In the early stage, shoulder pain is managed with physical therapy and non-steroidal anti-inflammatory (NSAID) drugs. Surgery is considered if pain worsens.
There are two primary methods for shoulder replacement
Total Shoulder Replacement
Total shoulder replacement involves a replacement of the ball and socket joint. A metal ball is used to replace the humeral head, and a plastic socket replaces the cartilage on the glenoid cavity. Once complete this method looks and functions like the original joint. A patient must have an intact and functioning rotator cuff to be considered for a total shoulder replacement.
Reverse Shoulder Replacement
A reverse shoulder replacement is used to treat patients with severe damage or arthritis of the shoulder joint, and particularly patients with severe rotator cuff tears. It involves the insertion of a hemispherical implant in place of the glenoid instead of the humerus and the cup section being added to the humerus. This method allows the arm to be moved primarily by the deltoid instead of the rotator cuff. A significant complication following reverse shoulder replacement is known as scapular notching, in which erosion of the scapular neck is caused by constant contact between the humeral component and the inferior scapular neck during adduction. Scapular notching may be more likely in patients with shorter scapular neck lengths.
- Pain that is moderate to severe with activity
- Pain that affects sleep
- Inability to lift the affected arm to perform daily tasks, such as reaching high shelves or washing hair
- Stiffness and pain with overhead movement
- Insufficient pain relief from non-surgical treatments, such as non-steroidal anti-inflammatory drugs(NSAIDs), physical therapy, and steroid injections
Cost of Shoulder Replacement
The cost of shoulder Replacement varies from $5,000 to $20,000 depending on other factors and one geographic area to another.
The most apparent benefit of shoulder replacement is significant pain relief. Almost all patients have complete or nearly complete relief of pain. As the pain lessens, the function also improves.