Shoulder replacement (shoulder arthroplasty) replaces the worn surfaces of the ball-and-socket joint with implants. It is considered when pain and stiffness from severe joint damage limit daily life and simpler treatments are no longer effective.
The most common reason is osteoarthritis of the shoulder, in which the cartilage wears away and bone rubs on bone. Other causes include inflammatory arthritis such as rheumatoid arthritis, arthritis after previous fractures or surgery, and cuff tear arthropathy — arthritis associated with a large, long-standing rotator cuff tear.
Symptoms that may point to advanced shoulder arthritis include deep aching pain, night pain, grinding or clicking, progressive stiffness, and difficulty with tasks such as dressing, washing your hair, or reaching a shelf.
Assessment at OSclinic in Amman includes a detailed history, examination of movement and rotator cuff strength, and X-rays. CT scanning is often used to assess the bone of the socket (glenoid), and MRI or ultrasound may be requested to evaluate the rotator cuff. Cuff function is a key factor in choosing the type of replacement.
Non-operative options come first where appropriate: activity modification, physiotherapy to maintain movement and strength, pain-relief medication, and in selected cases injections. These can control symptoms for a time, particularly in milder disease.
Anatomic total shoulder replacement reproduces the normal shape of the joint and is usually suited to patients with arthritis and a functioning rotator cuff. Reverse shoulder replacement switches the positions of the ball and socket, allowing the deltoid muscle to power the arm; it is commonly used when the cuff is badly torn, for cuff tear arthropathy, and for some complex fractures in older patients.
Not every painful shoulder needs a replacement. As a fellowship-trained shoulder surgeon — with training at St George Hospital, University of New South Wales — Dr Ala' Hawa also performs arthroscopic surgery and rotator cuff repair when replacement is not yet required, matching treatment to your age, activity, cuff quality, and imaging.
Preparation is similar to other joint replacements: medical optimisation, a review of medications, attention to skin and dental health, and planning help at home, since the operated arm will be in a sling for an initial period.
Rehabilitation progresses from protection to gentle movement and then strengthening. The main goals are pain relief and better function for daily activities; expected range of motion and permitted activities differ between anatomic and reverse replacement and are discussed before surgery.
Risks such as infection, instability, nerve injury, stiffness, and implant wear or loosening are explained during consultation so that you can make an informed decision.
If shoulder arthritis is affecting your sleep and daily activities, an assessment can clarify whether replacement or another treatment is right for you. Book a shoulder consultation at OSclinic Amman by phone or WhatsApp, or through the contact form, and bring any X-rays or scans.
Educational information only — not a diagnosis or treatment plan. Decisions depend on examination and imaging. For emergencies, go to hospital urgently.