Shoulder Arthritis
Shoulder arthritis is a common cause of disability and chronic shoulder pain affecting more than 20% of the elderly population. The main cause of shoulder arthritis is damage to the cartilaginous surfaces. This degenerative condition is commonly attributed to the “wear and tear” of the joint as its smooth covering (articular cartilage) is destroyed.
Osteoarthritis commonly affects people over the age of 50 and frequently impacts the AC joint (though it is not always symptomatic) and sometimes the glenohumeral joint.
Post-traumatic arthritis: This form of osteoarthritis develops after an injury such as a fracture or dislocation of the shoulder. This type of arthritis can also develop in the glenohumeral joint after a chronic rotator cuff tear. The most frequently associated symptom with shoulder arthritis is pain, which generally intensifies and worsens with activity and progressively deteriorates. Other symptoms of arthritis include stiffness and difficulty raising or extending the arm. There may be mechanical symptoms such as crunching or clicking. As the disease progresses, any shoulder movement will generate pain. Night pain is common and can interfere with rest.
There are several treatment options for shoulder arthritis. Many patients can live with the symptoms for years and only require pain medication like anti-inflammatory drugs and cortisone injections for relief. Physical therapy also helps preserve movement and strength. For other patients experiencing chronic arthritis symptoms and worsening arthritis, surgery may be an option. The choice of treatment is based on the cause, intensity of symptoms, and severity of the patient’s condition.
Early-stage arthritis can be controlled and treated using arthroscopic techniques. During the procedure, Dr. Mauricio González Campos will remove the inflamed synovial lining and degenerative cartilage fragments. Arthroscopic treatment for shoulder arthritis does not cure the condition but delays the need for more drastic measures and temporarily relieves most symptoms.
In situations where arthritis is advanced, or the joint cannot be recovered, joint replacement surgery may be the best option. Shoulder replacement surgery is very effective in eliminating pain and restoring function, allowing patients to return to daily activities and sports like skiing, tennis, or golf. During this procedure, the joint surfaces are surgically replaced through an incision in the front of the shoulder, and a metal ball and plastic socket are inserted to cover the damaged joint surfaces. Only one muscle is cut during the procedure. Full recovery and return to activity without restrictions can be expected in 3 to 4 months.
Before defining a treatment plan, Dr. Mauricio González Campos will examine your shoulder and analyze imaging studies such as X-rays and MRIs to determine the cause of your shoulder arthritis and its stage, then discuss treatment options with you and help you carry out the one that best suits your circumstances and goals.
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