From the Research
Arthroscopic capsular release surgery can be an effective treatment option for frozen shoulder, even after 2½ years, with significant improvements in range of motion and pain reduction, as demonstrated in a recent study 1.
Key Points to Consider
- The procedure involves surgically cutting the thickened, tight joint capsule to improve range of motion and reduce pain.
- For long-standing cases, surgery is typically considered when conservative treatments have failed, including physical therapy, corticosteroid injections, and anti-inflammatory medications.
- The recovery process involves immediate post-operative physical therapy, which is crucial for maintaining the mobility gained during surgery.
- Most patients see significant improvement within 3-6 months after surgery, though complete recovery can take longer.
- The effectiveness may be somewhat reduced in long-standing cases because permanent tissue changes can occur over time, and some shoulder stiffness might persist even after surgery.
Important Factors Influencing Outcome
- A thorough evaluation by an orthopedic surgeon who specializes in shoulder conditions is necessary to assess individual outcomes, which can vary based on factors like age, overall health, and the specific characteristics of the frozen shoulder.
- The etiology of the frozen shoulder, whether idiopathic, postoperative, or posttraumatic, can influence the outcome of the surgery, with better functional outcomes expected in idiopathic cases 1.
- Recent studies have shown that arthroscopic capsular release can provide significant pain relief and improvement in quality of life, outperforming conservative treatments in some cases 2.
Next Steps
- Consult with an orthopedic surgeon to discuss the potential benefits and risks of arthroscopic capsular release surgery for your specific situation.
- Ensure you understand the importance of post-operative physical therapy in maintaining the mobility gained during surgery.
- Be aware that while arthroscopic capsular release can be effective, it may not completely eliminate shoulder stiffness, especially in long-standing cases.