Certain shoulder conditions may be managed without surgery, and in some cases “pre-hab”, or physiotherapy and other modalities before surgical intervention, can play an important role.
FROZEN SHOULDER - ADHESIVE CAPSULITIS.
This is a common condition in certain patient groups, typically women, often patients with diabetes or other endocrine problems. The mainstay of treatment is gentle stretching and injections (corticosteroid and local anaesthetic) into both the shoulder joint space itself (glenohumeral) as well as above the shoulder joint around the tendons (subacromial). The majority of patients do not progress to surgery for this condition, but in persistent cases an arthroscopic (keyhole) surgery to release the thickened, inflamed, tight joint capsule may be recommended.
To see the home stretching programme Ms. Delaney uses for her adhesive capsulitis patients, please visit the following link: