Shoulder adhesive capsulitis treatments
I believe that the earlier we treat primary capsulitis, the sooner the patient will avoid the distress of a condition that can last 18 to 24 months.
The goal of initial treatment, in phase 1 (the inflammatory phase), is to reduce the inflammation that could lead to extreme stiffness. Physical therapy and exercise will help preserve mobility of the affected area, as will anti-inflammatory medication, ice, and cortisone injections.
Arthrographic distension (the injection of a mixture of water and cortisone into the glenohumeral joint) can be very effective. The goal is to combine this injection with an active exercise plan as quickly as possible.
It is technically difficult for a clinical physician to perform an unaided injection into the glenohumeral joint; it is best done under radiology, fluoroscopy or ultrasound image guidance. Personally, I do the injection under ultrasound guidance in my office; the procedure is virtually painless and takes less than 10 minutes.
In phase 2 (frozen shoulder), attempts to move the shoulder will only cause muscle pain in the shoulder blade area and could reactivate cervical osteoarthritis. The patient is better off receiving comfort treatment (such as a cortisone injection) and waiting for the condition to heal on its own.
Surgery under anaesthetic used to be common, but it could also cause major complications – fractures, rotator cuff tears, severed nerves, and more. Today, for extreme and painful cases, we tend to prefer arthrosopic release of the capsule and gentle manipulation. This approach has an 80% success rate, and is followed by physiotherapy.
Contact us to make an appointment
Five months after my operation, despite the severity of my wound, I am again able to ride a bike without difficulty or pain. I had an impeccable and attentive follow-up from Dr. Beauchamp. Thank you!