Frozen Shoulder Capsular Release

Overview

Frozen shoulder, or adhesive capsulitis, is a condition characterized by progressive shoulder stiffness and pain due to thickening and tightening of the joint capsule. When conservative treatments such as physical therapy and injections fail to restore motion, a capsular release procedure can help improve shoulder mobility and reduce pain.

Types and Indications

Arthroscopic Capsular Release:

• This minimally invasive procedure involves using a camera and specialized instruments to carefully divide the thickened and contracted shoulder capsule.

• It is indicated for patients with persistent stiffness despite extensive nonoperative treatment.

Manipulation Under Anesthesia (MUA):

• This technique involves gently moving the shoulder through a full range of motion while the patient is under anesthesia to break up adhesions.

• Often performed in combination with arthroscopic capsular release for optimal results.

The Procedure

The procedure is performed arthroscopically through small incisions around the shoulder. The surgeon carefully releases the thickened capsular tissue, typically starting with the rotator interval and progressing to the inferior and posterior capsule as needed. If manipulation is required, it is performed after the release to ensure full range of motion is restored.

Recovery Process

• Patients begin physical therapy immediately after surgery to maintain motion gains.

• Initial pain and swelling are managed with medication and ice therapy.

• Most patients regain functional motion within a few weeks, though full recovery can take several months.

Risks and Considerations

• Potential risks include persistent stiffness, temporary nerve irritation, infection, and bleeding.

• Strict adherence to post-operative rehabilitation is essential to prevent recurrent stiffness.

Conclusion

Frozen shoulder capsular release is an effective procedure for patients with severe shoulder stiffness that has not improved with conservative treatment. If you are struggling with persistent shoulder pain and limited mobility, contact our office for a comprehensive evaluation and personalized treatment plan.