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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.
Johns Hopkins Arthritis Center
(peaceful instrumental music) The Johns Hopkins Arthritis Center is a specialty care center inthe Division of Rheumatology at the Johns Hopkins School of Medicine. The Arthritis Centerhas a three part mission focusing on excellence in patient care, research, and education. Instead of focusing onthe patient's disease
we orient ourselves first and foremost around the person living with arthritis and their unique and individual concerns. From the moment a patientarrives at the Arthritis Center our team is dedicated to providing the bestal experience possible. From treatment to answering questions, we focus on the patient as a whole.
To do this we must better understand the biology of arthritis. This is accomplished throughresearch coordinated with care. In the lab we work closelywith our ians to develop more effective ways to diagnose and treat conditions such as rheumatoid arthritis,psoriatic arthritis, and ankylosing spondylitis.
Physicians and scientistsare working together to devise new ways to conduct research to integrate this seamlesslyinto al care. In this larger, wholeperson context our 10 rheumatology s and nurses as well as our researchteam and al staff provide a comprehensive arthritis care that addresses patients'personal priorities,
experiences, and quality of life. An important part of the impact we can make on our patients is through education. We believe that educated patients, those who understand their condition and what they can do to manageit, are empowered people. We provide oneonone nurselededucation for patients
and their families about their conditions and their medications. Over a million people each year from more than 190 countries around the world visit theArthritis Center website to learn more about theirdisease, treatment options, and tips for living a better life. Often the patient's deepest desire