Surgery for frozen shoulder is typically offered during "Stage 2: Frozen." The goal of surgery is to stretch and release the stiffened joint capsule. It is important to talk with your doctor about your potential for recovery continuing with simple treatments, and the risks involved with surgery. If your symptoms are not relieved by therapy and other conservative methods, you and your doctor may discuss surgery. Rosemont, IL, American Academy of Orthopaedic Surgeons, 2010. Reproduced and modified from JF Sarwark, ed: Essentials of Musculoskeletal Care, ed 4. Keep your hand in place and rotate your body as shown in the illustration. Stand in a doorway and bend your affected arm's elbow to 90 degrees to reach the doorjamb. Below are examples of some of the exercises that might be recommended. Sometimes heat is used to help loosen the shoulder up before stretching. Therapy includes stretching or range of motion exercises for the shoulder. These may be done under the supervision of a physical therapist or via a home program. Specific exercises will help restore motion. ![]() Hydrodilatation is conducted by a radiologist who uses imaging to guide the placement of fluid. This procedure involves gently injecting a large volume of sterile fluid into the shoulder joint to expand and stretch the shoulder joint capsule. ![]() If your symptoms are not relieved by other nonsurgical methods, your doctor may recommend hydrodilatation. Cortisone is a powerful anti-inflammatory medicine that is injected directly into your shoulder joint. Drugs like aspirin and ibuprofen reduce pain and swelling. Non-steroidal anti-inflammatory medicines. Most people with frozen shoulder improve with relatively simple treatments to control pain and restore motion. Frozen shoulder generally gets better over time, although it may take up to 3 years. The focus of treatment is to control pain and restore motion and strength through physical therapy.
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