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Frozen Shoulder, Arthroscopic Surgery


Why is this procedure done?


If you have a frozen shoulder, your joint is stiff. The joint capsule is swollen and it does not move easily. This procedure is done to: ‚  
  • Be able to move your shoulder
  • Relieve pain
  • Relieve stiffness

This procedure is advised when other methods have failed to relieve your frozen shoulder. ‚  


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What will the results be?


You may be able to move your shoulder without feeling any pain. ‚  

What happens before the procedure?


Your doctor will take your history. Talk to the doctor about: ‚  
  • All the drugs you are taking. Be sure to include all prescription and over-the-counter (OTC) drugs, and herbal supplements. Tell the doctor about any drug allergy. Bring a list of drugs you take with you.
  • Any bleeding problems. Be sure to tell your doctor if you are taking any drugs that may cause bleeding. Some of these are Coumadin ‚ ®, ibuprofen, Aleve ‚ ® (naproxen), or aspirin. Certain vitamins and herbs, such as garlic and fish oil, may also add to the risk for bleeding. You may need to stop these drugs as well. Talk to your doctor about them.
  • When you need to stop eating or drinking before your procedure.

Your doctor will do an exam and may order: ‚  
  • Lab tests
  • X-ray
  • MRI scan

You will not be allowed to drive right away after the procedure. Ask a family member or a friend to drive you home. ‚  

What happens during the procedure?


Once you are in the operating room, you will be given a drug to make you sleepy. It will also help you stay pain free during the surgery. Your shoulder may be numbed. The staff will put an I.V. in your arm to give you fluids and drugs. ‚  
Your doctor will make 3 to 4 small cuts in your shoulder. A scope with a tiny camera is put through one of the small cuts to look at the shoulder. Your doctor will put small tools into the holes to get rid of the scar tissue. Your doctor will close your cuts with stitches or staples and cover it with clean bandages. Surgery may last up to 2 hours. ‚  

What happens after the procedure?


Your vital signs will be checked in the Recovery Room. Then, you will be able to go home. ‚  

What care is needed at home?


It may take 3 to 6 months to fully recover. Your shoulder will feel sore for about 2 weeks. These may help you feel better. ‚  
  • Place an ice pack or a bag of frozen peas wrapped in a towel over the painful part. Never put ice right on the skin. Do not leave the ice on more than 10 to 15 minutes at a time.
  • Sleep in a sitting position and put a pillow behind your elbow.
  • Move your elbow and open and close your hand 5 to 10 times. Do this every hour to flex your muscles.
  • Take pain drugs as ordered by your doctor.
  • Your doctor or therapist will give you exercises to do. These are important to keep your shoulder and arm moving.

What follow-up care is needed?


Your doctor may ask you to make visits to the office to check on your progress. Be sure to keep these visits. ‚  

What problems could happen?


  • Bleeding
  • Infection
  • Blood clot
  • Blood vessel or nerve damage
  • Shoulder stiffness
  • Shoulder weakness

When do I need to call the doctor?


  • Signs of infection. These include a fever of 100.4 ‚ °F (38 ‚ °C) or higher, chills, very bad sore throat, ear or sinus pain, cough, more sputum or change in color of sputum, pain with passing urine, mouth sores, wound that will not heal, or anal itching or pain.
  • Signs of wound infection. These include swelling, redness, warmth around the wound; too much pain when touched; yellowish, greenish, or bloody discharge; foul smell coming from the cut site; cut site opens up.
  • Pain or swelling is getting worse
  • Feeling numb in arm or hand for more than several hours

Where can I learn more?


FamilyDoctor.org ‚  
http://familydoctor.org/familydoctor/en/diseases-conditions/adhesive-capsulitis.html ‚  

Consumer Information Use and Disclaimer


This information is not specific medical advice and does not replace information you receive from your health care provider. This is only a brief summary of general information. It does NOT include all information about conditions, illnesses, injuries, tests, procedures, treatments, therapies, discharge instructions or life-style choices that may apply to you. You must talk with your health care provider for complete information about your health and treatment options. This information should not be used to decide whether or not to accept your health care providers advice, instructions or recommendations. Only your health care provider has the knowledge and training to provide advice that is right for you. ‚  

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