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)
๐ 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
๐ 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
๐ 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.
๐ (08) 9779 9767
๐
www.ryandusart.com.au
๐ 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.
- ๏ปฟBohsali KI, et al.
Complications of total shoulder arthroplasty. J Bone Joint Surg Am. 2006;88(10):2279–2292.
