Blog
Chronic shoulder pain, stiffness, and loss of function can have a profound effect on your independence, sleep, and quality of life. For many patients, shoulder pain builds gradually over time and is often related to degenerative conditions like arthritis or long-standing rotator cuff injuries. While many shoulder conditions can be managed with conservative treatment, shoulder replacement surgery may become necessary when pain persists, mobility declines, and other treatments no longer provide relief. In this article, we’ll explore the key signs that it may be time to consider shoulder replacement, what the procedure involves, and how to take the next step. What Is Shoulder Replacement Surgery? Shoulder replacement (arthroplasty) involves removing damaged parts of the shoulder joint and replacing them with prosthetic components. It is a highly effective treatment for advanced arthritis and rotator cuff-related degeneration , providing substantial pain relief and restoring function. There are two main types: Total Shoulder Replacement (Anatomic): Replaces both the humeral head (ball) and glenoid (socket). Suitable when the rotator cuff tendons are intact . Reverse Total Shoulder Replacement: Reverses the ball-and-socket configuration. Indicated for massive rotator cuff tears, cuff tear arthropathy , or complex arthritis. This design shifts movement mechanics to the deltoid muscle , compensating for rotator cuff dysfunction. π Evidence Insight : According to a 2020 registry review, shoulder replacements have over 90% satisfaction rates and can last 15–20 years in many patients [1]. Signs It May Be Time for Shoulder Replacement Surgery Severe, Persistent Shoulder Pain: Pain that disrupts sleep, limits daily activities, or is present at rest may signal the need for surgical intervention. Advanced Shoulder Arthritis: X-rays and imaging may show joint space narrowing, bone-on-bone contact, bone spurs, or structural deformity of the joint, confirming arthritis progression. Stiffness and Limited Range of Motion: When conservative treatments no longer restore mobility, and everyday tasks like dressing, reaching overhead, or washing your hair become difficult, surgery may be the next step. Failed Non-Surgical Treatments: If medications, physiotherapy, injections, and activity modification no longer provide lasting relief, surgical intervention may offer more effective long-term outcomes. Large or Irreparable Rotator Cuff Tears: In cases where the rotator cuff is severely torn or no longer functioning (cuff tear arthropathy), a reverse shoulder replacement may be recommended to restore stability and function. When to Talk to a Specialist If shoulder pain has become a daily limitation, early referral for an orthopaedic evaluation is recommended. Dr Ryan du Sart will assess: Joint condition via physical exam and imaging Muscle integrity and rotator cuff status Your lifestyle, activity level , and treatment goals π Clinical Note : Early assessment can often delay or optimise the timing of surgery. A 2021 study found patients undergoing surgery at the appropriate stage reported better functional outcomes and fewer complications [2]. What Does Recovery Look Like? Shoulder replacement is a major procedure, but outcomes are generally very positive when performed at the right time and followed by structured rehabilitation. Recovery timeline: 0–6 weeks: Shoulder supported in a sling; early physiotherapy to maintain motion 6–12 weeks: Gradual increase in active movement and strength 3–6 months: Return to light daily activities and driving 6–12 months: Full recovery for most patients, including return to recreation and improved sleep Dr du Sart and his team will support you throughout your recovery with tailored rehab plans and regular follow-up. Why Choose Dr Ryan du Sart Dr du Sart is an experienced orthopaedic surgeon with a patient-first approach, offering shoulder replacement surgery to patients throughout the South West of WA. With consulting rooms in Bunbury and Busselton , he provides local access to advanced orthopaedic care without the need to travel far from home. His focus is on: Evidence-based, personalised treatment Minimally invasive and joint-preserving techniques where possible Long-term outcomes and quality of life π (08) 9779 9767 π www.ryandusart.com.au π South Bunbury & Busselton, WA ο»Ώ References Australian Orthopaedic Association National Joint Replacement Registry. Annual Report 2020 . Saltzman BM, et al. Impact of surgical timing on outcomes in shoulder arthroplasty for osteoarthritis: A matched cohort study . J Shoulder Elbow Surg. 2021;30(5):1127–1135.
