When is shoulder replacement needed




















If you have bone on bone osteoarthritis or rotator cuff tendons that are still intact, you might be a good candidate for total shoulder replacement surgery. During a total shoulder replacement, your doctor will remove damaged tissue and bone surfaces and replace them with prosthetic components that are cemented securely in place.

Approximately 10 weeks after surgery, they transition to a home therapy program designed to continue building strength and regaining motion. Most patients have regained a very good level of function about eight months after the procedure. Are you experiencing shoulder issues? A second factor involved is the need to restore motion.

If you have experienced a significant change in lifestyle and are no longer able to participate in the activities you love due to a lack of mobility in your shoulder, then you may be a perfect candidate for total shoulder replacement. Arthritis of the shoulder joint: Most often occurring in patients over the age of 50, this degenerative condition causes stiffness and pain in the shoulder joint as protective cartilage wears down over the years.

Your doctor may first recommend anti-inflammatory medication, but if that, combined with other non-surgical treatment options, do not result in pain relief or improved mobility, then it may be time to seriously consider the benefits of total shoulder replacement. Osteoarthritis is one of the most common reasons that patients have this procedure. Fractures: In the case of severe injury, the head or ball of the arm bone can be damaged so badly that it cannot be restored and therefore must be replaced.

Depending upon the health of the clavicle the socket portion of the shoulder joint , a surgeon may recommend a partial or total shoulder replacement to replace the broken bone, stabilize the joint and restore function. Rotator Cuff Tear: A rotator cuff tear happens when a patient sustains an injury to one of the four muscles that wrap around the upper portion of the arm bone.

These muscles are essential for providing stability in the shoulder joint and when long-term tears are left unaddressed, arthritis can result. Over time, the joint suffers due to lack of stability and the onset of arthritis. A shoulder replacement may be recommended.

The best way to determine if you need shoulder replacement is to see a qualified physician. However, in the mean time, use this checklist below to grade your condition. If you answer yes to one or more of the questions listed here, you should plan to talk seriously with your orthopedic physician about the possibility of shoulder arthroplasty. It involves putting very tiny needles into your skin at certain places on your body to try to relieve pain.

Relaxation and breathing exercises , such as meditation, guided imagery, and yoga. These can help reduce stress and relax your mind and muscles. Why might your doctor recommend shoulder replacement surgery? Your doctor might recommend shoulder replacement if: You have very bad pain. You can barely move your arm and shoulder.

You have lost a lot of cartilage. You have tried medicine and other treatments, but they haven't helped. Your health is good. Compare your options.

Compare Option 1 Have shoulder replacement surgery Don't have surgery. Compare Option 2 Have shoulder replacement surgery Don't have surgery. Have shoulder replacement surgery Have shoulder replacement surgery You may be asleep during the surgery. Or you may be awake, but the area around your arm and shoulder will be numb so you won't feel any pain. You may spend 1 to 3 days in the hospital. You will take antibiotics to prevent infection and medicine to treat pain. You will start physical therapy right away.

You may have less pain. You should be able to do your daily activities more easily. The risks of surgery include: Infection and problems with wound healing. You may need another surgery if the new joint becomes loose or wears out. Don't have surgery Don't have surgery You can try other treatments to help relieve your symptoms, such as: Pain medicine.

Heat and ice. You avoid the risks of surgery. You avoid the cost of surgery. You avoid several months of physical therapy. If your symptoms don't improve with medicine, exercise, physical therapy, or other treatments, you can decide later to have surgery. As your osteoarthritis gets worse: You may have severe pain. You may not be able to do your daily activities. You may not be able to fully rotate, flex, or extend your arm and shoulder.

Or you may not be able to use them at all. The pain medicine you take: May not relieve your symptoms. May cause side effects, such as upset stomach, ulcers, stomach bleeding, and skin rashes. Stronger pain medicine, such as opioids, may cause constipation, confusion, drowsiness, and nausea and vomiting. Personal stories about shoulder replacement surgery These stories are based on information gathered from health professionals and consumers.

What matters most to you? Reasons to have shoulder replacement surgery Reasons not to have surgery. I'm comfortable with the idea of having surgery. I just don't like the idea of having surgery. My symptoms are so bad that I can't do my daily activities. I'm still able to do my daily activities. Medicine and other treatments keep my symptoms under control. The side effects of pain medicine bother me a lot. The side effects of pain medicine don't bother me. I'm not worried about how much surgery may cost.

My other important reasons: My other important reasons:. Where are you leaning now? Having surgery NOT having surgery. What else do you need to make your decision? Check the facts.

True That's right. Most people can manage their pain with medicine, exercise, and other treatments that don't involve surgery. False Sorry, that's not right.

I'm not sure It may help to go back and read "Get the Facts. True Sorry, that's not right. False That's right. After surgery, your shoulder won't move as far as it did before you started to have shoulder problems. Decide what's next. Yes No. I'm ready to take action.

I want to discuss the options with others. I want to learn more about my options. Use the following space to list questions, concerns, and next steps. Your Summary. Your decision Next steps. Which way you're leaning. How sure you are. Your comments. Your knowledge of the facts Key concepts that you understood. Key concepts that may need review. Getting ready to act Patient choices.



0コメント

  • 1000 / 1000