Peter Hallam MS FRCS (Orth), Consultant Orthopaedic Surgeon
Frozen Shoulder
In a frozen shoulder the baggy lining (capsule) of the shoulder contracts leading to a reduced range of shoulder movement and stiffness.  A frozen shoulder can occur after an injury to the shoulder or spontaneously.  The condition is far more common in diabetics.  The natural history of a frozen shoulder is one of resolution but this can take up to 2-3 years.

Symptoms
A painful, stiff shoulder. Sometimes the pain can be very severe and radiate down the whole arm into the hand. 

Investigations
X rays and an MRI scan.

Treatment
Non-Operative:  Non-operative treatments include physiotherapy and hydrodilation.  A hydrodilation is an injection of local anaesthetic and cortisone under pressure to try and stretch up the contracted capsule to make it baggy again. 

Operative:  If the non-operative treatments fail then a keyhole operation can be carried out to release the contracted shoulder capsule (arthroscopic release of adhesions & manipulation)
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