From the Research
After arthroscopic capsular release surgery, a comprehensive rehabilitation protocol should be initiated immediately post-operation, prioritizing pain management and early mobilization to optimize outcomes and minimize complications, as supported by the most recent study 1. The treatment protocol should include:
- Pain management using NSAIDs like ibuprofen (400-600mg every 6-8 hours) or naproxen (500mg twice daily) for 1-2 weeks, alongside prescribed opioids such as hydrocodone/acetaminophen (5/325mg every 4-6 hours as needed) for severe pain in the first few days.
- Physical therapy beginning within 24-48 hours post-surgery, focusing initially on passive range of motion exercises to maintain the mobility gained during surgery.
- The first week involves gentle pendulum exercises and passive stretching, progressing to active-assisted motion in week two.
- By weeks 3-6, incorporate active range of motion and light strengthening exercises with resistance bands.
- Throughout recovery, cryotherapy (15-20 minutes every 2-3 hours) helps manage pain and inflammation.
- Continuous passive motion machines may be prescribed for home use in the first 1-2 weeks. This approach is supported by the study 1, which found that arthroscopic capsular release can achieve high patient satisfaction and statistically significant recovery of range of motion and Constant-Murley score, with better functional outcomes expected when the etiology is idiopathic. Key considerations include:
- Early mobilization to prevent scar tissue formation and optimize surgical benefits.
- Individualized rehabilitation programs based on pre-surgical condition and compliance.
- Monitoring for potential complications, such as stiffness, infection, or subscapularis rupture, as reported in study 2.
- The degree of capsular release may impact outcomes, with less extensive releases potentially resulting in better functional and pain scores, as suggested by study 3.