Introduction
Surgery is reserved for the rare circumstance when the symptoms do not settle with in the expected time frame.
The aim of surgery is to release the thickening and excise the scar tissue. This will reduce the inflammation, increase the size of the capsule and theoretically allow the shoulder greater movement.
Procedure
Surgery is performed under general anaesthesia. It involves one-night stay in hospital. Surgery is performed arthroscopically (keyhole). Two or Three small incisions 5-7mm in size are used.
A 4mm camera is inserted into the joint to visualise the joint and capsule and an instrument is inserted through another incision to resect the inflamed scar tissue.
The skin is closed with dissolvable sutures.
Physiotherapy is commenced immediately after surgery to help with range of movement and improve muscle strength.
Recovery
- Patients stay 1 night in hospital.
- Physiotherapy commences the day after surgery and continues for up to 6 months.
- Sedentary work can be commenced immediately.
- Driving can commence after approximately 2-4 weeks post-surgery.
- Manual Work can commence as early as 6 Weeks post-surgery.
Results
Total pain free movement is achieved in majority of patients. This may take 3-6 months.
Risks and Complications
These include:
- Recurrence of capsulitis.
- Nerve injury.
- Dislocation.
- Infection.