Shoulder Arthritis (Osteoarthritis & Rheumatoid Arthritis) – Relieving Pain and Restoring Joint Function
Overview
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Shoulder arthritis occurs when the smooth cartilage that cushions the bones of the shoulder joint wears away or becomes inflamed. This leads to pain, stiffness, swelling, and reduced motion that worsens over time.
There are several types of arthritis that affect the shoulder, but the two most common are:
- Osteoarthritis: Degenerative “wear-and-tear” arthritis that develops with age or after injury.
- Rheumatoid arthritis: An autoimmune condition that causes inflammation of the joint lining (synovium), leading to progressive cartilage loss.
At Dr. Burke Orthopedics, we provide compassionate, comprehensive care for patients experiencing shoulder arthritis. Serving Pearland, Houston, Friendswood, and Southeast Texas, Dr. Robert L. Burke combines non-surgical and surgical solutions to restore mobility, relieve pain, and improve quality of life.
Understanding Shoulder Arthritis
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The shoulder is made up of two primary joints:
- Glenohumeral joint – where the head of the humerus (upper arm bone) meets the socket of the shoulder blade (glenoid).
- Acromioclavicular (AC) joint – located where the collarbone (clavicle) meets the top of the shoulder blade (acromion).
When cartilage that lines these joints wears down or becomes inflamed, the bones begin to rub against each other, leading to pain and stiffness. As the condition advances, bone spurs may form, further restricting movement and causing chronic discomfort.
Causes and Risk Factors
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Shoulder arthritis develops for various reasons — from natural aging to injury or autoimmune disease.
Common causes include:
- Age-related degeneration: Gradual cartilage wear over time.
- Previous shoulder injury: Fractures, dislocations, or rotator cuff tears.
- Repetitive use: Jobs or sports requiring constant overhead movement.
- Inflammatory disease: Rheumatoid or post-infectious arthritis.
- Genetics: Family history of arthritis or connective tissue disorders.
Risk factors include:
- Age 50 and older
- History of shoulder trauma or surgery
- Overuse from repetitive lifting or overhead work
- Autoimmune or metabolic conditions
- Poor posture or shoulder alignment
Symptoms
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Shoulder arthritis symptoms often develop slowly but can worsen steadily over time.
Common symptoms include:
- Deep, aching shoulder pain
- Stiffness that limits arm lifting or rotation
- Grinding, clicking, or popping sounds (crepitus)
- Pain that worsens after activity or in cold weather
- Swelling or tenderness around the joint
- Difficulty reaching overhead or behind the back
- Weakness or fatigue in the affected arm
As cartilage damage progresses, pain may become constant — even at rest or during sleep.
Diagnosis
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At Dr. Burke Orthopedics, Dr. Robert L. Burke, a board-certified orthopedic surgeon, uses advanced diagnostic methods to identify the type and stage of arthritis and develop a tailored treatment plan.
Diagnostic process includes:
- Medical history: Reviewing symptoms, duration, and activity level.
- Physical examination: Testing range of motion, muscle strength, and pain location.
Imaging studies:
- X-rays: Reveal bone spurs, joint space narrowing, and alignment changes.
- MRI: Evaluates cartilage loss and soft-tissue condition.
- Ultrasound: Detects inflammation or fluid buildup around the joint.
- Lab tests (for rheumatoid arthritis): Measure inflammatory markers or specific antibodies.
Early and accurate diagnosis helps slow progression and preserve joint function.
Treatment Options at Dr. Burke Orthopedics
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Dr. Burke provides both non-surgical and surgical treatments designed to reduce pain, improve mobility, and restore joint function.
Non-Surgical Treatments
Closed Reduction
- Anti-inflammatory medications: Relieve pain and reduce swelling.
- Corticosteroid injections: Provide temporary relief from inflammation.
- Viscoelastic (gel) injections: Help lubricate the joint for smoother movement.
- Platelet-rich plasma injections stimulate healing and reduce inflammation using your body’s own growth factors.
- Improves flexibility and shoulder mechanics.
- Strengthens supporting muscles to reduce joint load.
- Restores range of motion and prevents stiffness.
- Lifestyle modifications: Activity adjustment and ergonomic recommendations.
Surgical Treatments
If non-surgical measures no longer provide relief, surgical options can restore comfort and mobility.
Dr. Burke specializes in advanced shoulder procedures, including:
- Minimally invasive procedure to remove bone spurs and smooth joint surfaces.
Joint Resurfacing
- Replaces only the damaged portion of cartilage, preserving healthy bone.
- Replaces the damaged ball and socket with prosthetic components to eliminate pain and restore motion.
- Corrects deformities or damage from trauma or advanced degeneration.
These options are chosen based on patient age, activity level, and arthritis severity, ensuring optimal outcomes and durability.
Recovery time depends on the chosen treatment and overall joint health.
Typical recovery timelines:
- Non-surgical therapy: 4–8 weeks for symptom improvement.
- Joint replacement: 3–6 months for full range of motion and strength restoration.
Rehabilitation goals:
- Reduce inflammation and pain
- Improve flexibility and mobility
- Strengthen shoulder and upper back muscles
- Regain confidence and prevent reinjury
A customized rehabilitation program ensures a smooth and successful return to daily activity.
Long-Term Outlook and Prevention
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While arthritis cannot be reversed, treatment can dramatically improve comfort and function. With early management, most patients enjoy long-term relief and maintain an active lifestyle.
Prevention and maintenance tips:
- Maintain a healthy weight to reduce joint stress
- Engage in low-impact activities such as swimming or cycling
- Warm up before physical activity
- Strengthen rotator cuff and stabilizer muscles
- Address shoulder pain early before damage progresses
Consistent exercise and follow-up care help preserve long-term joint health.
When to Seek Medical Care
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You should seek evaluation by an orthopedic specialist if:
- Shoulder pain lasts longer than a few weeks
- Pain worsens with activity or rest
- Stiffness limits daily function
- You experience night pain or loss of mobility
- Previous treatments have failed to bring relief
Early care can slow progression and prevent joint deterioration.
Take the First Step Toward Relief
If shoulder pain and stiffness are affecting your daily life, expert orthopedic care can help you regain comfort and motion.
At Dr. Burke Orthopedics, we provide advanced, compassionate treatment for shoulder arthritis, combining proven techniques with state-of-the-art technology.
We proudly serve Pearland, Houston, Friendswood, and Southeast Texas, offering personalized plans for both osteoarthritis and rheumatoid arthritis.
Call (713) 436-3488 or Request an Appointment Online to schedule your consultation with Dr. Robert L. Burke, board-certified orthopedic surgeon specializing in shoulder joint restoration and replacement.
Medical Disclaimer:
The information provided on this page is for educational purposes only and is not intended as a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or qualified healthcare provider with any questions you may have regarding medical condition or treatment. Do not disregard professional medical advice or delay seeking it because of information you have read here. If you are experiencing severe pain, numbness, or loss of function, please contact a medical professional immediately or visit your nearest emergency center.
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