Medically Reviewed by Pam Burleson, PA-C
Shoulder pain is one of the most common complaints we see at Raleigh Orthopaedic—and it’s not just limited to athletes or older adults. Across the Triangle and the nation, shoulder arthritis affects millions. In fact, the National Health Interview Survey reported that over 50 million Americans had been diagnosed with some form of arthritis as far back as 2011, and that number continues to grow.
What Is Shoulder Arthritis?
Shoulder arthritis typically refers to arthritis of the glenohumeral joint—the main ball-and-socket joint of the shoulder. Over time, the smooth cartilage that cushions the joint wears down, leading to pain, stiffness, and limited mobility.
Common Symptoms
The most frequent symptom of shoulder arthritis is pain, especially during movement. Many patients describe a deep, aching pain in the back of the shoulder that worsens with activity and may even disrupt sleep. Other symptoms include:
- Stiffness or limited range of motion
- Difficulty with everyday tasks like reaching overhead or behind your back
- Increased discomfort during changes in weather
How Is It Diagnosed?
A diagnosis begins with a detailed review of your symptoms and a physical examination. X-rays play a crucial role in confirming shoulder arthritis. They can show a loss of joint space where healthy cartilage used to be—evidence that the cushioning has worn away.
Non-Surgical Treatment Options
Most cases of shoulder arthritis are first managed with non-surgical methods. These may include:
- Anti-inflammatory medications to reduce pain and swelling
- Physical therapy to maintain mobility and strengthen surrounding muscles
- Steroid injections for short-term relief in patients with mild to moderate arthritis
These conservative treatments can be very effective in reducing pain and improving function, especially in the early stages.
When Is Surgery Recommended?
If non-surgical options no longer provide relief and your shoulder pain significantly impacts your daily life, surgery may be the next step. The decision to proceed with surgery depends on the severity of arthritis, your symptoms, and your personal goals.
Surgical Options for Shoulder Arthritis
There are two main types of shoulder replacement surgeries:
- Conventional Total Shoulder Replacement: A metal ball replaces the head of the humerus, and a plastic socket is used to resurface the shoulder blade. This option works best for patients with intact rotator cuffs.
- Reverse Total Shoulder Replacement: In cases where the rotator cuff is torn or the socket is deformed, this approach is preferred. The ball is attached to the socket side of the joint, and the socket is placed on the arm side—allowing other muscles to compensate for the damaged rotator cuff.
While shoulder arthritis may not always be as disabling as hip or knee arthritis, it can still have a major impact on your quality of life. The good news is that effective treatment options are available—both surgical and non-surgical.
If you’re experiencing persistent shoulder pain or stiffness, don’t wait. Schedule a consultation with one of Raleigh Orthopaedic’s shoulder specialists. We’ll help you find the right path forward, tailored to your needs and goals.
You don’t have to live with shoulder pain. Let our team help you get back to doing the things you love—pain-free.
Schedule an Appointment with Raleigh Orthopaedic
If you’re dealing with pain, discomfort, or an injury, don’t wait to get the care you need. Our expert team at Raleigh Orthopaedic is here to help you feel better, move better, and get back to doing what you love. Schedule an appointment online or call us at 919-781-5600 to be seen—often within 48 hours. For immediate care, we offer walk-in orthopedic urgent care services. Click here for hours and locations.
Disclaimer: The information on this site is for general informational purposes only and is not intended as medical advice. It should not be used as a substitute for professional diagnosis, treatment, or medical judgment. Always consult a physician or qualified healthcare provider with any questions you may have about a medical condition or treatment.