
In short,
- Persistent or severe shoulder pain can signal arthritis or damage that may require surgical evaluation.
- Conservative care should always be tried first, but when pain limits daily activities, it may be time to consult a specialist.
- Expert shoulder replacement surgeons can restore comfort, strength, and mobility through modern surgical techniques.
Understanding the Causes of Shoulder Pain
The shoulder is one of the most flexible and frequently used joints in the body, making it prone to wear, injury, and inflammation. Shoulder pain can result from minor strains or serious degenerative conditions. Determining the cause is essential to selecting the right shoulder pain treatment.
Common causes include:
- Osteoarthritis: Degeneration of cartilage within the joint, causing pain and stiffness.
- Rotator Cuff Tears: Damage to the tendons surrounding the shoulder joint, leading to weakness and limited range of motion.
- Rheumatoid Arthritis: An autoimmune disorder that inflames the joint linings.
- Post-Traumatic Arthritis: Degeneration following a previous injury or fracture.
- Avascular Necrosis: Reduced blood flow to bone tissue leading to bone collapse and chronic pain.
Mild pain often responds to rest, physical therapy, or medication. However, chronic pain or stiffness that interferes with daily life may indicate it’s time for a comprehensive evaluation by an orthopedic specialist.
When Shoulder Pain Requires Professional Attention
According to the Mayo Clinic, occasional shoulder discomfort after activity is common, but ongoing pain that persists beyond a few weeks should not be ignored. Seek evaluation if you experience:
- Shoulder pain that disrupts sleep or rest.
- Difficulty reaching overhead or behind your back.
- Stiffness that limits daily activities.
- Weakness or instability in the shoulder.
- Grinding or clicking sensations with movement.
- Limited improvement after conservative treatment.
These symptoms may indicate significant joint damage. A qualified orthopedic specialist can diagnose the underlying cause using imaging tests such as X-rays, MRI, or CT scans to determine whether surgical intervention may be necessary.
What to Expect from Shoulder Pain Treatment
The first step in managing shoulder pain is to explore non-surgical options. These are often effective for mild to moderate cases and can delay or prevent the need for surgery.
Non-Surgical Shoulder Pain Treatment Options
- Physical Therapy: Strengthens muscles and improves range of motion.
- Activity Modification: Reduces strain on the shoulder joint.
- Medications: Nonsteroidal anti-inflammatory drugs (NSAIDs) relieve pain and inflammation.
- Corticosteroid Injections: Temporarily reduce inflammation within the joint.
- Assistive Devices: Braces or slings may support healing after injury.
If pain persists despite these measures and joint damage continues to progress, your orthopedic surgeon may discuss surgical options such as partial or total shoulder replacement.
When It’s Time to See a Shoulder Replacement Surgeon
Shoulder replacement surgery is typically recommended when conservative treatments no longer provide relief and imaging confirms advanced joint degeneration or severe tendon damage. The Cleveland Clinic reports that patients often report significant pain, stiffness, and reduced arm function even during basic daily tasks.
You may be a candidate for shoulder replacement if you have:
- Severe arthritis or cartilage loss within the shoulder joint.
- Chronic pain that persists despite medication or therapy.
- Limited shoulder movement that affects independence.
- Weakness or inability to lift the arm.
- Shoulder deformity or structural changes visible on imaging.
An experienced shoulder replacement surgeon can evaluate your condition and recommend whether you may benefit from partial or total joint replacement.
What Shoulder Replacement Surgery Involves
Shoulder replacement surgery, also called shoulder arthroplasty, involves removing damaged parts of the shoulder joint and replacing them with artificial components (prostheses).
Types of shoulder replacement procedures include:
- Total Shoulder Replacement: Both the ball (humeral head) and socket (glenoid) are replaced with implants.
- Partial Shoulder Replacement: Only the damaged humeral head is replaced.
- Reverse Shoulder Replacement: Used for patients with severe rotator cuff damage, reversing the normal joint structure to improve strength and mobility.
The procedure is performed under general anesthesia and typically takes one to two hours. Patients usually go home the same day or after an overnight stay.
Recovery and Rehabilitation
Recovery after shoulder replacement requires time, physical therapy, and adherence to your surgeon’s instructions.
What to Expect After Surgery
- Pain Management: Medication and cold therapy help control discomfort in the early recovery phase.
- Immobilization: A sling supports and protects the shoulder for several weeks.
- Physical Therapy: Gradual exercises begin soon after surgery to restore mobility, strength, and stability.
- Full Recovery: Most patients resume normal activities within three to six months, with ongoing improvements for up to a year.
Modern surgical techniques and advanced implant designs make recovery faster and more predictable than ever before.
Long-Term Outlook After Shoulder Replacement
Shoulder replacement surgery offers long-term relief and improved function for most patients. Studies show that over 90% of modern implants last more than 15 years. Many patients report sleeping comfortably again, regaining independence, and returning to recreational activities like golf, swimming, or tennis.
Follow-up visits allow your orthopedic surgeon to monitor healing and ensure that your joint continues to function properly. Adhering to a home exercise program and maintaining shoulder strength are key to long-term success.
Finding Experienced Shoulder Replacement Surgeons Near Me
Choosing the right orthopedic team is one of the most important decisions in your recovery. Look for:
- Board-certified orthopedic surgeons with subspecialty training in shoulder and upper extremity surgery.
- A clinic with advanced imaging, diagnostic tools, and state-of-the-art surgical technology.
- A commitment to patient-centered care, from initial consultation to full rehabilitation.
At Paul Meli Orthopedics, our experienced team provides advanced evaluation and treatment for shoulder pain, including comprehensive surgical and non-surgical care. Dr. Paul Meli and his team specialize in modern joint replacement procedures designed to minimize recovery time and restore long-term function.
Schedule an Appointment with Shoulder Replacement Surgeons in Fort Lauderdale, Florida
If you are living with chronic shoulder pain or wondering whether surgery is the right next step, expert evaluation is essential. The specialists at Paul Meli Orthopedics provide comprehensive care for arthritis, rotator cuff injuries, and other shoulder conditions using the most advanced techniques available.
Schedule an appointment online at Paul Meli Orthopedics or call (954) 324-7711 today to discuss your symptoms and explore the best shoulder pain treatment options for your needs.