Featured Research

from universities, journals, and other organizations

Shoulder replacement eases pain, improves motion in rheumatoid arthritis patients

Date:
January 13, 2014
Source:
Mayo Clinic
Summary:
Shoulder arthritis is a common problem for rheumatoid arthritis patients: pain and difficulty moving their arms can grow so severe that daily tasks and sleep become difficult. If medication and physical therapy aren’t enough, shoulder replacement surgery is a common next step. Despite surgical challenges with some rheumatoid arthritis patients, the procedure improves range of motion and reduces pain in nearly all cases, especially for those with intact rotator cuffs, a study shows.

Shoulder arthritis is a common problem for rheumatoid arthritis patients: pain and difficulty moving their arms can grow so severe that daily tasks and sleep become difficult. If medication and physical therapy aren’t enough, shoulder replacement surgery is a common next step. Despite surgical challenges with some rheumatoid arthritis patients, the procedure improves range of motion and reduces pain in nearly all cases, especially for those with intact rotator cuffs, a Mayo Clinic study shows. The findings are published in the Journal of Shoulder and Elbow Surgery.

“I think it’s quite encouraging,” says senior author John Sperling, M.D., an orthopedic surgeon at Mayo Clinic in Rochester. “What we’ve learned from this study is that if people do develop significant pain in their shoulder due to arthritis associated with rheumatoid arthritis, shoulder arthroplasty really is a predictable and reliable operation to help them improve their function and relieve pain.”

Rheumatoid arthritis is an inflammatory autoimmune disorder in which the immune system attacks the body’s own tissues, causing joint problems and sometimes affecting other organs. Many patients eventually develop shoulder arthritis; sometimes, bones start wearing away and rotator cuffs tear, making shoulder replacement surgery more complicated. Researchers used the Mayo Clinic Total Joint Registry to study 303 patients with rheumatoid arthritis who had shoulder replacement at Mayo Clinic and were followed by physicians for at least five years.

Of those who had total shoulder replacement, in which both sides of a shoulder joint was replaced, 96 percent were still alive and had no need for further arthroplasty on the affected shoulder five years later, and 93 percent were alive with no need for additional surgery a decade later. Among those who had only one side of a joint replaced, known as partial arthroplasty, those statistics were roughly 89 percent five years after shoulder replacement and 88 percent 10 years after the surgery.

Patients with an intact rotator cuff — tendons in the shoulder that help people raise their arms — did better after shoulder replacement than those with damaged rotator cuffs, researchers say.

Shoulder replacement surgery usually is tried after simpler treatment techniques, such as medication, injections and physical therapy, fail and patients are in significant pain, Dr. Sperling says. It is important that the patient’s rheumatologist, surgical team and physical therapist coordinate care to help the patient achieve the best outcome, he says.
“Thankfully, the shoulder replacement surgery has really come a long way over the past 20 to 25 years. Typically now it’s a one-hour surgery, one night in the hospital and the arm in a little soft sling for six weeks, and all the physical therapy can be done on their own at home,” Dr. Sperling says.

Many patients six weeks after surgery are able to drive again, sleep on the side that bothered them before and resume a wide variety of activities, such as golf and gardening, he says.


Story Source:

The above story is based on materials provided by Mayo Clinic. Note: Materials may be edited for content and length.


Journal Reference:

  1. Jonathan D. Barlow, MD, Brandon J. Yuan, MD, Cathy D. Schleck, BS, W. Scott Harmsen, MS, Robert H. Cofield, MD, John W. Sperling, MD. Shoulder arthroplasty for rheumatoid arthritis: 303 consecutive cases with minimum 5-year follow-up. Journal of Shoulder and Elbow Surgery, 2013 pp 1-9

Cite This Page:

Mayo Clinic. "Shoulder replacement eases pain, improves motion in rheumatoid arthritis patients." ScienceDaily. ScienceDaily, 13 January 2014. <www.sciencedaily.com/releases/2014/01/140113104709.htm>.
Mayo Clinic. (2014, January 13). Shoulder replacement eases pain, improves motion in rheumatoid arthritis patients. ScienceDaily. Retrieved July 30, 2014 from www.sciencedaily.com/releases/2014/01/140113104709.htm
Mayo Clinic. "Shoulder replacement eases pain, improves motion in rheumatoid arthritis patients." ScienceDaily. www.sciencedaily.com/releases/2014/01/140113104709.htm (accessed July 30, 2014).

Share This




More Health & Medicine News

Wednesday, July 30, 2014

Featured Research

from universities, journals, and other organizations


Featured Videos

from AP, Reuters, AFP, and other news services

Generics Eat Into Pfizer's Sales

Generics Eat Into Pfizer's Sales

Reuters - Business Video Online (July 29, 2014) Pfizer, the world's largest drug maker, cut full-year revenue forecasts because generics could cut into sales of its anti-arthritis drug, Celebrex. Fred Katayama reports. Video provided by Reuters
Powered by NewsLook.com
Nigeria Ups Ebola Stakes on 1st Death

Nigeria Ups Ebola Stakes on 1st Death

Reuters - Business Video Online (July 29, 2014) Nigerian authorities have shut and quarantined a Lagos hospital where a Liberian man died of the Ebola virus, the first recorded case of the highly-infectious disease in Africa's most populous economy. David Pollard reports Video provided by Reuters
Powered by NewsLook.com
Running 5 Minutes A Day Might Add Years To Your Life

Running 5 Minutes A Day Might Add Years To Your Life

Newsy (July 29, 2014) According to a new study, just five minutes of running or jogging a day could add years to your life. Video provided by Newsy
Powered by NewsLook.com
Ebola Outbreak Poses Little Threat To U.S.: CDC

Ebola Outbreak Poses Little Threat To U.S.: CDC

Newsy (July 29, 2014) The Ebola outbreak in West Africa poses little threat to Americans, according to officials with the Centers for Disease Control and Prevention. Video provided by Newsy
Powered by NewsLook.com

Search ScienceDaily

Number of stories in archives: 140,361

Find with keyword(s):
Enter a keyword or phrase to search ScienceDaily for related topics and research stories.

Save/Print:
Share:

Breaking News:
from the past week

In Other News

... from NewsDaily.com

Science News

Health News

Environment News

Technology News



Save/Print:
Share:

Free Subscriptions


Get the latest science news with ScienceDaily's free email newsletters, updated daily and weekly. Or view hourly updated newsfeeds in your RSS reader:

Get Social & Mobile


Keep up to date with the latest news from ScienceDaily via social networks and mobile apps:

Have Feedback?


Tell us what you think of ScienceDaily -- we welcome both positive and negative comments. Have any problems using the site? Questions?
Mobile: iPhone Android Web
Follow: Facebook Twitter Google+
Subscribe: RSS Feeds Email Newsletters
Latest Headlines Health & Medicine Mind & Brain Space & Time Matter & Energy Computers & Math Plants & Animals Earth & Climate Fossils & Ruins