Abstract
Rotator cuff arthropathy is a challenging problem to treat in many patients whose function remains intact despite pain from arthritis. In recent years, the introduction of reverse shoulder arthroplasty has improved the function and pain in pseudoparalytic shoulders with rotator cuff deficiency. However, significant evidence exists to support the use of alternative surgical and non-surgical treatments for those patients who suffer from the pain of arthritis while maintaining an intact force-couple of the rotator cuff and relatively well preserved function.