Medically reviewed by Jessica Ely, PA-C
Total shoulder arthroplasty is a proven surgical procedure designed to relieve pain and restore function in shoulders affected by arthritis. When performed by an experienced surgeon and supported by a dedicated rehabilitation plan, total shoulder replacement can lead to excellent long-term outcomes.
If you’re considering this procedure, here are answers to some of the most frequently asked questions to help guide your decision.
What Is a Total Shoulder Replacement?
Understanding the Procedure
In a total shoulder replacement, the damaged joint surfaces are replaced with artificial components. The ball of the joint (humeral head) is replaced with a metal ball attached to a stem that fits inside the upper arm bone. The socket (glenoid) is resurfaced with a high-density plastic component to restore smooth joint motion and reduce pain.
When Should I Consider Total Shoulder Replacement?
Who Benefits Most from Surgery
Surgery is typically considered when shoulder arthritis significantly limits your quality of life and conservative treatments—such as medications, injections, or physical therapy—no longer provide relief. Patients who opt for total shoulder arthroplasty often seek improved comfort, better joint function, and the ability to return to their daily activities.
Will My Shoulder Specialist Recommend Surgery Right Away?
At Raleigh Orthopaedic Clinic, surgery is rarely the first step. Our orthopedic shoulder specialists prioritize non-operative treatments whenever possible. If those options are exhausted and your symptoms persist, your doctor will work with you to determine if joint replacement is appropriate. Ultimately, the decision to proceed with surgery is yours.
What Happens During the Surgery?
Overview of the Surgical Protocol
Total shoulder arthroplasty is performed under general or regional anesthesia. The surgeon makes an incision at the front of the shoulder, removes damaged tissue, and addresses bone spurs that may limit motion. The joint surfaces are then replaced with prosthetic components. The procedure typically lasts under two hours and is performed by a coordinated team of surgeons, anesthesiologists, and surgical staff.
Who May Not Be a Candidate for Shoulder Replacement?
Certain conditions may reduce the likelihood of a successful outcome, including:
- Multiple previous shoulder surgeries
- Advanced rotator cuff deficiency
- Active infection in the joint
- Significant shoulder deformity
- Underlying medical conditions such as Parkinson’s disease, uncontrolled diabetes, or obesity
A comprehensive evaluation by your orthopedic surgeon is the best way to determine if you’re a candidate.
How Should I Prepare for Surgery?
Preparation is key to a smooth recovery. You’ll need to be in good physical and mental health before undergoing surgery. Discuss all current medications, supplements, and allergies with your surgeon, as some medications may need to be adjusted in the days leading up to your procedure.
What Should I Expect After Surgery?
Recovery and Rehabilitation
Recovery from total shoulder arthroplasty begins the same day as surgery. Pain is managed initially with injections and then oral medications as tolerated.
For about six weeks after surgery, patients should avoid lifting more than one pound and minimize pushing or pulling activities. Driving is typically not recommended until shoulder strength and mobility return—usually several weeks post-op. Patients should plan for help with daily tasks during this period.
A physical therapy program will be prescribed to help restore movement and strength, and your therapist will guide you through each phase of your recovery.
What Are the Risks of Shoulder Replacement Surgery?
All surgeries carry some risk, and total shoulder arthroplasty is no exception. Possible complications include:
- Infection
- Blood clots
- Nerve or blood vessel injury
- Fracture
- Stiffness or ongoing pain
- Implant loosening or instability
- Need for revision surgery
At Raleigh Orthopaedic Clinic, our surgical teams take extensive precautions to minimize risks. We’re here to answer your questions and provide guidance every step of the way.
Expert Shoulder Care at Raleigh Orthopaedic Clinic
Our board-certified, fellowship-trained shoulder surgeons have years of experience treating complex joint conditions caused by arthritis, trauma, and other degenerative diseases. With a comprehensive team approach and access to on-site imaging, physical therapy, and surgery centers, we’re equipped to support you through diagnosis, treatment, and recovery.
If you’re considering shoulder replacement surgery or want to explore your non-surgical options, our experienced physicians are here to help you make the right decision for your health and lifestyle.
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.