Shoulder pain that gradually worsens over time is often a sign of arthritis. Shoulder osteoarthritis is a common degenerative condition that occurs when the protective cartilage covering the joint surfaces wears down, leading to pain, stiffness, and loss of motion. While many patients manage symptoms successfully without surgery, others eventually require surgical intervention to restore comfort and function.
At Steven Struhl, MD – AC Joint Separation, patients in NYC and Westchester receive expert evaluation and advanced treatment options tailored to the severity of their shoulder arthritis.
How Common Is Shoulder Osteoarthritis?
Osteoarthritis is the most common form of arthritis, affecting over 32 million adults in the United States, according to the CDC. While it is more commonly discussed in the knee and hip, the shoulder is also frequently affected, particularly in adults over age 50 and in individuals with a history of shoulder injury, instability, or repetitive overhead activity.
The shoulder joint’s wide range of motion makes it especially vulnerable to cartilage breakdown over time.
Symptoms of an Arthritic Shoulder
Shoulder arthritis often develops slowly, with symptoms worsening over months or years. Early recognition can help delay progression and improve quality of life.
Common symptoms include:
- Deep, aching shoulder pain
- Stiffness, especially in the morning or after rest
- Reduced range of motion
- Grinding or clicking sensations
- Pain with overhead or lifting activities
- Night pain that interferes with sleep
As cartilage loss progresses, bone-on-bone contact can significantly increase pain and limit daily function.
Non-Surgical Treatment Options
Most patients begin with conservative, non-invasive treatments aimed at reducing pain and maintaining mobility. These options are often effective in early to moderate arthritis.
Non-surgical treatments may include:
- Activity modification
- Anti-inflammatory medications
- Physical therapy to improve strength and flexibility
- Corticosteroid injections for pain relief
- Ice or heat therapy
- Regenerative medicine, such as PRP or stem cell therapy
Studies show that many patients with shoulder arthritis can manage symptoms successfully for years with conservative care before surgery is considered.
When Is Surgery Necessary?
Surgery may be recommended when shoulder arthritis causes persistent pain, loss of function, or reduced quality of life despite appropriate non-surgical treatment. If pain interferes with sleep, work, or everyday activities, it may be time to consider surgical options.
Advanced imaging helps determine the extent of joint damage and guide treatment decisions. The goal of surgery is to relieve pain, restore motion, and improve overall shoulder function.
Surgical Options for Shoulder Arthritis
Surgical treatment depends on the severity of arthritis and the patient’s anatomy and activity level. For advanced cases, total shoulder replacement surgery is often the most effective solution.
Total shoulder replacement has been shown to provide significant pain relief and functional improvement in over 90% of patients, with long-lasting results. Modern implant designs and surgical techniques have greatly improved outcomes and durability.
Expertise You Can Trust
Dr. Steven Struhl is board-certified in both Orthopedic Surgery and Sports Medicine/Arthroscopic Surgery and has been in private practice for over 22 years. He is widely recognized as an expert in shoulder and knee injuries and conditions and is known for staying at the forefront of orthopedic innovation.
Dr. Struhl offers the full spectrum of care, from conservative management to advanced surgical solutions, including total shoulder replacement, ensuring patients receive the most appropriate treatment for their condition.
Take the Next Step Toward Shoulder Relief
Living with chronic shoulder pain doesn’t have to be your reality. Early evaluation and expert guidance can help you understand your options and choose the right path forward.
If shoulder arthritis is limiting your life, contact Steven Struhl, MD – AC Joint Separation, to schedule a consultation at our NYC or Westchester office and learn when surgery may be the right solution for you.
Posted on behalf of Steven Struhl MD
