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when patients are experiencing pain related to arthritis in the shoulder we always exhaust all non-operative measures those can include injections sometimes Physical Therapy activity modification and many times that leads to a functional shoulder when that does not work shoulder replacement and reverse shoulder replacement are valuable options and very successful options in the right patient an anatomic shoulder means to replace the ball with the ball and the socket with a socket thereamp;#39;s also a reversal replacement what that means is we flip that around so the ball goes on the socket side socket goes on the ball side the reason that we do that or in some patients that have both arthritis as well as an unrepairable or damaged rotator cuff a reverse shoulder replacement changes the center of rotation in the shoulder allowing people to get back to pain-free range of motion pre-operatively every patient gets a CT scan or an MRI what weamp;#39;re able to do with that is pla