Frozen shoulder or also known as adhesive capsulitis is a condition that affects the shoulder joint. It is characterized by gradual pain and stiffness that occurs over the span of years and results with the near complete loss of active and passive movement of the shoulder. It is a condition that is rare in those below 40 years old is more common in women than in men. Typically the non-dominant shoulder is affected and in 6 to 17 percent of patients, the other shoulder is affected within five years. The occurrence of frozen shoulder is estimated to be around 2 to 5 percent of the general population.
Since frozen shoulder can have a drastic impact on the quality of life of those who suffer from it, causing them to have limited mobility, disturbed sleep, and even difficulty performing their jobs, they often resolve to the use of invasive surgery to achieve pain relief. However, a new technique was developed called hydrodilatation. Hydrodilatation involves injecting the affected shoulder with a steroid to control the inflammation and reduce the pain and further injecting the joint with saline to expand the contracted capsule to loosen the shoulder. Since it is minimally invasive, it can be done under local anesthesia and on an outpatient basis. The procedure is so fast it only takes around 15 minutes to complete. Furthermore, according to a study published on the Journal of Orthopaedics, among the 350 patients who underwent the procedure, 99 percent was able to go back to their previous job and 85 percent was able to return to their previous level of exercise in six weeks.
For those looking for less invasive treatment with little downtime, the hydrodilatation provides a convenient alternative to invasive surgery.
The clinical picture of the painful diabetic shoulder–natural history, social consequences, and analysis of concomitant hand syndrome.