Frozen Shoulder (Adhesive Capsulitis)

The treatment of frozen shoulder, also known as adhesive capsulitis, by our orthopedic surgeon involves a combination of non-surgical interventions aimed at reducing pain, restoring range of motion, and improving shoulder function. Here is an overview of the treatment process for frozen shoulder:

1. Non-Surgical Treatment:
   • Physical Therapy: The orthopedic surgeon will typically recommend a comprehensive physical therapy program, tailored to the individual’s condition and stage of frozen shoulder. Physical therapy involves stretching and strengthening exercises to improve shoulder mobility, reduce pain, and restore function.
   • Pain Medication: Non-steroidal anti-inflammatory drugs (NSAIDs) or oral pain relievers may be prescribed to manage pain and inflammation associated with frozen shoulder.
   • Corticosteroid Injections: The surgeon may administer corticosteroid injections into the shoulder joint to reduce pain and inflammation, facilitating physical therapy and improving range of motion.
   • Heat or Cold Therapy: Applying heat or cold packs to the affected shoulder may help relieve pain and reduce inflammation.
   • Activity Modification: The surgeon may recommend modifying daily activities to avoid excessive strain on the shoulder joint.
2. Surgical Treatment (Rarely Required):
   • In rare cases when non-surgical treatments fail to provide relief, surgical intervention may be considered.
   • Manipulation Under Anesthesia (MUA): The surgeon will perform a procedure under general anesthesia where they move the arm and shoulder joint through a range of motion to break up the adhesions and scar tissue.
   • Arthroscopic Release: If conservative measures and MUA are ineffective, arthroscopic surgery may be performed. The surgeon will make small incisions and use an arthroscope to visualize and release the tight capsule surrounding the shoulder joint, allowing improved range of motion.
3. Postoperative Recovery and Rehabilitation:
   • After non-surgical or surgical treatment, a physical therapy program is crucial to maximize recovery and regain shoulder function.
   • Physical therapy may involve gentle stretching exercises, joint mobilization techniques, and progressive strengthening exercises.
   • The frequency and duration of physical therapy sessions will depend on the patient’s progress and individualized treatment plan.
4. Long-Term Follow-up:
   • Regular follow-up visits with the orthopedic surgeon will be scheduled to monitor the patient’s progress, assess shoulder function, and modify the treatment plan if necessary.
   • The duration of the recovery process can vary depending on the severity of the frozen shoulder, the patient’s response to treatment, and adherence to the rehabilitation program.

It’s important to note that the treatment approach for frozen shoulder may vary depending on the individual’s specific condition and response to treatment. Our orthopedic surgeon will tailor the treatment plan to the patient’s needs and goals, aiming to alleviate pain, improve range of motion, and restore shoulder function. Compliance with the recommended treatment plan, including physical therapy and follow-up appointments, is crucial for achieving the best possible outcomes.