By Dr Ryan du Sart – Orthopaedic Surgeon, South West WA If you're preparing for orthopaedic surgery with Dr Ryan du Sart, it’s completely natural to feel a mix of anticipation and nerves. Understanding what will happen on the day of your procedure can ease anxiety, help you feel more confident, and ensure a smooth experience from arrival to discharge. Whether you're undergoing a joint replacement , arthroscopy , or foot and ankle surgery , this step-by-step guide outlines what to expect on your surgery day. 1. Before You Arrive In the days leading up to your procedure, you’ll receive detailed instructions from Dr du Sart’s team, including: Admission time and hospital location Fasting guidelines (typically no food or drink 6–8 hours prior to surgery) Medications to pause or continue What to bring: comfortable clothing, your hospital paperwork, Medicare and private health details If you’re using the mymobility® app, ensure your phone is charged and accessible—you’ll be able to track recovery milestones post-operatively. 2. Hospital Check-In Upon arrival at the hospital: You’ll check in with the admissions team A nurse will confirm your details, check vital signs, and prepare you for theatre An anaesthetist will meet with you to discuss your anaesthetic plan (general, spinal, or local) Dr du Sart will review the procedure with you and answer any last-minute questions You’ll be asked to change into a surgical gown and remove any jewellery, nail polish, or contact lenses. 3. Heading to the Operating Theatre When it’s time for your surgery: You’ll be taken to the pre-operative area A member of the surgical team will guide you into the operating theatre Anaesthesia is administered under close monitoring Dr du Sart will perform your surgery using modern, evidence-based techniques tailored to your condition Surgery times vary by procedure—for example, a knee arthroscopy may take under an hour, while a joint replacement can take 1.5–2 hours. 4. Waking Up in Recovery After surgery, you’ll be taken to the post-anaesthesia care unit (PACU) where: Nurses will monitor your vital signs, pain, and surgical site You may have a drip (IV) in place, and possibly a bandage, splint, or brace Pain will be managed using medications as needed Once you’re fully awake and stable, you’ll be transferred to your hospital room. 5. After Surgery: Your Hospital Stay Depending on your procedure, you may: Go home the same day (day surgery or minor procedures), or Stay overnight (e.g. for joint replacement or ligament repair) While in hospital: You’ll be encouraged to move (usually with assistance) as soon as possible Physiotherapists will visit to begin rehabilitation exercises You’ll receive post-operative instructions , including pain relief, wound care, and activity restrictions For joint replacements, the use of the Game Ready® system may also help reduce swelling and discomfort during the early recovery phase. 6. Going Home and Recovery Before discharge: You’ll be given a summary of your procedure Discharge instructions and follow-up appointments will be arranged Prescriptions for pain relief or anti-inflammatories will be provided You’ll receive guidance on when to resume walking, showering, and normal activities Expect a follow-up review with Dr du Sart typically 10–14 days after surgery. Depending on the surgery you’ve had you may be referred to the mymobility® app. This app will help guide your daily recovery with customised exercises, reminders, and educational content. Tips for a Smooth Experience β
Organise transport home in advance β
Arrange support for cooking, cleaning, and mobility if needed β
Follow medication and fasting instructions exactly β
Ask questions —our team is here to help β
Keep moving (within limits) after surgery to support circulation and healing You’re in Expert Hands Dr Ryan du Sart is committed to delivering high-quality orthopaedic care using modern, minimally invasive techniques and technology. With clinics in Bunbury and Busselton , we aim to make your surgical experience as safe, comfortable, and well-supported as possible. π (08) 9779 9767 π www.ryandusart.com.au π South Bunbury & Busselton, WA Surgery can be a l ife-changing step toward pain relief and restored mobility. With the right preparation and support, your journey starts with confidence—and ends with better movement.
