Therapeutic effects are achieved at dosages of 3 to 4 g per day. Physical therapy, strength training, and aerobic exercise alleviate symptoms in certain cases in other patients, over-the-counter medications may be sufficient for pain relief.Īcetaminophen should be the first pharmacologic agent used to manage pain. The initial approach to early osteoarthritis should begin with activity modification, rest, and ice. Anteroposterior radiography with the arm actively held at 45 degrees of abduction may reveal joint-space narrowing in patients with otherwise normal neutral anteroposterior radiography. This view also helps rule out dislocation. Surgical options include arthroscopic debridement, arthroscopic capsular release, and, in the most severe instances, hemiarthroplasty or total shoulder arthroplasty.Īxillary radiography should be performed because it provides the best images of joint-space narrowing to diagnose degenerative joint disease of the shoulder. More advanced cases of osteoarthritis that are refractory to nonoperative management can be managed with corticosteroid injections. Mild degenerative joint disease can be treated with physical therapy and over-the-counter anti-inflammatory medications such as acetaminophen or nonsteroidal anti-inflammatory drugs. The symptoms and degree of shoulder arthritis visible on radiography determine the best treatment option. In most cases, diagnosis of degenerative joint disease of the shoulder can be made with careful history, physical examination, and radiography. This painful condition is a growing problem in the aging population. The joint capsule also becomes thickened, leading to further loss of shoulder rotation. As the joint surface degenerates, the subchondral bone remodels, losing its sphericity and congruity. Osteoarthritis of the shoulder is a gradual wearing of the articular cartilage that leads to pain and stiffness.
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