Dr. Samir Pilankar, Robotic Knee & Shoulder surgeon
Shoulder pain is on the rise. Shoulder pain does not just hurt — it slowly steals independence. It makes combing your hair difficult. Wearing a shirt becomes a struggle. Even turning in bed at night can wake you up. Over time, frustration replaces patience.
When medicines, injections, and physiotherapy stop helping, many patients ask: Is surgery my only option?
Dr. Samir Pilankar is a reputed Arthroscopy & joint replacement surgeon with 27 years of experience & is rated among the best in Mumbai. He is a specialist in mini-incision technique in robotic joint replacement surgery and arthroscopy resulting in faster recovery. He is one of the few surgeons in India performing revision Arthroscopy & Arthroplasty surgeries with excellent results. After extensive training in renowned hospitals in Switzerland, Spain & Germany, he has successfully performed over 10,000 Arthroscopy & Joint replacement surgeries. He was awarded with the prestigious Abdul Kalam Award, Times Icon award 2022 and featured in India Today’s top orthopaedic surgeons 2023. In this article Dr. Pilankar has simplified shoulder replacement in Q n A format.
Q1. What exactly is shoulder replacement surgery?
Dr. Pilankar: Think of the shoulder as a smooth ball-and-socket joint. When arthritis or injury wears away the cartilage, bone rubs against bone. That grinding causes pain, stiffness, and weakness.
Shoulder replacement removes the damaged surfaces and replaces them with artificial components. In simple terms, we exchange a painful joint for a smooth, functional one.
And the goal? Not just pain relief — but restoring confidence in movement.
Q2. Who truly needs this surgery?
Dr. Pilankar: Not everyone with shoulder pain needs replacement.
But when pain:
- Disturbs sleep
- Limits daily activities
- Persists despite treatment
— that is when we start considering it seriously.
In my practice, I often see patients with advanced osteoarthritis, rheumatoid arthritis, massive rotator cuff tears, or complex fractures. The common theme is this: quality of life has declined.
Q3. Are there different types?
Dr. Pilankar: Yes — and choosing the right one matters.
If the rotator cuff is healthy, we perform an anatomic total shoulder replacement, preserving normal mechanics.
If the rotator cuff is severely damaged, we perform a reverse shoulder replacement, which cleverly shifts the biomechanics so the deltoid muscle takes over.
It is engineering meeting anatomy.
Q4. How is the surgery done?
Dr. Pilankar: The procedure typically takes 1.5–2 hours. We remove the damaged cartilage, prepare the bone precisely, and insert durable implants.
But what truly determines success?
Meticulous alignment.
Soft-tissue balancing.
Experience.
Surgery is science — but also an art.
Q5. What about recovery?
Dr. Pilankar: Most patients stay in hospital for 2–4 days. A sling supports the arm initially, but gentle movement begins early.
By 6–8 weeks, daily function improves significantly. Full recovery may take three to four months.
Patience is part of healing.
Q6. What benefits can patients expect?
Dr. Pilankar: Pain relief is often dramatic.
Patients tell me:
“I can sleep again.”
“I can lift my arm.”
“I feel independent.”
That is the real success of shoulder replacement.
Q7. What activities are allowed afterward?
Dr. Pilankar: Walking, dressing, writing, eating — all encouraged.
Golf and swimming? Often possible after rehabilitation.
Heavy lifting and jerky overhead sports? Best avoided.
The goal is longevity — not recklessness.
Q8. Are there risks?
Dr. Pilankar: Every surgery carries risk. Infection, stiffness, instability, or long-term loosening can occur.
But in experienced hands, complications are uncommon. Careful surgical technique and dedicated physiotherapy make a significant difference.
Q9. How long does it last?
Dr. Pilankar: Modern implants can last 15–20 years or more. Sometimes even longer.
Longevity depends on activity level and bone quality — but durability today is excellent.
Q10. When should someone seriously consider surgery?
Dr. Pilankar: When pain controls your life.
When sleep is disturbed.
When daily tasks feel exhausting.
When conservative treatment no longer works.
Shoulder replacement is not about replacing a joint.
It is about restoring movement.
Restoring dignity.
Restoring independence.
And that — in my experience — changes everything.
