UNDERSTANDING YOUR OPTIONS
What Happens If I Don't Have
Shoulder Replacement?
Many patients are surprised when I tell them that shoulder replacement is almost never an emergency. Choosing not to have surgery today is often a reasonable option. The important question is how your shoulder arthritis affects your quality of life now—and how it is likely to affect you in the future.
Usually Not An Emergency
Progressive Symptoms
Based On Quality Of Life
Make An Informed Choice
The Short Answer
For most patients, delaying shoulder replacement does not create a medical emergency. Unlike certain fractures or infections, shoulder arthritis usually progresses gradually. Many patients choose to live with their symptoms for months or years before deciding that surgery is the right next step.
The question is not whether you can wait. The question is whether waiting still allows you to live the life you want.
Dr. Streit's Perspective
One of the first things I tell patients is that they are in control of the timing. My role is to explain the advantages and disadvantages of waiting so you can make a decision that fits your lifestyle, your goals, and your comfort level.
What Usually Happens Over Time?
Pain May Increase
Many patients notice gradually worsening pain over months or years.
Motion May Decline
The shoulder often becomes progressively stiffer.
Sleep May Be Affected
Night pain commonly becomes more frequent.
Activities Become Harder
Golf, exercise, work, and hobbies may become increasingly limited.
You May Adapt
Many patients gradually change how they use their shoulder without realizing it.
Some Patients Remain Stable
Not every shoulder deteriorates at the same rate.
Does Waiting Make Surgery Impossible?
In most cases, no. Many patients safely delay surgery until they feel the time is right. However, prolonged stiffness, progressive bone loss, worsening deformity, or deterioration of the rotator cuff can occasionally make surgery more complex. Every patient is different, which is why periodic follow-up is important.
What I Tell My Patients
"I would rather perform your surgery when you feel ready than convince you to have surgery before you're comfortable. The timing should make sense for your life—not mine."
Questions To Ask Yourself
Can I Still Sleep?
Night pain is often a sign that arthritis is significantly affecting quality of life.
Am I Giving Up Activities?
Think about the hobbies and sports you've stopped because of your shoulder.
Is Pain Controlling My Day?
Are you planning your life around your shoulder?
Do Injections Still Help?
If relief is becoming shorter or less effective, it may be time to reconsider your options.
Am I Happy With My Current Function?
If the answer is yes, continued nonsurgical treatment may be appropriate.
What Are My Goals?
The right timing depends on what you hope to return to doing.
Frequently Asked Questions
Not Sure If Now Is The Right Time?
Choosing when to have shoulder replacement is a personal decision. A consultation can help you understand how your arthritis is progressing and whether continuing nonsurgical treatment or moving forward with surgery best matches your goals.
Request Consultation