Shoulder Arthritis
What Are My Options for Shoulder Arthritis?
Treatment for shoulder arthritis generally begins with nonsurgical care. Depending on your condition, this may include activity modification, anti-inflammatory medications, physical therapy, and corticosteroid injections.
Physical therapy may help maintain the shoulder motion you have and strengthen the muscles that support the joint. If pain, stiffness, and loss of function continue despite conservative treatment, shoulder replacement may be considered.
What Is a Reverse Shoulder Replacement Versus a Primary Shoulder Replacement?
A primary or anatomic total shoulder replacement is generally considered when there is advanced arthritis and the rotator cuff is functioning properly. During this procedure, the damaged humeral head is replaced with a metal ball attached to a stem, while the arthritic socket is resurfaced with a component designed to replace the damaged joint surface.
A reverse total shoulder replacement changes the normal arrangement of the shoulder joint. It may be appropriate when severe arthritis is accompanied by a large, irreparable rotator cuff tear. By reversing the ball-and-socket configuration, the procedure allows different muscles to help move and stabilize the shoulder when the rotator cuff cannot adequately perform those functions.
What Technology Is Used to Perform My Shoulder Replacement?
Shoulder replacement has benefited from advances in surgical techniques, imaging, implant design, and technology. Dr. Hergan evaluates the condition of your shoulder joint and rotator cuff when determining which type of replacement is appropriate. The technology used for your procedure should be discussed directly with Dr. Hergan based on your diagnosis and surgical plan.
What Should I Expect Long-Term After Shoulder Replacement?
Most patients can return to work and normal daily activities after recovering from shoulder replacement, although individual results vary. Physical therapy is an important part of restoring shoulder motion and strength.
Certain activities may place excessive stress on the artificial joint and could affect its long-term performance. Heavy lifting or pushing, forceful hammering or arm movements, and impact activities such as boxing should be discussed with your surgeon.
Artificial shoulder joints can eventually loosen, become unstable, or wear over time. Factors such as age, activity level, bone strength, bone quality, and disease progression can affect long-term results. Regular follow-up imaging may be used to monitor the replacement.
