Adhesive capsulitis is a tightening in the shoulder joint. It decreases the range of motion in the shoulder and causes pain. This condition is also known as frozen shoulder. It is caused by tightening of the soft tissue and formation of scar tissue.
During closed manipulation, the doctor moves the arm at the shoulder joint. This is done to break up adhesions and loosen the stiff joint. The goal of the procedure is to improve range-of-motion by breaking up scar tissue.
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Your doctor may recommend closed manipulation if other methods of relief have failed. This procedure can relieve pain and stiffness for some people. In others, there is still some pain and swelling in the shoulder joint. If the closed manipulation is not successful, you may need arthroscopic surgery.
Problems from the procedure are rare, but all procedures have some risk. Your doctor will review potential problems, like:
Factors that may increase your risk of complications:
Your doctor may do the following:
Leading up to the procedure:
Your doctor may choose either:
The doctor will twist and move your shoulder upward and outward. The actions will break up scar tissue to improve range of motion.
If you had general anesthesia, you will be taken to a recovery room and monitored.
Anesthesia will prevent pain during surgery. Pain and discomfort after the procedure can be managed with medications.
Once you recover from the anesthesia, you will be able to go home.
During your stay, the hospital staff will take steps to reduce your chance of infection such as:
There are also steps you can take to reduce your chances of infection such as:
You will have pain and swelling for 1-2 weeks after the surgery. Your doctor may instruct you to begin physical therapy.
It is important to monitor your recovery. Alert your doctor to any problems. If any of the following occur, call your doctor:
If you think you have an emergency, call for medical help right away.
Ortho Info— American Academy of Orthopaedic Surgeons
Sports Med—American Orthopaedic Society for Sports Medicine
Canadian Orthopaedic Association
Canadian Orthopaedic Foundation
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Examination under anesthesia. University of Washington Orthopaedics and Sports Medicine website. Available at: http://www.orthop.washington.edu/?q=patient-care/articles/shoulder/examination-under-anesthesia.html. Updated February 4, 2013. Accessed November 10, 2017.
Frozen shoulder. Ortho Info—American Academy of Orthopaedic Surgeons website. Available at: http://orthoinfo.aaos.org/topic.cfm?topic=A00071. Updated January 2011. Accessed November 10, 2017.
Shoulder arthroscopy. Ortho Info—American Academy of Orthopaedic Surgeons website. Available at: http://orthoinfo.aaos.org/topic.cfm?topic=A00589. April 2011. Accessed November 10, 2017.
Warner JP. Frozen shoulder: Diagnosis and management. J Am Acad Orthop Surg. 1997;5:130-140.
Shoulder surgery. Ortho Info—American Academy of Orthopaedic Surgeons website. Available at: http://orthoinfo.aaos.org/topic.cfm?topic=A00066. Updated August 2009. Accessed November 10, 2017.
Last reviewed November 2018 by EBSCO Medical Review Board Warren A. Bodine, DO, CAQSM Last Updated: 12/20/2014