What is frozen shoulder?

Frozen shoulder is a stiff and painful shoulder caused by inflammation, swelling and contraction of your shoulder lining (capsule). It is also known as adhesive capsulitis.

What are the benefits of surgery?

You should have less pain and be able to use your shoulder better.

Are there any alternatives to surgery?

Simple painkillers and anti-inflammatory painkillers such as ibuprofen can help control the pain but you will usually need stronger painkillers. A steroid injection into your shoulder joint can sometimes reduce pain and stiffness. Physiotherapy is often helpful in improving movement if the pain can be controlled. Arthrographic hydrodilatation (stretching of the capsule by a high-pressure injection) has been shown to help.

It is possible to have a manipulation under anaesthesia (MUA) instead of a capsular release operation.

What does the operation involve?

Various anaesthetic techniques are possible.

The operation usually takes 30 minutes to an hour. Your surgeon will make two small cuts, about half a centimetre long, one at the front and one at the back of your shoulder. They will insert a small telescope through one of the cuts so they can examine the joint. They will insert surgical instruments through the other cut to divide the tight, thickened capsule to improve the range of movement of your shoulder.

How can I prepare myself for the operation?

If you smoke, stopping smoking now may reduce your risk of developing complications and will improve your long-term health.

Try to maintain a healthy weight. You have a higher risk of developing complications if you are overweight.

Regular exercise should help to prepare you for the operation, help you to recover and improve your long-term health. Before you start exercising, ask the healthcare team or your GP for advice.

Speak to the healthcare team about any vaccinations you might need to reduce your risk of serious illness while you recover. When you come into hospital, practise hand washing and wear a face covering when asked.

What complications can happen?

Some complications can be serious and can even cause death.

General complications of any operation

• bleeding
• infection of the surgical site (wound)
• allergic reaction to the equipment, materials or medication
• chest infection

Specific complications of this operation

• infection in your shoulder joint
• continued stiff shoulder
• damage to nerves around your shoulder

Consequences of this procedure

• pain
• unsightly scarring of your skin

How soon will I recover?

You should be able to go home the same day.

You do not need to wear a sling and aim to use your shoulder as much as possible. It usually takes about 6 months to get a good range of movement.

Regular exercise should help you to return to normal activities as soon as possible. Before you start exercising, ask the healthcare team or your GP for advice.

Most people make a good recovery, have less pain and can use their shoulder better.

Summary

Frozen shoulder can cause severe pain and stiffness. An arthroscopic capsular release should reduce your pain and help you to move your shoulder more easily.

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