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Shoulder replacement surgery is an opportunity for us to eliminate pain an individual thatamp;#39;s suffering from pain from an arthritic joint. So for those that have substantial or end-stage arthritis of the shoulder those patients may be candidates for shoulder replacement however not everybody that has shoulder arthritis needs surgery we oftentimes used non-surgical modalities such as anti-inflammatories rest and cortisone injections if they fail conservative care we oftentimes will have a surgical discussion about shoulder replacement surgery for patients with arthritic shoulder depending on which type of problem you have either substantial arthritis with an intact rotator cuff or arthritis with an irreparable rotator cuff that leads to the decision making process and determining if someone will require either a total shoulder replacement or a reverse total shoulder replacement total shoulder replacements are best for patients that have substantial o