Frozen Shoulder Release

The patient is placed under general anaesthesia, and the surgeon carefully moves the shoulder joint through its range of motion. This process helps break up the tight tissues around the joint without making any incisions. MUA is generally chosen for less severe shoulder stiffness and can quickly improve mobility.

This minimally invasive procedure involves making small incisions and inserting an arthroscope (a thin tube with a camera) to access the joint. The surgeon then cuts the tight tissues (capsule) that are restricting movement. This option is usually recommended for more severe cases of frozen shoulder and provides a precise, controlled method for restoring mobility.

Open surgery involves making a larger incision to directly access and release the tight tissues. Although rarely performed, it is considered when less invasive methods, such as arthroscopic release or MUA, are not suitable or have failed to provide sufficient results.

General anaesthesia is typically used to put the patient to sleep during surgery. In some cases, regional anaesthesia may be used to numb the shoulder while the patient remains awake but relaxed.

Manipulation Under Anaesthesia (MUA)

If MUA is chosen, the surgeon will gently move the shoulder through its full range of motion to break up the tight tissues around the joint. This process does not involve incisions.

Arthroscopic Capsular Release (if applicable)

The surgeon makes several small incisions around the shoulder. An arthroscope is inserted through one of the incisions to view the inside of the joint. Specialised instruments are then used through the other incisions to cut and release the tightened tissues (capsule) that are restricting movement.

After the procedure, any small incisions made are closed using sutures or surgical tape. The area is then covered with bandages to protect the wound and minimise the risk of infection.

After surgery, the patient is monitored until the effects of anaesthesia wear off. The shoulder is supported with a sling or immobiliser to limit movement and protect the joint. Pain is managed with prescription medications, and ice therapy is used to reduce swelling and prevent further inflammation around the joint.

Physical therapy begins within a few days after surgery to prevent stiffness and maintain mobility. Early sessions focus on gentle, passive range-of-motion exercises to avoid reinjury while promoting joint movement. As healing progresses, the physiotherapist will introduce active exercises to improve flexibility and strength. The rehabilitation plan is tailored to each patient’s needs and may include stretching, resistance exercises, and posture correction.

Improvement is often noticed within the first few weeks, but full recovery of shoulder strength and mobility can take several months. The sling is usually discontinued as mobility returns and strength improves through therapy. Continued practice of home exercises ensures lasting results and prevents adhesions from reforming. Follow-up appointments help monitor progress and adjust the rehabilitation plan as needed.