SHOULDER ARTHRITIS

Shoulder Arthritis
Treatment Guide

Shoulder arthritis can cause pain, stiffness, grinding, night pain, and progressive loss of motion. Treatment begins with understanding the type of arthritis, the condition of the rotator cuff, and how much the shoulder is limiting daily life.

Pain

Often Progresses Gradually

Stiffness

Motion Becomes Limited

Cuff

Rotator Cuff Matters

Replacement

When Quality Of Life Declines

Common Shoulder Arthritis Problems

Do I Need Shoulder Replacement?

Understand when arthritis symptoms may justify shoulder replacement surgery.

Total Shoulder Replacement

Anatomic replacement for arthritis when the rotator cuff remains functional.

Reverse Shoulder Replacement

Replacement option for arthritis with rotator cuff deficiency or complex shoulder dysfunction.

Reverse vs Total Shoulder Replacement

Learn how rotator cuff function helps determine which operation is best.

Rotator Cuff Tear Arthropathy

Arthritis that develops when a massive rotator cuff tear changes shoulder mechanics.

Shoulder Injections

Injections may provide temporary pain relief in selected patients.

Dr. Streit's Clinical Perspective

Shoulder arthritis treatment is not based on X-rays alone. I consider the patient's pain, sleep, motion, strength, activity goals, rotator cuff function, and overall quality of life before recommending surgery.

The most important decision is often not whether the shoulder is arthritic — it is whether the rotator cuff still functions well enough for an anatomic total shoulder replacement or whether reverse shoulder replacement is more reliable.

Symptoms Of Shoulder Arthritis

Pain

Shoulder pain often worsens with activity and may eventually occur at rest.

Stiffness

Patients often lose motion reaching overhead, behind the back, or across the body.

Grinding

Cartilage loss may cause catching, grinding, or mechanical shoulder symptoms.

Night Pain

Arthritis commonly interferes with sleep and the ability to lie on the affected side.

Loss Of Function

Dressing, grooming, lifting, golf, tennis, and exercise may become difficult.

Weakness

Pain and rotator cuff dysfunction can both make the shoulder feel weak.

Treatment Options

Physical Therapy

Therapy can help maintain motion, strength, and shoulder mechanics.

Medication

Anti-inflammatory medication may reduce symptoms when appropriate.

Injections

Corticosteroid injections may temporarily reduce pain and inflammation.

Total Shoulder Replacement

For advanced arthritis with preserved rotator cuff function.

Reverse Shoulder Replacement

For arthritis with cuff deficiency, deformity, fracture, or failed prior surgery.

Revision Surgery

For failed prior replacement, persistent pain, loosening, instability, or infection.

Explore Shoulder Arthritis Resources

Is Shoulder Arthritis Limiting Your Life?

A focused shoulder evaluation can determine whether your pain is from arthritis, rotator cuff disease, stiffness, or another cause — and whether nonsurgical treatment or shoulder replacement is most appropriate.

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