Frozen shoulder is one the most common shoulder ailment. In a layman's terminology all shoulder ailments are labelled as frozen shoulder.
When a patient with frozen shoulder is referred to us , the utmost priority for us is to assess the cause of frozen shoulder and to confirm if it is a frozen shoulder or not.
Usually the frozen shoulder is classified into 2 types primary or idiopathic and secondary.
Primary frozen shoulder is an idiopathic frozen shoulder without any cause
Secondary frozen shoulder is due to some other injury,
Most cases of adhesive capsulitis can be treated with a guided physiotherapy protocol. We have developed an advance shoulder arthroscopy protocol to guide physiotherapist and patients for a proper physiotherapy.
A short course of anti inflammatory medications is helpful. We recommend taking medications in supervision of orthopedic surgeon.
Steroids are advocated by some to alleviate pain by some surgeons. We do not advice steroid oral or intraarticularly as a primary treatment for adhesive capsulitis.
Very occasionally if pain is excruciating, and not relieved with adequate physiotherapy and medications, an arthroscopic procedure is justified.
Adhesive Capsulitis or Frozen Shoulder is one of the most common shoulder ailments. The disorder is most commonly self limiting and gets better with time. Rehabilitation and Physiotherapy are the main cornerstone of the treatment of this disease. Occasionally when the ailment is not responding to conservative measures we advice performing a Arthroscopic Arthrolysis procedure. The Technique we have developed is guided from work of Dr Laurent Lafosse in which he enters the shoulder through the Subacromial portal thereby reducing the chances of any iatrogenic chondral injury to the humeral head. It is a very safe technique. The Technique starts from a lateral subacromial portal and a gentle subacromial bursectomy is done. The coracoacromial ligament is identified and coracoid is exposed. The Coracohumeral ligament is now exposed and released. The dissection now proceeds with releasing the Long head of biceps tendon. Rotator Interval tissue is released and now we can enter into the intraarticular aspect from the Subacromial portal through the rotator interval. We proceed to releasing the anterior capsule from SGHL, MGHL and IGHl and thereafter the joint becomes supple and you can make your standard portals to complete the 360 deg release.
Frozen Shoulder : what you want to know
Frozen shoulder :