Total Shoulder Replacement Denver, CO

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    When shoulder arthritis or joint damage limits your ability to move, sleep comfortably, or perform daily tasks, it may be time to consider surgical solutions. Total shoulder arthroplasty, also known as total shoulder replacement, is a procedure designed to help relieve pain and improve function by restoring the joint surfaces of the shoulder.

    Dr. Jessica Churchill offers total shoulder arthroplasty to patients in Denver, Colorado, as part of a broader orthopedic approach focused on education, collaboration, and personalized care. This procedure is typically recommended when non-surgical treatments are no longer providing meaningful relief or when joint deterioration has progressed to the point of significantly limiting daily life.

    Anatomy of the Shoulder

    The shoulder is one of the most mobile joints in the body, designed to allow motion in many directions. It is formed by three bones: the humerus (upper arm bone), the scapula (shoulder blade), and the clavicle (collarbone). The ball-and-socket arrangement between the head of the humerus and a shallow part of the scapula called the glenoid enables rotation, lifting, and reaching.

    The ends of the bones in the joint are covered in articular cartilage, a smooth surface that allows the shoulder to glide with ease. The rotator cuff, made up of muscles and tendons, surrounds the joint and helps stabilize it. A larger muscle called the deltoid also contributes to shoulder motion and strength. When the cartilage begins to wear away or when the joint becomes unstable due to injury or disease, pain and reduced function often follow.

    Why Total Shoulder Arthroplasty May Be Recommended

    Total shoulder arthroplasty is typically considered for patients who are experiencing chronic shoulder pain and stiffness due to advanced joint degeneration. This may result from:

    • Osteoarthritis: A common condition leading to age-related breakdown of cartilage that causes pain, swelling, and limited range of motion.
    • Rheumatoid Arthritis: An autoimmune condition that leads to joint inflammation and cartilage erosion.
    • Post-Traumatic Arthritis: Damage that develops after a prior injury such as a fracture or rotator cuff tear, often years later.
    • Avascular Necrosis: A condition where reduced blood flow leads to bone collapse and joint surface damage.

    In each of these scenarios, the smooth surfaces of the joint become rough or misshapen. This creates pain during movement and can limit daily function. When physical therapy, injections, and medications are no longer effective, shoulder replacement may be discussed as a next step.

    How the Procedure Works

    Total shoulder arthroplasty involves replacing the damaged surfaces of the shoulder joint with artificial components. The “ball” of the humerus is removed and replaced with a metal implant. The “socket” portion of the scapula, or glenoid, is smoothed and fitted with a specialized implant that supports smooth joint motion.

    This procedure is performed under general anesthesia, typically in a hospital or surgical center setting. The incision is made on the front of the shoulder, and great care is taken to preserve surrounding muscles and nerves. After placing the implants, the surgeon ensures the joint moves freely and securely.

    Following surgery, patients begin a guided recovery process. This includes physical therapy to gradually restore motion and build strength in a safe, progressive manner.

    Recovery and Rehabilitation

    Recovery from total shoulder arthroplasty happens in phases. Initially, the arm is supported in a sling to allow healing of soft tissues. During this period, gentle passive exercises may be introduced to maintain joint mobility. As healing progresses, physical therapy focuses on restoring strength, control, and flexibility.

    Most patients can expect to resume some light daily activities within several weeks. Full recovery and return to recreational activities typically occur over several months. Dr. Churchill and her care team provide close follow-up during this time, offering guidance that supports both safety and progress.

    The success of rehabilitation depends on a combination of surgical precision, patient participation, and appropriate pacing. Each recovery plan is personalized to reflect the individual’s age, goals, and overall health.

    Deciding on shoulder replacement is a significant step, and Dr. Churchill supports her patients throughout the journey. By focusing on shared decision-making, evidence-based care, and long-term goals, she helps individuals move toward improved shoulder function and a more active lifestyle.

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