Shoulder pain has several possible causes. If shoulder pain increases as you raise your arm, and the pain is worse than when it’s straight out at 90 degrees, your problem may be impingement.
Shoulder pain, stiffness or weakness can make it difficult to carry out everyday tasks, like reaching for something on a high shelf, driving a car or brushing your hair. If you have pain that won’t go away, it’s time to see a doctor.
Advancements in implant design and more careful patient selection have improved outcomes and longevity of shoulder replacement in recent years. More than 70,000 of these surgeries are done annually, making shoulder replacements the fastest growing joint replacement.
Regional anesthesia – specifically, interscalene blocks – have been advocated as an alternative to intravenous opioids to manage pain in patients undergoing primary shoulder arthroplasty. They’ve generally done a good job of providing analgesia. [1-3] The problem, as described by Thomas (Quin) Throckmorton, MD, during a presentation at ICJR’s 7th Annual Shoulder Course, is that interscalene blocks are associated with some pretty serious side effects, including respiratory side effects similar to those associated with opioid use.
Recently published results showed a survival rate of 97.4% at 8 years with a specific reverse shoulder arthroplasty prosthesis.