Shoulder pain can arise from many different causes—injuries, overuse, muscle strain, or joint
conditions. One common and often overlooked cause is arthritis. If you've been experiencing
persistent shoulder discomfort, you might be wondering whether arthritis is to blame. This
article will help you understand how arthritis affects the shoulder, the symptoms to look out
for, and what steps to take if you suspect this condition.
Understanding Shoulder Arthritis
Arthritis refers to inflammation of a joint, which can cause pain, swelling, and stiffness. The shoulder joint is made up of two primary joints:
- Glenohumeral joint: Where the head of the upper arm bone (humerus) fits into the shoulder socket (glenoid)
- Acromioclavicular (AC) joint: Where the collarbone (clavicle) meets the top of the shoulder blade (acromion)
Both joints can be affected by arthritis, though the glenohumeral joint is typically the more
symptomatic when it comes to pain and mobility issues.
There are several types of arthritis that can affect the shoulder:
- Osteoarthritis (OA): The most common type, resulting from wear and tear of the cartilage
- Rheumatoid arthritis (RA): An autoimmune condition that causes chronic joint inflammation
- Post-traumatic arthritis: Occurs after an injury to the shoulder, such as a fracture or dislocation
- Rotator cuff tear arthropathy: A complex condition that arises after a long-standing, untreated rotator cuff tear
Common Symptoms of Shoulder Arthritis
The symptoms of arthritis in the shoulder can be subtle at first and may be mistaken for other conditions. Here are the most common signs to watch for:
Persistent Pain
- Dull, aching pain that may worsen with activity or after periods of rest
- Pain can be felt deep within the shoulder or around the back or side of the joint
- Night pain, especially when lying on the affected side, is very common
Stiffness and Limited Range of Motion
- Difficulty lifting the arm, reaching overhead, or behind the back
- Feeling like your shoulder is “stuck” during movement
Grinding or Popping Sensations (Crepitus)
- A grinding, crunching, or popping noise when moving the shoulder may indicate cartilage loss
Weakness in the Shoulder
- Reduced strength and endurance, especially during repetitive or overhead movements
Swelling or Tenderness
- Mild swelling or warmth around the joint
- The area may feel tender to the touch
Risk Factors
You may be more likely to develop shoulder arthritis if you:
- Are over the age of 50
- Have a history of shoulder injuries or dislocations
- Suffer from autoimmune diseases
- Are genetically predisposed to arthritis
- Engage in repetitive shoulder activities through sports or occupation
Diagnosing Shoulder Arthritis
If you suspect arthritis may be the cause of your shoulder pain, it’s important to consult an orthopaedic specialist. Diagnosis typically involves:
- Medical history and physical examination: Your doctor will assess your symptoms, range of motion, and areas of tenderness.
Imaging tests:
- X-rays can show joint space narrowing, bone spurs, and other signs of arthritis.
- MRI or ultrasound may be used to evaluate soft tissue structures and rule out other causes such as rotator cuff tears.
- Blood tests: In cases of suspected rheumatoid arthritis, blood tests may help identify inflammation and specific antibodies.
Treatment Options for Shoulder Arthritis
While shoulder arthritis cannot be reversed, there are several treatment options that can manage symptoms and improve your quality of life.
Non-Surgical Treatments
- Physiotherapy: Strengthening and stretching exercises to improve joint mobility and muscle support.
- Medication: Anti-inflammatory drugs (NSAIDs) or corticosteroid injections to reduce pain and swelling.
- Activity modification: Avoiding movements or activities that aggravate symptoms.
- Heat and cold therapy: Alternating between warm compresses and cold packs can help with pain relief.
Surgical Options
If conservative treatment fails, surgery may be considered:
- Arthroscopy: Minimally invasive procedure to clean out loose cartilage or bone fragments.
Shoulder replacement (arthroplasty): Recommended for severe cases where cartilage loss is extensive.
- Total shoulder replacement: The damaged ball and socket are replaced with artificial components.
- Reverse shoulder replacement: Often used in cases of rotator cuff tear arthropathy, where the socket and ball positions are reversed.
Living with Shoulder Arthritis
Managing shoulder arthritis is about maintaining function, reducing pain, and staying active. Here are some lifestyle tips:
- Perform regular low-impact exercises such as swimming or cycling
- Practice good posture to reduce shoulder strain
- Maintain a healthy weight to minimise joint stress
- Avoid heavy lifting and repetitive overhead motions
When to See a Specialist
You should consult a shoulder specialist if:
- Pain persists beyond a few weeks despite rest and home treatment
- You have difficulty sleeping due to shoulder pain
- Your shoulder feels unstable, weak, or increasingly stiff
- Daily tasks become more difficult or painful to perform
How We Can Help
At Quantum Shoulder Clinic, we understand how frustrating and limiting shoulder arthritis can be. Our experienced team offers:
- Accurate diagnosis with advanced imaging tools
- Personalised treatment plans based on your lifestyle and goals
- Physiotherapy support for long-term joint health
- Advanced surgical care when needed
If you suspect your shoulder pain may be due to arthritis, don’t wait. Contact us today to schedule a consultation and take the first step toward relief and recovery.