Shoulder Surgery for Frozen Shoulder: What to Expect

Frozen shoulder, medically known as adhesive capsulitis, is a condition characterized by stiffness and pain in the shoulder joint. When conservative treatments fail, shoulder surgery may be recommended to alleviate the symptoms. Understanding what to expect during this surgical process can help ease concerns and better prepare patients for recovery.

Types of Shoulder Surgery for Frozen Shoulder

There are primarily two surgical options available for frozen shoulder:

  • Arthroscopic Capsular Release: This minimally invasive procedure involves using a thin, flexible tube with a camera (arthroscope) to view the shoulder joint and release the tight portions of the shoulder capsule.
  • Manipulation Under Anesthesia: During this procedure, the surgeon gently manipulates the shoulder while the patient is under anesthesia to help break up adhesions and improve range of motion.

Pre-Surgery Preparation

Before the surgery, patients will have a thorough evaluation, including imaging tests like X-rays or MRIs, to determine the extent of the condition. It’s crucial to discuss medical history, current medications, and any allergies with the surgical team.

Patients will receive specific instructions on the day of the procedure, including fasting requirements and what to bring to the hospital. It’s helpful to arrange for transportation home post-surgery, as anesthesia can impair one’s ability to drive.

The Surgical Procedure

Surgery is typically performed on an outpatient basis, meaning patients can go home the same day. For arthroscopic capsular release, small incisions are made in the shoulder, and the camera and instruments are inserted to release the tightened capsule. This technique usually results in less pain and quicker recovery compared to traditional open surgery.

Manipulation under anesthesia requires no incisions but may cause some immediate discomfort as the surgeon stretches the shoulder joint.

Post-Surgery Recovery

After surgery, patients will experience some swelling and pain, which can be managed with prescribed medications. Physical therapy will be a crucial part of the recovery process, typically starting shortly after the procedure. Physical therapists will guide patients through exercises tailored to restore mobility and strength in the shoulder.

Full recovery can take several weeks to months, and while most patients regain significant range of motion, some may still experience mild stiffness. It’s important to adhere to the physical therapy regimen and attend follow-up appointments to monitor progress.

Potential Risks and Complications

As with any surgery, there are risks involved, including infection, nerve injury, or persistent stiffness. Discussing these potential complications with the surgeon can help set realistic expectations and ensure a thorough understanding of the procedure.

Conclusion

Shoulder surgery for frozen shoulder can provide relief for patients who have not found success with non-surgical treatments. By familiarizing oneself with the types of surgery, preparation, recovery process, and potential risks, patients can feel more prepared and confident in their journey towards recovery.