Why is my shoulder still stiff 5 weeks after arthroscopic (minimally invasive surgical procedure) capsular release?

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Last updated: April 13, 2025View editorial policy

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From the Research

Your shoulder may still be stuck 5 weeks after arthroscopic capsular release due to several factors, and it is essential to consult your orthopedic surgeon immediately for a proper evaluation. The healing process after arthroscopic capsular release can be complex and may involve inflammation, scar tissue formation, and individual healing variations 1. In the meantime, continue with your prescribed physical therapy exercises, which typically include gentle passive and active range of motion exercises.

Some key points to consider in your recovery include:

  • Taking your prescribed pain medications as directed, usually including NSAIDs like ibuprofen (400-800mg three times daily with food) to reduce inflammation, as NSAIDs have been shown to be effective in managing pain and inflammation in orthopedic surgery 1, 2
  • Applying ice for 15-20 minutes several times daily to manage pain and swelling
  • Being aware that recovery from capsular release surgery often takes 2-3 months for significant improvement, with full recovery potentially taking 4-6 months
  • Understanding that the procedure releases tight shoulder capsule tissue, but the healing process involves inflammation followed by tissue remodeling, which takes time
  • Recognizing that some patients develop adhesions during healing that limit motion, requiring consistent stretching exercises to prevent recurrence of stiffness

If your progress has plateaued, your surgeon might consider manipulation under anesthesia or adjustments to your rehabilitation protocol 3. It is crucial to follow your surgeon's recommendations and attend all scheduled follow-up appointments to ensure proper healing and minimize the risk of complications.

Professional Medical Disclaimer

This information is intended for healthcare professionals. Any medical decision-making should rely on clinical judgment and independently verified information. The content provided herein does not replace professional discretion and should be considered supplementary to established clinical guidelines. Healthcare providers should verify all information against primary literature and current practice standards before application in patient care. Dr.Oracle assumes no liability for clinical decisions based on this content.

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