About Shoulder Arthritis
Shoulder arthritis happens when the cartilage inside the shoulder joint is damaged. The shoulder area has two joints – shoulder arthritis usually refers to the glenohumeral joint which connects the two bones called the glenoid and humerus. The second joint in the shoulder called the acromioclavicular or AC joint can also develop arthritis known as AC joint arthritis.
Types of Shoulder Arthritis
Osteoarthritis of the Shoulder
Rheumatoid Arthritis of the Shoulder
Post Traumatic Shoulder Arthritis
Symptoms Of Shoulder Arthritis
Pain in the shoulder joint
Grinding, clicking or cracking
A Message About Shoulder Arthritis
Shoulder arthritis pain has many similarities to knee arthritis pain. Its pain is movement-related. Rest pain though infrequent may present as night pain when lying on the affected shoulder. It has all the hallmarks of arthritis inflammation: Pain, Warmth, Redness, Swelling, and stiffness with loss of movement. Its pathology is synovial fluid dries up, increasing friction between cartilage surfaces, exposing the risk of cartilage loss and ulcer formation. Once the underlying bone develops bony swelling and oedema, it is irreversible and will develop deformity of the head of the humerus. Fortunately, it is not a weight-bearing joint, hence it is not as common as arthritis of the knee or hip.
Early-stage and moderate shoulder arthritis can be treated with specialised injections without the need for surgical interventions. Only in late-stage shoulder arthritis, there may be a consideration of total shoulder replacement with metal implants.
Diagnosing Shoulder Arthritis
Here at Singapore Paincare, our team of experienced primary care physicians and pain care specialists together with an orthopedic surgeon will evaluate your condition. This includes a physical exam, asking questions about your symptoms, and evaluating your medical history. An X-ray, CT scan, and/or MRI scan may be needed to evaluate or confirm the degree of the shoulder arthritis and prognosticate the severity of the disease.
What Treatments Are Available for Shoulder Arthritis?
Platelet Rich Plasma (PRP) Injection
Non-Surgical Treatments for Shoulder Arthritis
Non-Steroidal Anti-Inflammatory drugs
Our Coreflex injection uses a mix of local anaesthetic, anti-inflammatory and muscle relaxant, which helps to break the pain cycle, reduce inflammation, and improve healing.
Botulinum Toxin Injection
Botulinum Toxin injections are given for refractory neck spasms in Cervical Dystonia, Rheumatism or Fibromyalgia. The painful neck spasm is isolated in the respective muscles such as Cervical Spinalis or Capitis Spinalis or Sternocleidomastoid and Botox are inoculated into the tight muscle spasm, stopping the spasm and contracture.
Surgical Treatments for Shoulder Arthritis
Surgery is an option for intractable painful shoulder arthritis, this is done after careful consideration to see if you are suitable for the procedure. As surgery always comes with associated risks, complications, and downtime – it may not be suitable for everyone. You should carefully weigh your decision before deciding to go under the knife by considering the pros and cons of both non-surgical methods and surgical reconstruction.
If you choose to have surgery, your options may include:
Shoulder Joint Replacement Surgery
How Can I Prevent Shoulder Arthritis?
Some forms of shoulder arthritis cannot be prevented. However, maintaining a proper posture, exercising regularly and having a healthy diet will help with your overall health. While everyone may develop wear and tear of the shoulder joint, we can keep the inflammation away. As one ages, you may have a degenerated shoulder joint, but not necessarily arthritis of the shoulder.
Get Your Pain Resolved
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