Shoulder Arthritis Symptoms and Treatment QA
My name is Uma Srikumaran. I'm an orthopedic surgeon with Johns Hopkins and Howard County General . I specialize in shoulder surgery. Shoulder arthritis refers to degeneration of thelining of the joint. The lining of the joint is made of smooth cartilage thatcan wear out over time or can be diseased by inflammatory conditions such asrheumatoid arthritis or from a traumatic condition or posttraumatic arthritisafter a shoulder dislocation. The typical wear and tear arthritis iscalled osteoarthritis.
Pain is the most common symptom of shoulder arthritis. Pain can occur throughout the day and worsen with certain activities.ing and catching may also be noticed coming from the shoulder. As arthritisprogresses the pain and stiffness will progress as well. Nonsurgical treatment for shoulder arthritisincludes simple measures such as rest and activity modifications or avoidingactivities that are painful for your shoulder. Nonsteroidal antiinflammatorymedications can also be beneficial for pain relief.
Other options include icing, physicaltherapy and cortisone injections that may also provide symptomatic relief. When nonsurgical treatments fail toprovide pain relief over a period of time or the pain becomes unbearable,surgical shoulder replacement surgery is an option. The goals of shoulder replacement surgery are pain relief as well as improved function so you may resume everydayactivities. The surgery is performed under generalanesthesia often with a nerve block
and involves an open incision in front ofyour shoulder. The arthritic bone is carefully removedalong with scar tissue and a metal prosthesis and a plastic component are inserted torecreate the ball and socket joint of the shoulder. Recovery after shoulder replacement surgery involves a one to two day admission. After this, an outpatient physicaltherapy program is performed usually beginning at two weeks aftersurgery and extending for several months. During this period patients are providedpain medications. Physical therapy will progress overseveral months. At first the therapist will
guide the patient on passive range ofmotion exercises followed by active range of motion exercises in which the patientperforms themselves. After a range of motion has been restored, strengthening exercisescan begin.
Shoulder Arthritis Narrated Animation
The main joint of the shoulder is the jointbetween the head of the humerus the upper arm bone, and the glenoid cavity of the scapulathe shoulder blade. This is a ballandsocket type of joint.Shoulder arthritis refers to loss of cartilage on the surface of the humeral head and theglenoid of the shoulder joint. The two bones rub against each other and produce pain, stiffnessand difficulty moving an arm. Types of shoulder arthritis include:Osteoarthritis also called degenerative joint disease is the quot;wear and tearquot; conditionof the joint, commonly due to old age. Osteoarthritis is characterized by loss of cartilage, bonespurring and NO major inflammation.
Rheumatoid arthritis â€“ is a result of inflammationof the synovium the membrane that encloses the joint. Inflammation brings in the cellsof the immune system, whose inflammatory chemicals damage and destroy the joint. It is not clearhow rheumatoid arthritis starts but genetic predisposition together with infection ofthe joint are likely to be among the causes. Rotator cuff arthropathy or cuff tear arthropathyis shoulder arthritis AS A RESULT and IN A SETTING of rotator cuff tears. Rotator cuffmuscles hold the ball and the socket together and prevent the humeral head from moving outof the socket when the person raises an arm. In people with torn rotator cuff, the headof the humerus moves upwards and rub onto
the acromion. This causes damages to the coveringcartilage and eventually arthritis. Combination of cuff tear and arthritis is a devastatingcondition that seriously impairs functions of the shoulder joint.Posttraumatic arthritis â€“ is arthritis that develops after physical injury to thejoint. Chondrolysis sudden loss of cartilage thathappens occasionally after a shoulder surgery, commonly seen in association with infusionof local anesthetics into the joint for pain management.