She could not get any relief from Ayurvedic treatment. CT and MRI scans showed advanced bone and soft tissue destruction from the rheumatoid arthritis.
Rheumatoid arthritis affects all the synovial joints ultimately leading to joint damage and bony destruction.
As the bony destruction was advanced, Dr A K Venkatachalam decided on the basis of the scan reports to perform a Reverse Shoulder Replacement "which was her only option."
He performed the surgery that took nearly two and half hours.