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Reverse Total Shoulder Arthroplasty (RTSA)

Our services

Reverse Total Shoulder Arthroplasty (RTSA)

Patients experiencing shoulder stiffness, limited arm elevation, or deep pain inside the shoulder—especially when reaching, combing hair, or putting on clothes—may be facing rotator cuff tear-related issues. In some severe cases, patients cannot lift their arm at all, even though the arm muscles appear normal. This condition is often caused by a severe rotator cuff tear along with degenerative changes in the shoulder joint, which may result from aging, repetitive shoulder use, or injury. Reverse shoulder arthroplasty has become a promising treatment option to restore mobility and reduce pain in such cases.

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Signs of Shoulder Joint Degeneration


Chronic shoulder pain

Pain when lifting or reaching that persists despite rest or topical treatments.


Inability to raise the arm fully

Needing to assist the arm with the opposite hand or only being able to lift it slightly from the side.


 Clicking or snapping sounds in the shoulder

A sensation of instability or audible sounds when rotating or raising the arm.


Severe rotator cuff tear

Persistent pain and inability to lift the arm due to torn tendons that cannot be repaired.

Diagnosing Shoulder Joint Degeneration

At S Spine & Joint Hospital—a specialized hospital for spine and joint care—the emphasis is placed on identifying the root cause before proceeding with treatment. Every patient showing signs of musculoskeletal issues undergoes a thorough evaluation by a specialized physician. This includes both X-ray and MRI imaging to understand the extent of joint damage and determine the most suitable treatment approach.

Treatment Technique

We stand out with our signature S-Quality treatment standard, which consists of three core components:


Specialized Orthopedic Surgeons

🎯 Trained under hospital-standard protocols to ensure precision and safety.


Skilled Medical Support Team

🎯 With deep knowledge of treatment protocols and strong coordination with physicians to shorten recovery times.

Advanced Specialized Technology

🎯 Designed specifically for spine and joint treatments, including world-class surgical tools. The absence of any one component may compromise treatment efficiency.

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ขั้นตอนการรักษา

Specialized advanced technology—such as upright-adjustable MRI scanners and top-tier surgical tools—enhances the accuracy and speed of diagnosis and treatment. A deficiency in any of these components may impact treatment effectiveness.

Identifying the Cause

Diagnosis begins with posture-specific X-rays and upright MRI scans to evaluate abnormalities in cervical discs. Physicians combine both sets of images for a highly accurate assessment.

Antiresorptive Agents

Patients will receive pre-treatment instructions, such as fasting or informing the doctor of any existing conditions or allergies. A thorough physical examination will also be conducted.

Reverse Shoulder Arthroplasty

This procedure is ideal for patients with shoulder joint degeneration and severe rotator cuff tears. Using advanced orthopedic tools, the surgeon removes the damaged joint surface and replaces it with a specialized “reverse” shoulder prosthesis.

Follow-Up and Recovery

After treatment, the doctor and a specialized support team will monitor the recovery progress and evaluate the patient's condition to ensure pain relief, no complications, and a full return to normal life.

เหตุผลที่คุณควรเลือกการรักษาเทคนิคนี้

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Smaller incision Than open surgery

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Less pain

Fewer complications
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Minimal blood loss

No transfusion
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Fast recovery

Home in 1-2 days
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Cost-effective

Cost-effective
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