Most of us experience shoulder discomfort at some point. Maybe from overdoing it at the gym, a weekend of yard work, or just sleeping the “wrong way.” But what happens when the discomfort lingers?

If you’re dealing with shoulder pain that won’t go away, it might be more than a simple strain. And if rest, ice, and physiotherapy haven’t brought relief, surgery may be the next step.

At Gateway Surgery, we understand how persistent shoulder pain can affect your daily life—from lifting groceries into your car, reaching overhead for something on a shelf, driving, or simply getting a restful night’s sleep. This guide will help you understand when to seek specialist care and what shoulder surgery types may be available to help you move forward.

What Causes Shoulder Pain That Won’t Go Away?

Your shoulder is the most mobile joint in your body, but that flexibility also makes it more prone to injury, inflammation, and wear and tear. Pain that persists beyond a few weeks may stem from:

  • Rotator cuff tears
  • Impingement syndrome
  • Shoulder instability or dislocation
  • Labral tears
  • Frozen shoulder (adhesive capsulitis)
  • Tendonitis or bursitis
  • Osteoarthritis

In many cases, conservative treatments such as rest, physiotherapy, anti-inflammatory medications, or injections are enough. But when these options fail, or symptoms keep returning, surgical treatment may be the most effective solution.

When to Consider Shoulder Surgery

Not all shoulder pain requires surgery, but there are times when it’s the right move. You may want to explore surgical options if:

  • You’ve had shoulder pain that won’t go away for 3–6 months or longer.
  • Pain disrupts your sleep or wakes you up at night.
  • You’ve lost shoulder strength or mobility.
  • Everyday activities like dressing, driving, or lifting are painful.
  • You’ve tried non-surgical treatments without lasting improvement.
  • Imaging (like an MRI or ultrasound) shows structural damage.

At Gateway Surgery, our orthopaedic specialists take a comprehensive, patient-first approach. We explore all conservative options before discussing surgery—and if it’s recommended, we’ll make sure you fully understand your choices and what to expect.

Common Shoulder Surgery Types

There are several types of shoulder surgery, each designed to treat a specific condition or structural issue. The best approach for you will depend on your diagnosis, age, activity level, and overall health.

Here’s a breakdown of common procedures:

1. Repairing a Torn Rotator Cuff

When the tendons that stabilize your shoulder joint are torn or frayed, they may need to be reattached. Rotator cuff repair can be done arthroscopically (minimally invasive) or via open surgery, depending on the tear’s severity.

2. Fixing Shoulder Instability or Dislocations

For patients with chronic dislocations or unstable joints, shoulder stabilization surgery repairs and tightens the ligaments that hold the joint in place.

3. Treating Labral Tears (SLAP, Bankart, etc.)

The labrum is the cartilage ring that supports the shoulder socket. When torn, it can cause deep joint pain and clicking. Surgery may involve repairing or removing damaged tissue.

4. Relieving Impingement and Inflammation

Shoulder subacromial decompression removes inflamed tissue and bone spurs to create more space in the shoulder, often relieving pain and restoring movement.

5. Partial or Total Shoulder Replacement

For advanced arthritis or severe joint damage, partial or total shoulder replacement (arthroplasty) may provide lasting relief, especially for older adults or those with limited joint function.

What to Expect from Shoulder Surgery and Recovery

Shoulder surgery is an important decision, and knowing what to expect can help you prepare for a successful recovery.

Before Surgery:

  • You’ll have a consultation, physical exam, and imaging to confirm your diagnosis.
  • Your surgeon will explain the procedure, answer your questions, and review risks and benefits.

During Surgery:

  • Most procedures are performed arthroscopically, using small incisions and a camera.
  • In some cases, open surgery is needed for more complex repairs.

After Surgery:

  • Recovery often includes a period of rest, followed by physical therapy.
  • Depending on the procedure, recovery may take up to 9-12 months.
  • Our team will support you throughout your rehab and follow-up care.

Patients from across Canada often travel to Gateway Surgery for shoulder consultations and procedures. If you're planning a trip for care, these tips can help you prepare for private surgery travel.

When Shoulder Pain Becomes More Than a Nuisance

Shoulder pain that won’t go away isn’t something you have to “just live with.” It can affect your sleep, your work, and your independence. And over time, it may worsen if left untreated.

At Gateway Surgery, we know how frustrating it is to try treatment after treatment without results. That’s why we offer a comprehensive approach to shoulder care—from diagnosis and conservative management to expert surgical solutions and recovery planning.

Let’s Talk About Your Shoulder Pain

If you’re tired of dealing with shoulder pain that won’t go away, we’re here to help. Whether you’re just starting to explore your options or want a second opinion, our team at Gateway Surgery is ready to listen and guide you toward the most effective treatment—surgical or otherwise.

You deserve relief that lasts, and care that’s tailored to you. Let’s start with a conversation. Book a consultation today.