Shoulder pain can be more than just an inconvenience. It can interfere with your ability to sleep, get dressed, drive, or even lift a cup of coffee. When medications, physical therapy, or other non-surgical treatments no longer relieve pain or restore function, shoulder replacement might be the next step. Though it’s not as common as knee or hip replacements, shoulder replacement surgery is highly effective in relieving pain and restoring motion for people suffering severe shoulder arthritis or injury.

When is shoulder replacement recommended?

Shoulder replacement is typically considered for patients with end-stage arthritis of the shoulder, severe fractures, or large rotator cuff tears. If conservative treatments like medications, injections, or physical therapy no longer provide relief, and your shoulder pain significantly impacts your quality of life, surgery might be recommended. An orthopaedic specialist will evaluate your symptoms, imaging, and daily function before determining if you’re a candidate.

It might be time for surgery if…

Many people live with shoulder pain for years, assuming it’s just something they must put up with. There are a few telltale signs that it might be time to talk to a specialist. If your shoulder pain is constant even while resting or keeps you awake at night, that’s a red flag. Difficulty performing everyday tasks like combing your hair, reaching into a cabinet, or getting dressed can also signal a deeper joint issue. If you find yourself avoiding activities you once enjoyed or depending heavily on your other arm, it may be time to explore whether shoulder replacement is the right path forward.

What to expect during recovery

Shoulder replacement surgery usually requires a short hospital stay, and many patients begin physical therapy within a day or two after the procedure. Recovery times can vary depending on the individual and type of surgery performed, but most patients regain significant range of motion and pain relief within several weeks to months. Commitment to a physical therapy program is key to regaining strength and mobility. While full recovery can take up to six months, many patients experience a noticeable improvement in their comfort and function much sooner.

Debunking common myths

It’s normal to feel nervous when considering surgery. One common myth is that shoulder replacement is only for older adults. In reality, candidates for this surgery can range from active younger adults with joint damage to seniors looking to maintain independence. Another misconception is that shoulder replacements don’t last long. Thanks to advancements in materials and techniques, modern implants often last 15 years or more with proper care. Some people also worry they’ll lose range of motion, but most patients gain mobility and experience significant pain relief. Talking with your surgeon about your concerns is the best way to separate fact from fiction.

Shoulder replacement surgery can be life-changing for people suffering from chronic shoulder pain and stiffness. If shoulder pain is keeping you from the activities you love, it may be time to consult with an orthopaedic surgeon. With today’s advancements in surgical techniques and rehabilitation, many patients are returning to active, pain-free lives.

(Dr. Bradley Giannotti is with UPMC Orthopaedic Care. For more information, visit UPMC.com/OrthoNCPA.)