After evaluation of frozen shoulder my doc advised to go in for physiotherapy sessions for 12 weeks. Depending on the improvement we could take it fruther.It sounded fair to me.

Started my physiotherapy sessions in mid Nov 2010 till jan 2011 end.There was a 10% improvement in my hand. With regular visit to hospital twice a week the pain was not much but the hand movement was restricted.

The orthopedic evaluated my condition in feb 2011 1st week. He realized the movement was not as per accepted, my hand was still stiff but pain had reduced drastically was rather to put it this way- i was use to pain.Way forward was to either surgery or hydrodilation or leave it on its own to heal.

1) Hydrodilation:-

Some cases of frozen shoulder or adhesive capsulitis are very resistant to the normal treatment methods used and the pain and limited movement persists for many months.

Hydrodilation or hydrodilatation (the two words mean the same thing) is a unique way to improve frozen shoulder. It works well for almost every case of a frozen stuck shoulder.

The principle is simple really.

The sticky adhesions of a frozen shoulder cause the joint capsule to stick to the bones and to other parts of the capsule – leading to pain and limited movement. By using an x-ray machine to guide a needle into the shoulder joint and then using that needle to inject fluid under gentle pressure, these sticky adhesions can be teased apart and stretched – causing a release from the pain and stiffness.

2. Surgey

Frozen shoulder is a self-limiting Condition.The key is to find a way to obtain pain relief while nature gets on with the job of regaining normal movement and function. Nature achieves this in almost every case. That doesn’t leave much of a role for surgical treatment!

Operations for frozen shoulder tend to be reserved for those who have failed to gain pain relief from other means or who have ongoing stiffness and loss of function after long months of treatment. Modern surgery for frozen shoulder involves going into the joint with an arthroscope (a camera) through a very small incision. The surgeon can see any tight areas in the joint capsule and can free up the joint by separating any stuck sections. Some surgeons previously manipulated the shoulder very aggressively when the patient was under anaesthetic but this technique is now rarely used. It was often effective but carried quite a high risk of damaging the joint or the bones of the shoulder region.

3. Leave it in its own:- Nature works out a way to heal the frozen shoulder, so you can leave and it will heal eventually.

My choice was to go ahead with hydrodilatation.mI dint wanted to go in for another surgery as i have seen the effect of 1 before. As there was no alternate choice than to go in for hydrodilatation. Doc refered me and i got an appointment on 21st feb 2011.

Mean time i thought to google out about this process. I read many blogs who didn’t hd quite a good experience and resulted in more mess. I was really worried but had no option.

Hydrodilatation simply put is a process in which a salt water is injected in your shoulder. Due to the excess pressure the capsules expands and breaks realising all the joints.Scary right….even i was.The follwoing fig shows when the injection is important.Tried to be clam and go ahead with the process.

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