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Suggest Treatment For Shoulder Arthritis In An Elderly Person

Posted on Thu, 11 Feb 2016

Question: I am a physically active 58 year old male. I have arthritis in my left shoulder. Numerous X-rays indicate a bone on bone condition. My orthopedic surgeon says I am a candidate for a total shoulder replacement. The problem is that I don't want to have to redo the replacement 15 years from now when I am much older. In addition, I want to continue to do the activities that I enjoy now (i.e. biking, xctry country skiing, weightlifting). I have tried physical therapy, prolotherapy with limited results. Lately the pain is interfering with my sleep. Are there any new treatments besides a total replacement?I feel that once I get a replacement, I can't go back.

Answered by Dr. Dr. Praveen Tayal (2 hours later)

Brief Answer:
Joint replacement is the best option.

Detailed Answer:
Hello,
Thanks for posting your query.
I do understand your problem. Due to arthritis the joint space has remarkably reduced in your case. These changes are due to wear and tear of the joint. Any procedure less than a total replacement cannot bring back the same smooth painless surface of the joint. The local injections of joint lubricants or steroids can bring a temporary relief and delay the surgery by 6 months to years depending on the severity.
It is best to get the joint replaced as it will at least provide you with a painless shoulder movements and a restful sleep.
I hope this answers your query.
In case you have additional questions or doubts, you can forward them to me, and I shall be glad to help you out.
Wishing you good health.
Regards.
Dr. Praveen Tayal.
For future query, you can directly approach me through my profile URL http://bit.ly/Dr-Praveen-Tayal

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Dr. Praveen Tayal (3 hours later)

is it true that the procedure only lasts 15 years? What will my physical limitations be? Are there no other more durable types of shoulder replacements?
Thanks

Answered by Dr. Dr. Praveen Tayal (10 hours later)

Brief Answer:
Usually lasts 12-15 years.

Detailed Answer:
Hello.
Thanks for writing again.
The longevity of the replaced joint depends on how well you use it. Doing extreme exertion like skiing and swimming can need a repeat replacement after 12-14 years. It is best to get the best available implant suitable for you for best results. Your orthopedician can suggest the best joint for you after a physical assessment.
Hope my answer is helpful.
Do accept my answer in case there are no further queries.
Regards.

Note: For further queries, consult a joint and bone specialist, an Orthopaedic surgeon. Book a Call now.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar