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Shoulder arthritis is a progressive condition that can interfere with daily tasks like reaching, dressing, sleeping, and even simple lifting movements. While it receives less attention than hip or knee arthritis, it can significantly impact function, comfort, and independence —especially in older adults. At Dr Ryan du Sart’s orthopaedic practice in Bunbury and Busselton, we help patients manage shoulder arthritis using a personalised approach focused on pain relief, movement preservation, and surgical intervention when needed. What Is Shoulder Arthritis? Shoulder arthritis occurs when the cartilage lining the shoulder joint wears away , causing the bones to rub against each other. This leads to pain, inflammation, stiffness, and eventually, reduced range of motion. Over time, shoulder arthritis can significantly limit function, making it harder to perform daily tasks such as washing hair, reaching for items on shelves, or sleeping comfortably. There are several types of shoulder arthritis, including: Osteoarthritis (degenerative wear and tear) Rheumatoid arthritis (inflammatory) Post-traumatic arthritis (after injury) Cuff tear arthropathy (from massive, chronic rotator cuff tears) π Clinical Note : Shoulder osteoarthritis affects approximately 16% of adults over the age of 65 , and incidence increases significantly after 70 [1]. Common Symptoms Deep or aching shoulder pain Pain that worsens with activity or at night Limited range of motion Stiffness and difficulty with overhead tasks Weakness, especially with lifting or rotating the arm A grinding, catching, or popping sensation Symptoms typically progress gradually. Many patients mistakenly assume their pain is due to ageing—but early diagnosis can lead to better outcomes . Non-Surgical Management For many patients, shoulder arthritis can be effectively managed without surgery—especially in the early to moderate stages. Lifestyle and Activity Modifications Avoid heavy lifting or repetitive overhead activities Use the non-affected arm for demanding tasks Modify workstations or daily routines to reduce joint stress Medications Paracetamol or Panadol Osteo for mild to moderate pain NSAIDs (e.g. ibuprofen, meloxicam) if tolerated Topical anti-inflammatory gels as a local pain relief option Always consult your GP to ensure medications are safe for your health profile. Physiotherapy Gentle range-of-motion exercises to reduce stiffness Strength training of shoulder and scapular muscles Postural correction and functional movement retraining π Evidence Insight : A 2021 review confirmed that structured physiotherapy significantly improves pain and function in early-stage glenohumeral OA [2]. Cortisone Injections Cortisone injections can reduce inflammation and provide short-term relief (weeks to months) Most effective in moderate cases or when flare-ups occur Typically offered no more than 3 times per year When Is Surgery Considered? Surgery may be considered if: Pain limits sleep, daily activity, or work Imaging shows severe cartilage loss or joint changes You’ve trialled conservative care without improvement There is a large or irreparable rotator cuff tear Shoulder Arthroscopy A minimally invasive “clean out” procedure to remove loose bodies, smooth damaged cartilage, or address bursitis. Suitable for mild to moderate arthritis or diagnostic purposes. Shoulder Replacement Surgery When arthritis is advanced, joint replacement may be the most effective treatment. Options include: Total Shoulder Replacement (TSR) : Ideal when the rotator cuff is intact Reverse Shoulder Replacement (RSR) : Used when rotator cuff function is compromised π Outcomes Insight : Both procedures have shown over 90% satisfaction rates for reducing pain and improving function when performed at the right stage [3]. Recovery After Surgery First 2–6 weeks : Sling use, wound care, and pain management Weeks 6–12 : Begin active movement and structured physiotherapy Months 3–6 : Regain strength, range of motion, and functional capacity Full recovery may take 4–6 months , with improvements continuing for up to a year Dr du Sart’s patients receive a detailed rehab plan and support throughout the recovery journey. Shoulder Pain Isn’t Just “Getting Older” Too many patients live with treatable shoulder arthritis, assuming it’s a normal part of ageing. But shoulder arthritis is a diagnosable and manageable condition , and there are evidence-based strategies that can help. If your shoulder pain is affecting sleep, work, or quality of life—it’s time to explore your options. Orthopaedic Shoulder Care in the South West Dr Ryan du Sart provides comprehensive shoulder assessments and personalised treatment options, with a focus on patient education and long-term outcomes. π (08) 9779 9767 π www.ryandusart.com.au π South Bunbury & Busselton, WA References Chillemi C, et al. Epidemiology and risk factors of degenerative shoulder diseases. Musculoskelet Surg. 2011;95(Suppl 1):S49–S59. Thomas T, et al. Effectiveness of conservative treatment strategies in glenohumeral osteoarthritis: a systematic review. Physiother Theory Pract. 2021;37(8):893–903. ο»Ώ Bohsali KI, et al. Complications of total shoulder arthroplasty. J Bone Joint Surg Am. 2006;88(10):2279–2292.
The shoulder is the most mobile joint in the human body —but with that mobility comes a higher risk of injury. At the core of shoulder stability is the rotator cuff , a group of muscles and tendons essential for lifting, reaching, and rotating the arm. Rotator cuff injuries are one of the leading causes of shoulder pain, particularly in people over 40 , athletes, tradies, and anyone performing frequent overhead activities. With early diagnosis and the right treatment plan, many patients return to full function—whether through non-operative care or surgical repair. What Is the Rotator Cuff? The rotator cuff consists of four key muscles and their associated tendons: Supraspinatus Infraspinatus Subscapularis Teres minor These muscles stabilise the shoulder joint and enable controlled arm movement. Injuries to the rotator cuff can range from inflammation and degeneration (tendinopathy) to partial or full-thickness tears . π Clinical Insight : Studies estimate that rotator cuff tears affect 20–30% of adults over age 60 , and that rate increases with age [1]. Causes of Rotator Cuff Injury Degenerative wear and tear (age-related tendon breakdown) Acute trauma , such as a fall or lifting a heavy load Repetitive strain , especially in athletes or manual workers Subacromial impingement , where tendons are compressed under the acromion (part of the shoulder blade) Symptoms of Rotator Cuff Injury Dull or aching pain in the shoulder Pain that worsens at night or when lying on the affected side Difficulty lifting the arm or reaching overhead Weakness when rotating or lifting objects Clicking or catching sensations with movement Symptoms may develop gradually or follow a specific injury. Left untreated, rotator cuff tears can worsen, affecting shoulder stability and long-term function. Diagnosing a Rotator Cuff Injury The first step is a clinical assessment by an orthopaedic surgeon. Dr Ryan du Sart evaluates: Shoulder range of motion Strength and function Pain with specific movements Imaging May Include: Ultrasound – to assess tendon integrity X-ray – to detect bone spurs or joint narrowing MRI – for detailed evaluation of tendon tears or degeneration π Best Practice : Imaging helps differentiate between tendinopathy, partial tears, and complete tendon ruptures , guiding the most appropriate treatment plan [2]. Treatment Options Non-Surgical Management Many rotator cuff injuries—particularly tendinopathy or partial tears—can be managed successfully without surgery. Conservative treatment may include: Activity modification to avoid aggravating movements Physiotherapy to restore strength and shoulder mechanics Anti-inflammatory medication or pain relief Corticosteroid injections for short-term inflammation and pain control These measures are often effective in improving function and reducing pain in less severe injuries. Surgical Treatment Surgery may be recommended when: There is a full-thickness tear or significant tendon damage Symptoms do not improve with conservative care There is functional weakness or loss of motion affecting daily life The tear is acute and linked to trauma in younger, active patients Surgical options include arthroscopic rotator cuff repair , where small incisions and a camera are used to visualise the shoulder and reattach the torn tendon to the bone. This minimally invasive technique reduces soft tissue disruption and promotes faster healing compared to traditional open surgery. Dr du Sart will guide you through the surgical decision-making process and ensure the approach is tailored to your specific goals and lifestyle. Recovery After Surgery Recovery from rotator cuff surgery is a gradual process and involves several phases: Weeks 0–6: Immobilisation with a sling Early passive movement under physiotherapy supervision Pain relief and wound care Weeks 6–12: Begin active range of motion exercises Restore flexibility and shoulder mechanics Start gentle strengthening work Months 3–6: Return to light work or daily activities Continued strengthening and functional retraining Return to sport or overhead work by 6 months , depending on healing and activity level π Evidence-Based Insight : A 2022 meta-analysis reported over 85% success rates for arthroscopic rotator cuff repairs, especially when physiotherapy is properly followed [3]. Shoulder Care Close to Home Dr Ryan du Sart offers comprehensive care for shoulder injuries, from diagnosis through to post-operative rehabilitation. Whether you’re dealing with new shoulder pain or have been managing ongoing symptoms, expert assessment can help clarify your options and restore your shoulder health. π (08) 9779 9767 π www.ryandusart.com.au π South Bunbury & Busselton, WA References Yamamoto A, Takagishi K, et al. Prevalence and risk factors of a rotator cuff tear in the general population. J Shoulder Elbow Surg. 2010;19(1):116–120. Seitz AL, et al. Clinical practice guidelines for the management of rotator cuff disorders. Br J Sports Med. 2019;53(6):305–310. Saccomanno MF, et al. Clinical outcomes and retear rates after rotator cuff repair using a single-row vs double-row technique: a meta-analysis. J Shoulder Elbow Surg. 2022;31(2):351–362.
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.
