Total shoulder replacement (arthroplasty) can be an option for people with psoriatic arthritis (PsA) when medications and lifestyle changes are no longer managing joint damage effectively. It's a significant decision, so knowing what to consider and what risks are involved is really important.
Here are some key Show Full Answer
Total shoulder replacement (arthroplasty) can be an option for people with psoriatic arthritis (PsA) when medications and lifestyle changes are no longer managing joint damage effectively. It's a significant decision, so knowing what to consider and what risks are involved is really important.
Here are some key considerations before surgery:
- Timing matters — even a 6-month delay in treating PsA joint damage can lead to irreversible changes, so discussing surgery sooner rather than later with a rheumatologist is wise
- Building muscle strength before surgery can improve outcomes
- Losing weight (if recommended by your doctor) can reduce stress on the joint
- Make sure your PsA is being managed with medication leading up to surgery Like any surgery, there are risks to be aware of:
- Infection
- Blood clotting
- Problems with the artificial joint
- Continued pain after surgery
- PsA symptoms may temporarily worsen due to surgical stress
Recovery typically involves 4–8 weeks of physical therapy, and full recovery can take up to 2 years. Most artificial joints last many years with regular checkups.
Always work closely with both a rheumatologist and an orthopedic surgeon to make the best decision for your situation.
September 28
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