Chronic shoulder pain, stiffness, and loss of function can have a profound effect on your independence, sleep, and quality of life. For many patients, shoulder pain builds gradually over time and is often related to degenerative conditions like arthritis or long-standing rotator cuff injuries. While many shoulder conditions can be managed with conservative treatment, shoulder replacement surgery may become necessary when pain persists, mobility declines, and other treatments no longer provide relief. In this article, we’ll explore the key signs that it may be time to consider shoulder replacement, what the procedure involves, and how to take the next step. What Is Shoulder Replacement Surgery? Shoulder replacement (arthroplasty) involves removing damaged parts of the shoulder joint and replacing them with prosthetic components. It is a highly effective treatment for advanced arthritis and rotator cuff-related degeneration , providing substantial pain relief and restoring function. There are two main types: Total Shoulder Replacement (Anatomic): Replaces both the humeral head (ball) and glenoid (socket). Suitable when the rotator cuff tendons are intact . Reverse Total Shoulder Replacement: Reverses the ball-and-socket configuration. Indicated for massive rotator cuff tears, cuff tear arthropathy , or complex arthritis. This design shifts movement mechanics to the deltoid muscle , compensating for rotator cuff dysfunction. π Evidence Insight : According to a 2020 registry review, shoulder replacements have over 90% satisfaction rates and can last 15–20 years in many patients [1]. Signs It May Be Time for Shoulder Replacement Surgery Severe, Persistent Shoulder Pain: Pain that disrupts sleep, limits daily activities, or is present at rest may signal the need for surgical intervention. Advanced Shoulder Arthritis: X-rays and imaging may show joint space narrowing, bone-on-bone contact, bone spurs, or structural deformity of the joint, confirming arthritis progression. Stiffness and Limited Range of Motion: When conservative treatments no longer restore mobility, and everyday tasks like dressing, reaching overhead, or washing your hair become difficult, surgery may be the next step. Failed Non-Surgical Treatments: If medications, physiotherapy, injections, and activity modification no longer provide lasting relief, surgical intervention may offer more effective long-term outcomes. Large or Irreparable Rotator Cuff Tears: In cases where the rotator cuff is severely torn or no longer functioning (cuff tear arthropathy), a reverse shoulder replacement may be recommended to restore stability and function. When to Talk to a Specialist If shoulder pain has become a daily limitation, early referral for an orthopaedic evaluation is recommended. Dr Ryan du Sart will assess: Joint condition via physical exam and imaging Muscle integrity and rotator cuff status Your lifestyle, activity level , and treatment goals π Clinical Note : Early assessment can often delay or optimise the timing of surgery. A 2021 study found patients undergoing surgery at the appropriate stage reported better functional outcomes and fewer complications [2]. What Does Recovery Look Like? Shoulder replacement is a major procedure, but outcomes are generally very positive when performed at the right time and followed by structured rehabilitation. Recovery timeline: 0–6 weeks: Shoulder supported in a sling; early physiotherapy to maintain motion 6–12 weeks: Gradual increase in active movement and strength 3–6 months: Return to light daily activities and driving 6–12 months: Full recovery for most patients, including return to recreation and improved sleep Dr du Sart and his team will support you throughout your recovery with tailored rehab plans and regular follow-up. Why Choose Dr Ryan du Sart Dr du Sart is an experienced orthopaedic surgeon with a patient-first approach, offering shoulder replacement surgery to patients throughout the South West of WA. With consulting rooms in Bunbury and Busselton , he provides local access to advanced orthopaedic care without the need to travel far from home. His focus is on: Evidence-based, personalised treatment Minimally invasive and joint-preserving techniques where possible Long-term outcomes and quality of life π (08) 9779 9767 π www.ryandusart.com.au π South Bunbury & Busselton, WA ο»Ώ References Australian Orthopaedic Association National Joint Replacement Registry. Annual Report 2020 . Saltzman BM, et al. Impact of surgical timing on outcomes in shoulder arthroplasty for osteoarthritis: A matched cohort study . J Shoulder Elbow Surg. 2021;30(5):1127–1135.
