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.
📈 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
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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
📞 (08) 9779 9767
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www.ryandusart.com.au
📍 South Bunbury & Busselton, WA
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.
