Summer Fun in RecoveryShoulder pain can severely impact our daily lives, limiting our ability to perform even the simplest tasks. While conservative treatments like physical therapy and medication can often alleviate discomfort, there may come a point when they no longer provide sufficient relief. In such cases, a shoulder replacement surgery might be a viable option to restore mobility and alleviate chronic pain. But how do you know when it's time for a shoulder replacement?

At GPOA, our shoulder specialists are dedicated to providing you with the most up-to-date information and resources to help you make informed decisions about your health and treatment options.

Here is how to know when it is time for a shoulder replacement.

What Is a Total Shoulder Replacement?

A total shoulder replacement, also known as total shoulder arthroplasty, is a surgical procedure that involves replacing the damaged or arthritic shoulder joint with an artificial joint. The shoulder joint is a ball-and-socket joint, where the rounded end of the upper arm bone (humerus) fits into a shallow socket in the shoulder blade (scapula). Over time, conditions such as osteoarthritis, rheumatoid arthritis, or post-traumatic arthritis can cause the cartilage on the joint surfaces to wear away, leading to pain, stiffness, and limited range of motion.

Total shoulder replacement surgery aims to relieve pain, improve function, and restore mobility in individuals who have debilitating shoulder joint conditions. It can be recommended for those who have not achieved sufficient relief through conservative treatments such as medication, physical therapy, or injections.

Following the surgery, patients will undergo a rehabilitation program to regain strength and range of motion in their shoulder. This typically includes physical therapy exercises tailored to the individual's needs and progress. The recovery period varies for each patient but generally involves several weeks of healing before the full benefits of the surgery are realized.

While total shoulder replacement surgery has a high success rate and can significantly improve quality of life, it is important to consult with a qualified orthopedic surgeon to determine if it is the right course of action for individual circumstances. The surgeon will consider factors such as the severity of the joint damage, overall health, and expected outcomes to make an informed decision.

When Should You Get a Shoulder Replacement?

While there are many options to make when deciding to have total shoulder replacement surgery, what are the signs that signify it is time to consider?

  • You're In Severe Pain

    Severe pain in the shoulder can be a significant indicator that it may be time to consider a shoulder replacement. When conservative treatments such as medication, physical therapy, or injections no longer provide sufficient relief, and the pain becomes unbearable or hinders daily activities, it may be an indication that the underlying joint condition has progressed to a point where surgical intervention is necessary.

    Chronic pain in the shoulder can severely impact one's quality of life, making it difficult to perform simple tasks like reaching overhead, lifting objects, or even getting dressed. It may also disturb sleep patterns, leading to further discomfort and fatigue. Additionally, if the pain is accompanied by other symptoms such as decreased range of motion, stiffness, and swelling, it could indicate advanced joint damage or arthritis.

    In these cases, shoulder replacement surgery can offer a long-term solution by replacing the damaged joint with an artificial joint, alleviating pain, restoring function, and improving overall quality of life. However, it is crucial to consult with an experienced orthopedic surgeon who can thoroughly evaluate individual circumstances and determine if a shoulder replacement is the most appropriate course of action.

  • Your Range of Motion is Limited

    When your range of motion in the shoulder is significantly limited, it can be a strong indication that it's time to consider a shoulder replacement. The shoulder joint is designed to provide a wide range of motion, allowing for various arm movements. However, conditions such as arthritis, rotator cuff tears, or joint degeneration can lead to stiffness and a noticeable reduction in your ability to move your shoulder freely.

    If conservative treatments like physical therapy, medications, or injections have not improved your range of motion, it may suggest that the underlying joint damage is severe and irreversible. This limitation can affect your daily activities, making simple tasks like reaching overhead, lifting objects, or even performing self-care challenging and painful.

    Moreover, a loss of range of motion can impact your overall quality of life, hindering participation in sports, hobbies, and even interfering with work-related tasks. In such cases, a shoulder replacement surgery may be recommended to restore the full range of motion by replacing the damaged joint with an artificial one.

    Consulting with a qualified orthopedic surgeon is vital in assessing the severity of your limited range of motion and determining if a shoulder replacement is the appropriate solution to regain mobility and enhance your quality of life.

  • Prior Treatment Has Not Worked

    When prior treatments have not provided the desired relief or improvement, it may be an indication that it's time to consider a shoulder replacement surgery.

    Conservative treatments such as medication, physical therapy, and injections are often the first line of defense for shoulder conditions like arthritis, rotator cuff tears, or joint degeneration.

    However, if these treatments have been exhausted without significant improvement in pain and function, it suggests that the underlying joint damage may be severe and irreversible. Persistent pain that affects daily activities, limits range of motion, and impacts overall quality of life can be a strong signal that surgical intervention is necessary.

Shoulder replacement surgery involves replacing the damaged joint with an artificial one, which can alleviate pain, improve mobility, and enhance the individual's ability to perform daily tasks and engage in physical activities. Consulting with an experienced orthopedic surgeon is crucial in assessing the effectiveness of prior treatments, evaluating the severity of the condition, and determining if a shoulder replacement surgery is the appropriate next step to restore functionality and improve the patient's quality of life.

If you are struggling with shoulder pain, or are interested in whether or not shoulder replacement surgery is right for you, contact our top shoulder specialists at Greater Pittsburgh Orthopaedic Associates for a comprehensive evaluation. Contact one of our offices or schedule an appointment directly online today!