroplasty [RTSA]). Here are the key takeaways for tennis players:

• Most patients returned to racket sports like tennis after surgery

  • ~50% at 6 months, ~90% at 12 months

• A high percentage resumed playing at or near their previous level

  • 90% said their performance improved or stayed the same while 98% said they enjoyed playing their racket sport more or the same as prior to surgery.

• Pain was significantly reduced, allowing for longer play and more enjoyment

• Many patients said they were able to “adjust their game” without sacrificing satisfaction

This supports what we often see in practice: Shoulder arthroplasty not only relieves pain—it allows patients to regain the confidence and physical ability to resume activities they love.

⏱️ When Can You Expect to Return to Tennis?

While return times vary by individual and procedure type, most patients begin returning to tennis around 4 to 6 months after surgery.

Always consult with your surgeon and physical therapist before resuming tennis. We’ll help guide your return based on your unique surgery and progress.

🏅 Which Shoulder Procedures Offer the Best Return?

According to the AAOS and supporting studies:

✅ Anatomic Total Shoulder Arthroplasty (TSA)

• Highest rate of return to sport

  • 96% of TSA patients returned to play their racket sport

• Most patients resume racket sports at or near their previous level

• Ideal for active patients with good rotator cuff function

✅ Reverse Total Shoulder Arthroplasty (RTSA)

• Still allows for a return to tennis, though at a slightly lower rate of return

  • 80% of RSA patients returned to play their racket sport

• Best suited for patients with rotator cuff deficiency or complex arthritis

• Requires greater attention to rehab and shoulder control to prevent early strain

🎾 What to Expect When You Return

While most patients can return to the court, it’s important to have realistic expectations:

• You may need to adjust your game: Many patients shift from singles to doubles, or rely more on strategy than power.

• Overhead strokes may take longer to feel strong, especially serves or smashes.

• Grip strength, shoulder control, and stamina improve steadily over 6–12 months.

That said, most players are thrilled to be back, even if their style evolves.

From the AAOS summary:

“These studies are helping reassure patients that they can still enjoy the sport they love—even if that means playing smarter, not harder.”

🛡️ Tips for a Safe Return to Tennis

As your surgeon, here’s how I recommend approaching your return to tennis:

1. Prioritize full recovery first – Avoid rushing back too early.

2. Commit to shoulder-specific rehab – Scapular stability and rotator cuff strength are essential.

3. Start slow – Groundstrokes before serves; mini tennis before matches.

4. Consider doubles over singles – Less running, fewer overheads.

5. Use proper gear – Lighter racquets and softer strings can reduce joint strain.

❤️ Quality of Life Beyond the Court

The AAOS report reminds us: Shoulder arthroplasty isn’t just about eliminating pain—it’s about restoring function and quality of life. For tennis players, that often means regaining not just the ability to hit a ball—but the ability to connect with friends, stay active, and enjoy a lifelong sport.

With more than 39,000 members, the AAOS continues to support evidence-based healthcare improvements that get patients back to what they love.

🗣️ Final Word from Your Surgeon

If tennis is part of your identity, rest assured—shoulder arthroplasty can help you get back on the court.

Your specific timeline and return level will depend on:

• Your procedure (TSA vs. RTSA)

• Your pre-surgical condition

• Your rehab participation

• And your personal goals

As your surgeon, I’m here to support you every step of the way—from surgery through recovery and your return to the court. Together, we’ll create a plan that protects your shoulder while keeping your love for the game alive.

Keywords: return to tennis after shoulder arthroplasty | playing tennis after shoulder replacement | tennis after shoulder surgery | racket sports recovery

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