Frozen shoulder

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Frozen shoulder treatment in US. I keep reading about an injection they do with help from an mri or sonogram.  It goes directly into the joint and is a mixture of saline and cortisone.  Can someone tell me where that is bring gone and if it is doneebdte in the US?  

0 likes, 9 replies

9 Replies

  • Posted

    Hi, the procedure is called hydro dilation. I imagine it would be done in US as is fairly common in UK and Australia. Good luck 😊

  • Posted

    It does help loads having the cort
    • Posted

      It does help loads having the cortisone injection in the joint! I've had a frozen shoulder for nearly 7 months! I had my first 1 with the doctor, which didn't work! I had my 2nd one with a shoulder specialist right in the joint! The spasms have stopped and I have a lot more movement with my arm now! My Physio is manipulating it every week! Hope all goes well for you! 

    • Posted

      Evening ElizabethAnne, I to have had similar to yourself in that mine started 7 months ago, just a niggle at first and then a slow decline into severe pain, and aching in the shoulder elbow and wrist by month 2. I too had an initial steroid/anaesthetic mix and then pure steroid into the joint - the latter only 5 weeks ago along with the definite diagnosis of frozen shoulder but I suspected it from the start as the pain was constant.  As your progress in similar to my own I am curious how you are now and do you think you are over the worst of it all? Mine pain has reduced from 8 out of 10 to 4 out of 10 but I'm thinking will the pain return and is it just the steroid 'masking' the extent of the problem underneath. I work in the NHS quite high up but I am on the verge of resigning as I know I won't be able to work for a while.

    • Posted

      I had the mri that showed a torn and frayed rotator cuff, tendinitis etc.   the ortho gave me a steroid shot and recommended pt and the pain has been and is unbearable.  I can’t dress, socialize, have lost weight and am making mistakes at work.  Forget trying to sleep.  This is why I was looking to see if anyone in the states did the “shoulder hydrodilatation” where they give you a shot directly into the joint mixed with saline and cortisone.   I hear that you are supposed to get movement and relief from pain.  It is done routinely in the UK.  Not sure but I have been through months of this.  Nobody really seems to know how to treat that I go to and if I should actually do pt or what type.  They don’t know if my shoulder is in the freezing or thawing stage.   Argh!

    • Posted

      Hi, I have had frozen shoulder on both sides. Tried physio, cortisone  and hydrodilation on first one. Had to stop work as pain unbearable. Then had capsular release operation done by fantastic ortho surgeon Mr Hynes. Could immediately move again without pain! Intensive physio afterwards and I have had no further pain or stiffness. When frozen shoulder developed on other side had no hesitation having capsular release again. Good luck 😊

    • Posted

      Hi Emma, you sound just like myself after reading what you wrote! I'm not having as much pain anymore, and like yourself, I'm worried that once the initial injection wears off that I'll be back to square 1! My Physio has given me 3 little workouts to do every 2 hrs. I don't have spasms anymore, just an aching dull ache during the day/night!  Keep at it Emma and hopefully you'll recover soon! It's a horrible thing to go through, as the pain is constant! 

    • Posted

      Where did you have the capsular release surgery done.    The only thing that cuts the pain is constant heat and tylonel pm.   Was the surgery in the states?   I am in the US.  Thanks!!
  • Posted

    Hi all - I have heard both my physio and private consultant talk about the capsular release AND the hydro dilation and also the manipulation under anaesthetic and they strong advise against it.  These types of procedures interfere with the body's own way of dealing with the problem. Frozen shoulder in ALL people unfortunate enough to get it goes through the 3 phases albeit at varying timeframes from 9months to a few years. However I always remind myself that IT WILL EVENTUALLY burn itself out.  If you go under the knife or stretch the joint capsule it will never be the same again as there will be scar tissue to heal alongside the frozen shoulder!! My life has been totally consumed by frozen shoulder since April this year and between May and September I would have had all 3 procedures at once to relive the pain - however now I am marginally better I count my lucky stars I didn't.  My consultant who specialises in shoulders was even adverse to giving me a second shot of steroid as he said that it would weaken the joint.  If youre young (under 45), don't smoke and are reasonably healthy I would so try to stick it out.  Regular passive exercises help me manage the pain as do naproxen and cocodamol just before bed so I can at least get 6 hours sleep without waking with pain.

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