Dr Hariharan Mohan

Arthrolysis for frozen shoulder

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This page will give details about the surgery (Capsular release) done for frozen shoulder. To know more about Frozen shoulder  Click Here

When do I need surgery for Frozen shoulder?

Surgery is needed when there is no improvement in stiffness/pain with non-operative methods. These include physiotherapy, injection, hydrodistension and Manipulation. If you are symptomatic for 6-12 months then you are more likely to need surgery.

 What is the surgical procedure?

The aim of the operation is to regain the normal range of movement for your shoulder. This is a key hole procedure. The surgery is done under General anaesthesia or Regional nerve block. Using small key-hole incisions, camera and instruments are inserted into the shoulder (arthroscopy) to release and remove the scarred tissue and adhesions directly. This helps in regaining the range of movements of the shoulder.

 What is the post surgery rehabilitation?

You can start moving your shoulder immediately after the surgery. No immbilisation is needed. It is important that you continue with exercises with the help of the physiotherapists to retain the improvement in range of movement.

What are the risk/complications of this surgery?

The main risk is recurrence or persistent stiffness. Even with full release of the scar tissue and complete mobilisation of the shoulder joint during surgery, in aggressive forms of the conditions, the scar tissue can reform quickly causing the shoulder to be stiff again. This is seen in <5% of patients and is more common if the diabetes is uncontrolled.

What are the usual timelines after the surgery?

Hospital stay: Day case or 1 night stay

Return to driving: 2-3 weeks

Return to work: Desk based job – 1 week, Manual job – 1 month

Total recovery period: 3 months

Key Points to Remember

By working closely with your healthcare provider, you can make informed decisions about your knee health and choose the best course of action for your specific needs.

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