Submitted By Gary W. Misamore M.D.
03.11.2009

Recently I’ve seen an increase in the number of elderly patients experiencing shoulder arthritis, which is less common than arthritis of the hip and knee, but can be just as debilitating.

As we move into our 30s and 40s, our muscles and tendons can begin to degenerate and weaken, predisposing the shoulder joint to wear and tear disorders.  While rotator cuff injuries are the most common cause of problems in the aging shoulder, arthritis is also a frequent source of pain and disability. 
 
If you have experienced a previous shoulder injury or are genetically predisposed to shoulder arthritis, it’s important to be familiar with the symptoms of this condition so that you can address any arthritis problems early and prevent extensive damage. The most common symptoms include:

• Pain with activities
• Limited range of motion
• Night-time discomfort
• A feeling of grinding or catching within the joint

Similar to other arthritic conditions, initial treatment of shoulder arthritis is usually nonsurgical and may incorporate physical therapy and medications. Nonsurgical treatments may include shoulder exercises, nonsteroidal anti-inflammatory medications (e.g., ibuprofen, Advil or naproxen) and the application of moist heat or ice two or three times a day to reduce inflammation and ease pain. If nonsurgical treatments do not reduce the pain, surgery may become an option. Not all treatments are appropriate in every patient, and you should have a discussion with your orthopedic doctor to determine which treatments are appropriate for your condition.