Osteoarthritis or Rheumatoid Arthritis
This can be extremely painful and has many possible explanations.
- Overuse – which wears out the cartilage cushion of the joint and or causes irritation to the surrounding soft tissue.
- Injuries sustained from involvement in sports/recreational activities or those secondary to accidental fall causing damage to the articular cartilage
- Genetics or family history which leaves individuals predisposed to arthritis
- Autoimmune disease that attacks the joint causing damage to the cartilage and bone.
Signs & Symptoms
- Pain with movement or at rest. Many times pain is experienced at night causing sleep disruption
- Loss of function, to include strength and or range of motion
- Swelling which may be chronic and increase with activity
- Stiffness which may be partially alleviated with stretching or activity
- Joint noise caused by irregular joint surfaces
- Medications – variety of medications, from oral to topical, to manage pain and swelling
- Physical therapy – stretches and exercises to reduce symptoms and maximize function
- Steroid injections- for longer relief and occasional acute flare ups
- Supplementation for joint health
- Total shoulder replacement using the latest technology and components
- Reverse total shoulder replacement – an alternative to conventional joint replacement for those with chronic rotator cuff tears in addition to severe arthritis
- Arthroscopic cartilage smoothing to remove loosened flaps of damaged or frayed cartilage
- Partial joint replacement (Hemiarthroplasty) to reduce pain in those who are not candidates for total joint replacement