FROZEN SHOULDER

Arthroscopic
Capsular Release

Most patients with frozen shoulder recover without surgery. However, when severe pain and stiffness persist despite appropriate conservative treatment, arthroscopic capsular release can restore shoulder motion, relieve pain, and accelerate recovery.

Procedure

Minimally Invasive

Purpose

Restore Motion

Candidates

Persistent Stiffness

Recovery

Immediate Therapy

What Is Arthroscopic Capsular Release?

Arthroscopic capsular release is a minimally invasive procedure performed through small incisions using a camera and specialized instruments. During surgery, the tight portions of the shoulder capsule are carefully released to restore motion while preserving the important stabilizing structures of the shoulder.

Unlike manipulation alone, arthroscopy allows the surgeon to directly visualize the joint, address associated pathology when present, and perform a controlled release of the contracted capsule.

Dr. Streit's Clinical Perspective

The goal of surgery is not simply to make the shoulder move more in the operating room. The goal is to restore motion safely while creating the best opportunity for long-term functional recovery through immediate rehabilitation.

When Is Surgery Recommended?

Surgery is considered only after an appropriate course of nonoperative treatment has failed.

Persistent Stiffness

Significant loss of motion despite rehabilitation.

Persistent Pain

Pain continues to interfere with sleep and daily activities.

Failure Of Conservative Care

Stretching, therapy, medications, and injections have not provided acceptable improvement.

Functional Limitations

Difficulty working, driving, dressing, or performing routine activities.

Plateau In Recovery

Motion has stopped improving despite good participation in therapy.

Motivated Patient

Success depends on commitment to postoperative rehabilitation.

What Happens During Surgery?

Using arthroscopic techniques, the contracted portions of the capsule are carefully released to restore mobility. The shoulder is then gently moved through its range of motion to confirm that flexibility has been regained.

If additional shoulder pathology is identified during surgery, it can often be addressed during the same procedure when appropriate.

Recovery After Surgery

Physical therapy begins immediately after surgery. Maintaining the motion gained during the procedure is one of the most important parts of recovery.

Day Of Surgery

Home the same day for most patients.

First Week

Begin aggressive motion under therapist guidance.

Several Weeks

Continue improving flexibility and function.

Several Months

Progressive return to unrestricted daily activities.

What I Tell My Patients

"Surgery restores the opportunity to move. Your rehabilitation is what preserves that motion. The operation and therapy are equally important parts of a successful outcome."

Expected Results

Improved Motion

Less Pain

Improved Function

Related Resources

Has Frozen Shoulder Failed To Improve?

If your shoulder remains painful and significantly stiff despite dedicated nonoperative treatment, a comprehensive evaluation can determine whether arthroscopic capsular release is appropriate and help you understand the expected recovery.

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