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Jonathan Levy MD
Jonathan Levy MD
Jonathan Levy MD
Jonathan Levy MD
Jonathan Levy MD
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Shoulder Arthritis

Normal Shoulder

Shoulder Arthritis

In the normal shoulder (glenohumeral joint), motion occurs across smooth surfaces lined with cartilage. As seen on the X-ray to the right, the normal shoulder has smooth surfaces lined with cartilage that cushions the impact between the bones and provides a smooth gliding surface for movement.

Shoulder Arthritis

The smooth cartilage surfaces of a normal shoulder can be seen clearly on the arthroscopic picture seen on the left.

Arthritic Shoulder

Arthritis of the shoulder develops as cartilage is broken down. This results in a loss of the smooth surfaces of the joint. The joint space seen on X-ray decreases until bone is moving on bone. Bone spurs may develop during this process. The irregular surfaces of an arthritic shoulder can be seen clearly on the arthroscopic picture seen on the right.

Symptoms

Shoulder Arthritis
Shoulder Arthritis

As shoulder arthritis develops, patients experience pain that gets worse with time, increases with activity, and interferes with sleep. Range of motion decreases, and atrophy (wasting) of the muscles around the shoulder worsens. The shoulder may swell, click, pop, and crunch. It may be tender to touch. Activities of daily living begin to become affected, as patients have difficulty with dressing, grooming, bathing, and even eating.

Non-Operative Treatment

Typically, non-operative treatments are used initially, including activity modification, anti-inflammatory medication, cortisone injections, and sometimes physical therapy. The goal of physical therapy is to attempt to maintain range of motion. Strengthening exercise can be painful.

Operative Treatment

Shoulder Arthritis

Patients with shoulder arthritis have two surgical options: arthroscopic debridement or shoulder replacement. Arthroscopic surgery does not reverse the arthritic process, but often has the ability to provide pain relief for a period of time. Shoulder replacement surgery is the most reliable surgery for improving pain and return of function for the arthritic shoulder.

DISCLAIMER -- Jonathan Levy, MD provides information on this website as a service to his patients and the community. All medical information provided on this website should not be considered medical advice. While Dr. Levy attempts to keep this information accurate and up to date, no guarantee regarding the accuracy of the information is made. Without a visit with a health care professional, any information obtained on this site should be considered an educational service only. Information obtained on this website may help guide you in making your own health care decisions, but should not be considered medical advice.

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