Houston Shoulder Surgery & Specialist Care

Subspecialty shoulder care in Houston and the Texas Medical Center—arthroscopy, rotator cuff repair, labral repair, and anatomic and reverse shoulder replacement.

Rotator cuff and tendon repair
From small tears to revision and massive tear cases—focused on durable healing.
Instability and labral repair
Surgical stabilization for recurrent dislocation and complex instability.
Shoulder arthritis and replacement
Anatomic and reverse shoulder arthroplasty using modern implant technology.

Shoulder Conditions

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Shoulder Procedures

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Is Shoulder Surgery Right for You?

Non-Surgical Options
Physical therapy, activity modification, NSAIDs, and corticosteroid injections are often the first step for most shoulder problems.
When to Consider Surgery
Persistent pain, weakness, mechanical symptoms, or loss of function despite appropriate non-operative care—particularly when imaging confirms a structural problem.
Recovery & Outcomes
Clear expectations, staged rehabilitation, and procedure-specific protocols tailored to your condition, age, and activity goals.

Common Questions About Shoulder Surgery

How do I know if I need shoulder surgery?

Most shoulder problems improve without surgery. We typically recommend surgery when pain limits sleep or daily activities, when weakness or loss of motion does not improve with several weeks to months of appropriate therapy, or when imaging shows a structural injury that is unlikely to heal on its own (such as a full-thickness rotator cuff tear, a labral tear causing instability, or advanced arthritis).

Do I need an MRI before my first visit?

Not always. Many diagnoses can be made with a careful history, physical exam, and X-rays. We order MRI only when it will meaningfully change the treatment plan. If you have already had an MRI elsewhere, please bring the disc or images to your appointment.

How long is the recovery after rotator cuff surgery?

Most patients wear a sling for about six weeks, regain motion over three months, and continue strengthening through six months. Return to most work and recreational activity is typical between four and six months, depending on tear size and physical demands.

Where will my surgery be performed?

Surgery is performed at hospitals and surgery centers in Houston affiliated with UTHealth Houston and Memorial Hermann, including outpatient ambulatory surgery centers convenient to the Memorial and Texas Medical Center offices.

Is shoulder replacement an outpatient surgery?

For appropriate candidates, yes. Modern anatomic and reverse shoulder replacements can often be performed as same-day surgery with a structured pre-operative and pain control protocol. Dr. Gregory has helped lead national work on outpatient shoulder arthroplasty pathways.

How do I schedule an appointment in Houston?

Appointments are scheduled through the UTHealth Houston office at 713-486-1700. The practice has offices in Memorial Villages and the Texas Medical Center.

Will I need physical therapy after shoulder surgery?

Physical therapy is an essential part of recovery for nearly every shoulder procedure. We provide procedure-specific protocols, work closely with therapists across the Houston area, and offer guided home programs when appropriate.

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The opinions and views contained on this website are Dr. Gregory's own and do not reflect the opinions or views of UT Physicians. UT Physicians does not exert editorial control over this website, nor makes any representations as to the accuracy or completeness of the information contained herein.

Copyright 2026 James M. Gregory, MD • Shoulder & elbow specialist serving Houston and the Texas Medical Center through UTHealth Houston
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