Arthroscopic Capsular Release for Shoulder Stiffness
What Causes Shoulder Stiffness?
The shoulder is a complex joint composed of bones, ligaments, and tendons that allow for an extensive range of motion. However, injuries or medical conditions can lead to stiffness, causing pain and limited movement. Shoulder stiffness can develop due to trauma, fractures, rotator cuff injuries, arthritis, bursitis, or frozen shoulder (adhesive capsulitis).
Common Causes of Shoulder Stiffness
- SLAP Tear: A tear in the shoulder cartilage causing deep pain and reduced rotation.
- Rotator Cuff Tears: Can cause weakness and stiffness in the shoulder, limiting movement.
- Arthritis: Cartilage degeneration leads to inflammation, stiffness, and pain.
- Bursitis: Swelling of the bursa causes pain and restricted shoulder motion.
- Frozen Shoulder: A tightening of the shoulder capsule leads to severe stiffness and pain.
What is Arthroscopic Capsular Release?
Arthroscopic capsular release is a minimally invasive surgical procedure that removes inflamed tissue and releases the tight shoulder capsule. This technique improves mobility by eliminating adhesions and scar-like tissue within the joint, restoring the natural movement of the shoulder.
What is Manipulation Under Anesthesia?
For some patients, manipulation under anesthesia (MUA) may be an option. This procedure involves carefully stretching the shoulder under controlled conditions to break up scar tissue and adhesions without making surgical incisions.
Recovery After Arthroscopic Capsular Release
Following the procedure, a rehabilitation program is crucial to prevent the recurrence of stiffness. Patients undergo physical therapy to restore flexibility and strength. Full range of motion may return within 6 weeks, depending on the severity of the initial condition.