Shoulder arthritis is a progressive condition that can interfere with daily tasks like reaching, dressing, sleeping, and even simple lifting movements. While it receives less attention than hip or knee arthritis, it can significantly impact function, comfort, and independence —especially in older adults. At Dr Ryan du Sart’s orthopaedic practice in Bunbury and Busselton, we help patients manage shoulder arthritis using a personalised approach focused on pain relief, movement preservation, and surgical intervention when needed. What Is Shoulder Arthritis? Shoulder arthritis occurs when the cartilage lining the shoulder joint wears away , causing the bones to rub against each other. This leads to pain, inflammation, stiffness, and eventually, reduced range of motion. Over time, shoulder arthritis can significantly limit function, making it harder to perform daily tasks such as washing hair, reaching for items on shelves, or sleeping comfortably. There are several types of shoulder arthritis, including: Osteoarthritis (degenerative wear and tear) Rheumatoid arthritis (inflammatory) Post-traumatic arthritis (after injury) Cuff tear arthropathy (from massive, chronic rotator cuff tears) π Clinical Note : Shoulder osteoarthritis affects approximately 16% of adults over the age of 65 , and incidence increases significantly after 70 [1]. Common Symptoms Deep or aching shoulder pain Pain that worsens with activity or at night Limited range of motion Stiffness and difficulty with overhead tasks Weakness, especially with lifting or rotating the arm A grinding, catching, or popping sensation Symptoms typically progress gradually. Many patients mistakenly assume their pain is due to ageing—but early diagnosis can lead to better outcomes . Non-Surgical Management For many patients, shoulder arthritis can be effectively managed without surgery—especially in the early to moderate stages. Lifestyle and Activity Modifications Avoid heavy lifting or repetitive overhead activities Use the non-affected arm for demanding tasks Modify workstations or daily routines to reduce joint stress Medications Paracetamol or Panadol Osteo for mild to moderate pain NSAIDs (e.g. ibuprofen, meloxicam) if tolerated Topical anti-inflammatory gels as a local pain relief option Always consult your GP to ensure medications are safe for your health profile. Physiotherapy Gentle range-of-motion exercises to reduce stiffness Strength training of shoulder and scapular muscles Postural correction and functional movement retraining π Evidence Insight : A 2021 review confirmed that structured physiotherapy significantly improves pain and function in early-stage glenohumeral OA [2]. Cortisone Injections Cortisone injections can reduce inflammation and provide short-term relief (weeks to months) Most effective in moderate cases or when flare-ups occur Typically offered no more than 3 times per year When Is Surgery Considered? Surgery may be considered if: Pain limits sleep, daily activity, or work Imaging shows severe cartilage loss or joint changes You’ve trialled conservative care without improvement There is a large or irreparable rotator cuff tear Shoulder Arthroscopy A minimally invasive “clean out” procedure to remove loose bodies, smooth damaged cartilage, or address bursitis. Suitable for mild to moderate arthritis or diagnostic purposes. Shoulder Replacement Surgery When arthritis is advanced, joint replacement may be the most effective treatment. Options include: Total Shoulder Replacement (TSR) : Ideal when the rotator cuff is intact Reverse Shoulder Replacement (RSR) : Used when rotator cuff function is compromised π Outcomes Insight : Both procedures have shown over 90% satisfaction rates for reducing pain and improving function when performed at the right stage [3]. Recovery After Surgery First 2–6 weeks : Sling use, wound care, and pain management Weeks 6–12 : Begin active movement and structured physiotherapy Months 3–6 : Regain strength, range of motion, and functional capacity Full recovery may take 4–6 months , with improvements continuing for up to a year Dr du Sart’s patients receive a detailed rehab plan and support throughout the recovery journey. Shoulder Pain Isn’t Just “Getting Older” Too many patients live with treatable shoulder arthritis, assuming it’s a normal part of ageing. But shoulder arthritis is a diagnosable and manageable condition , and there are evidence-based strategies that can help. If your shoulder pain is affecting sleep, work, or quality of life—it’s time to explore your options. Orthopaedic Shoulder Care in the South West Dr Ryan du Sart provides comprehensive shoulder assessments and personalised treatment options, with a focus on patient education and long-term outcomes. π (08) 9779 9767 π www.ryandusart.com.au π South Bunbury & Busselton, WA References Chillemi C, et al. Epidemiology and risk factors of degenerative shoulder diseases. Musculoskelet Surg. 2011;95(Suppl 1):S49–S59. Thomas T, et al. Effectiveness of conservative treatment strategies in glenohumeral osteoarthritis: a systematic review. Physiother Theory Pract. 2021;37(8):893–903. ο»Ώ Bohsali KI, et al. Complications of total shoulder arthroplasty. J Bone Joint Surg Am. 2006;88(10):2279–2292.
