Frozen shoulder, also known as adhesive capsulitis, is a condition characterised by pain and stiffness in the shoulder, resulting in limited movement. It develops gradually over time and can persist for months to years. Treatment aims to relieve pain, improve mobility, and prevent long-term stiffness. Seeking early intervention can help restore movement, ease discomfort, and potentially shorten the recovery period, allowing individuals to return to their daily activities more quickly.
Non-surgical Treatments
Non-surgical treatments are often considered in the early stages of frozen shoulder to relieve pain and improve movement. These options include:
Physical Therapy
Guided exercises help stretch and strengthen the shoulder, gradually improving mobility. A physiotherapist will design a personalised programme based on your needs and the stage of your condition.
Medication
Over-the-counter pain relievers such as ibuprofen help reduce inflammation and manage pain, particularly in mild cases. In some cases, stronger prescription medications may be recommended to provide more relief.
Steroid Injections
Corticosteroid injections may help reduce inflammation and provide temporary relief, which can assist in improving shoulder mobility.
Hydrodilatation
A procedure where fluid is injected into the shoulder joint to stretch the capsule and improve mobility. Hydrodilatation is typically considered when other non-surgical treatments have failed.
Surgical Treatments
When non-surgical treatments fail to improve mobility and relieve pain, surgery may be considered. Common surgical options include:
Manipulation Under Anaesthesia (MUA)
In this procedure, the shoulder is gently manipulated while the patient is under general anaesthesia. This helps break up tight tissues that restrict movement, improving the range of motion. It is often followed by a course of physical therapy to maintain the improved mobility.
Arthroscopic Capsular Release
This is a minimally invasive surgery where small incisions are made to release tight portions of the shoulder joint capsule, improving flexibility and restoring movement. This procedure is typically used for more severe cases of frozen shoulder that have not responded to other treatments.
When to Seek Treatment
If you experience persistent pain, stiffness, or reduced shoulder movement that does not improve with rest or over-the-counter medication, it is important to consult with an orthopaedic specialist. Delaying treatment may lead to worsening symptoms, including permanent stiffness and chronic pain. Timely treatment can help prevent further complications and promote a faster recovery.
Conclusion
Frozen shoulder can be a long-lasting and painful condition, but with the right treatment approach, pain can be reduced, and mobility can be restored. Whether through non-surgical methods or surgical intervention, early diagnosis and prompt treatment are key to optimal recovery.
Start your recovery journey today. Contact our orthopaedic specialist for expert advice on how to manage your condition.
