If you’re living with chronic shoulder pain that hasn’t improved with medication, injections, or physical therapy, you might be wondering if surgery is your next step. One option gaining attention for certain patients is reverse total shoulder replacement — but who exactly is a candidate?
Unlike traditional shoulder replacements, which mimic natural anatomy, reverse shoulder arthroplasty flips the joint’s structure. The ball is placed on the shoulder blade side, and the socket is placed on the upper arm. This design allows other muscles — especially the deltoid — to compensate when the rotator cuff is severely damaged or torn. OrthoKnox Orthopedic surgeon, Dr. David Hovis, explains Reverse Total Shoulder HERE.
Who Is a Good Candidate?
You may be a candidate for reverse shoulder replacement if you have:
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A massive, irreparable rotator cuff tear
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Shoulder arthritis combined with rotator cuff dysfunction (cuff tear arthropathy)
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A failed previous shoulder replacement
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Severe pain and limited range of motion that affects your quality of life
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Age typically over 65, though some younger patients qualify
This procedure is especially beneficial for those who have lost shoulder function and strength due to rotator cuff degeneration — particularly when other treatments have failed.
Who May Not Be a Candidate?
Reverse shoulder replacement may not be appropriate if you have:
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Active infections
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Poor deltoid muscle function
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Nerve damage affecting shoulder movement
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Very high physical demands that could shorten implant lifespan
What’s the Next Step?
If you’re considering surgery, the first step is a detailed evaluation by a shoulder specialist. They’ll use imaging, physical exams, and your medical history to decide if this procedure is right for you.
While reverse shoulder replacement isn’t for everyone, it has helped many patients restore mobility, reduce pain, and return to their everyday activities.
Still have questions? The orthopedic team at OrthoKnox in Knoxville, TN is here to help you explore your options and take the next step toward relief. Give us a call at 865-251-3030 or fill out our easy-to-use online appointment request form HERE. We look forward to hearing form you!