The shoulder is the most mobile joint in the human body —but with that mobility comes a higher risk of injury. At the core of shoulder stability is the rotator cuff , a group of muscles and tendons essential for lifting, reaching, and rotating the arm. Rotator cuff injuries are one of the leading causes of shoulder pain, particularly in people over 40 , athletes, tradies, and anyone performing frequent overhead activities. With early diagnosis and the right treatment plan, many patients return to full function—whether through non-operative care or surgical repair. What Is the Rotator Cuff? The rotator cuff consists of four key muscles and their associated tendons: Supraspinatus Infraspinatus Subscapularis Teres minor These muscles stabilise the shoulder joint and enable controlled arm movement. Injuries to the rotator cuff can range from inflammation and degeneration (tendinopathy) to partial or full-thickness tears . π Clinical Insight : Studies estimate that rotator cuff tears affect 20–30% of adults over age 60 , and that rate increases with age [1]. Causes of Rotator Cuff Injury Degenerative wear and tear (age-related tendon breakdown) Acute trauma , such as a fall or lifting a heavy load Repetitive strain , especially in athletes or manual workers Subacromial impingement , where tendons are compressed under the acromion (part of the shoulder blade) Symptoms of Rotator Cuff Injury Dull or aching pain in the shoulder Pain that worsens at night or when lying on the affected side Difficulty lifting the arm or reaching overhead Weakness when rotating or lifting objects Clicking or catching sensations with movement Symptoms may develop gradually or follow a specific injury. Left untreated, rotator cuff tears can worsen, affecting shoulder stability and long-term function. Diagnosing a Rotator Cuff Injury The first step is a clinical assessment by an orthopaedic surgeon. Dr Ryan du Sart evaluates: Shoulder range of motion Strength and function Pain with specific movements Imaging May Include: Ultrasound – to assess tendon integrity X-ray – to detect bone spurs or joint narrowing MRI – for detailed evaluation of tendon tears or degeneration π Best Practice : Imaging helps differentiate between tendinopathy, partial tears, and complete tendon ruptures , guiding the most appropriate treatment plan [2]. Treatment Options Non-Surgical Management Many rotator cuff injuries—particularly tendinopathy or partial tears—can be managed successfully without surgery. Conservative treatment may include: Activity modification to avoid aggravating movements Physiotherapy to restore strength and shoulder mechanics Anti-inflammatory medication or pain relief Corticosteroid injections for short-term inflammation and pain control These measures are often effective in improving function and reducing pain in less severe injuries. Surgical Treatment Surgery may be recommended when: There is a full-thickness tear or significant tendon damage Symptoms do not improve with conservative care There is functional weakness or loss of motion affecting daily life The tear is acute and linked to trauma in younger, active patients Surgical options include arthroscopic rotator cuff repair , where small incisions and a camera are used to visualise the shoulder and reattach the torn tendon to the bone. This minimally invasive technique reduces soft tissue disruption and promotes faster healing compared to traditional open surgery. Dr du Sart will guide you through the surgical decision-making process and ensure the approach is tailored to your specific goals and lifestyle. Recovery After Surgery Recovery from rotator cuff surgery is a gradual process and involves several phases: Weeks 0–6: Immobilisation with a sling Early passive movement under physiotherapy supervision Pain relief and wound care Weeks 6–12: Begin active range of motion exercises Restore flexibility and shoulder mechanics Start gentle strengthening work Months 3–6: Return to light work or daily activities Continued strengthening and functional retraining Return to sport or overhead work by 6 months , depending on healing and activity level π Evidence-Based Insight : A 2022 meta-analysis reported over 85% success rates for arthroscopic rotator cuff repairs, especially when physiotherapy is properly followed [3]. Shoulder Care Close to Home Dr Ryan du Sart offers comprehensive care for shoulder injuries, from diagnosis through to post-operative rehabilitation. Whether you’re dealing with new shoulder pain or have been managing ongoing symptoms, expert assessment can help clarify your options and restore your shoulder health. π (08) 9779 9767 π www.ryandusart.com.au π South Bunbury & Busselton, WA References Yamamoto A, Takagishi K, et al. Prevalence and risk factors of a rotator cuff tear in the general population. J Shoulder Elbow Surg. 2010;19(1):116–120. Seitz AL, et al. Clinical practice guidelines for the management of rotator cuff disorders. Br J Sports Med. 2019;53(6):305–310. Saccomanno MF, et al. Clinical outcomes and retear rates after rotator cuff repair using a single-row vs double-row technique: a meta-analysis. J Shoulder Elbow Surg. 2022;31(2):351–362.
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.