By Dr Ryan du Sart – Orthopaedic Surgeon, South West WA If you're preparing for orthopaedic surgery with Dr Ryan du Sart, it’s completely natural to feel a mix of anticipation and nerves. Understanding what will happen on the day of your procedure can ease anxiety, help you feel more confident, and ensure a smooth experience from arrival to discharge. Whether you're undergoing a joint replacement , arthroscopy , or foot and ankle surgery , this step-by-step guide outlines what to expect on your surgery day. 1. Before You Arrive In the days leading up to your procedure, you’ll receive detailed instructions from Dr du Sart’s team, including: Admission time and hospital location Fasting guidelines (typically no food or drink 6–8 hours prior to surgery) Medications to pause or continue What to bring: comfortable clothing, your hospital paperwork, Medicare and private health details If you’re using the mymobility® app, ensure your phone is charged and accessible—you’ll be able to track recovery milestones post-operatively. 2. Hospital Check-In Upon arrival at the hospital: You’ll check in with the admissions team A nurse will confirm your details, check vital signs, and prepare you for theatre An anaesthetist will meet with you to discuss your anaesthetic plan (general, spinal, or local) Dr du Sart will review the procedure with you and answer any last-minute questions You’ll be asked to change into a surgical gown and remove any jewellery, nail polish, or contact lenses. 3. Heading to the Operating Theatre When it’s time for your surgery: You’ll be taken to the pre-operative area A member of the surgical team will guide you into the operating theatre Anaesthesia is administered under close monitoring Dr du Sart will perform your surgery using modern, evidence-based techniques tailored to your condition Surgery times vary by procedure—for example, a knee arthroscopy may take under an hour, while a joint replacement can take 1.5–2 hours. 4. Waking Up in Recovery After surgery, you’ll be taken to the post-anaesthesia care unit (PACU) where: Nurses will monitor your vital signs, pain, and surgical site You may have a drip (IV) in place, and possibly a bandage, splint, or brace Pain will be managed using medications as needed Once you’re fully awake and stable, you’ll be transferred to your hospital room. 5. After Surgery: Your Hospital Stay Depending on your procedure, you may: Go home the same day (day surgery or minor procedures), or Stay overnight (e.g. for joint replacement or ligament repair) While in hospital: You’ll be encouraged to move (usually with assistance) as soon as possible Physiotherapists will visit to begin rehabilitation exercises You’ll receive post-operative instructions , including pain relief, wound care, and activity restrictions For joint replacements, the use of the Game Ready® system may also help reduce swelling and discomfort during the early recovery phase. 6. Going Home and Recovery Before discharge: You’ll be given a summary of your procedure Discharge instructions and follow-up appointments will be arranged Prescriptions for pain relief or anti-inflammatories will be provided You’ll receive guidance on when to resume walking, showering, and normal activities Expect a follow-up review with Dr du Sart typically 10–14 days after surgery. Depending on the surgery you’ve had you may be referred to the mymobility® app. This app will help guide your daily recovery with customised exercises, reminders, and educational content. Tips for a Smooth Experience β
Organise transport home in advance β
Arrange support for cooking, cleaning, and mobility if needed β
Follow medication and fasting instructions exactly β
Ask questions —our team is here to help β
Keep moving (within limits) after surgery to support circulation and healing You’re in Expert Hands Dr Ryan du Sart is committed to delivering high-quality orthopaedic care using modern, minimally invasive techniques and technology. With clinics in Bunbury and Busselton , we aim to make your surgical experience as safe, comfortable, and well-supported as possible. π (08) 9779 9767 π www.ryandusart.com.au π South Bunbury & Busselton, WA Surgery can be a l ife-changing step toward pain relief and restored mobility. With the right preparation and support, your journey starts with confidence—and ends with better movement.
