Hydrodilatation - my experience
Posted , 76 users are following.
I've decided to start another thread on here to document my experiences with Hyrodilatation (also spelled Hydrodilation or known as Arthrographic Distension) and how well it works for me over the next few weeks or so.
A brief background, in case anyone didn't read my original thread. I started with odd pains in my shoulder in spring, this year, with no apparant cause and I assumed I'd just pulled a muscle or something like that and hoped it would go away on it's own. It got worse over the summer and I also started to lose movement. I had the usual excrutiating pain on knocks or jerks and aches right down my arm. Pain, lack of sleep and loss of movement finally drove me to the GP in September where I was diagnosed with a frozen shoulder. I managed to seek physiotherapy with Bupa (or I'd still be on the NHS waiting list) and was recommended by a physio to see a consultant with a view to Hydrodilatation.
I had my Hydrodilatation this afternoon - 14th December. A few hours on and I'm feeling fine. I was very nervous but the procedure itself went well and took 15-20 minutes in total. I'd worn a vest top, which meant I didn't need to wear a gown and just dropped my straps off my bad shoulder. I was asked to lie on my front, with a pillow for support. I'd thought the procedure was done via x-ray guidance but it was in fact ultrasound guided. The doctor explained what was about to happen and did an initial scan of my shoulder area before giving me a local anaesthetic. He then put in the needle for the hydrodilatation, which administered first some cortisone and then saline. He said I might feel some pushing and to let him know if it became painful. There was some discomfort but I wouldn't describe it as painful and within a few minutes, he said the saline had started to leak out of the joint and the procedure was over. He did another scan and checked my movement before and after - there was perhaps a couple of degrees improvement but nothing drastic. I left the hospital with a plaster on my shoulder and feeling fine. He said I might experience a bit of aching once the local anaesthetic wears off but the cortisone should kick in within a day or two and should improve things pain-wise.
Physiotherapy is recommended within a few days of the procedure and I have an appointment with the physio on Friday morning and another to see the consultant again in about 6 weeks. So far, so good but it remains to be seen how sucessful it has been in improving pain and getting my movement back. I can currently lift my arm about 90 degrees in front, slightly less at the side and very little behind my back.
I will document my progress over the next few days and weeks, for anyone else considering this treatment. Hope this information is of help to someone and fingers crossed that the procedure works for me!
8 likes, 220 replies
Lambchop2 maria58274
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maria58274 Lambchop2
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"The injected fluid can be seen to expand the joint and sometimes flow out of the joint in a particular direction. Distension of the glenohumeral joint with fluid is thought to disrupt adhesions (scar tissue), thereby opening or freeing up the joint allowing improved range of movement."
Lambchop2 maria58274
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maria58274 Lambchop2
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moira61832 maria58274
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I have just been diagnosed with FS and am on the waiting list for hydrodilitation . I am in so much pain, getting showered and dressed in the morning leaves me exhausted. It is good to read about how others have got on with the treatment. I am hoping to get my life back
elaine93514 moira61832
Posted
I totally sympathise with you. This is my 2nd FS. My left shoulder was affected 3 yrs ago due to stretching awkwardly. This time its my right shoulder brought on by breaking my wrist.
I am due to have hydrodilitation May 15th. I know whats ahead of me as I had it done 3 yrs ago so anything that helps get rid of this debillitating misery is a blessing.
The pain, the stiffness, the lack of movement to do simple things like doing your hair, your bra etc is beyond belief.
It will get a bit easier pain wise.
I will keep you informed as to how my procedure goes.....are you on the NHS waiting list? Its chronic how much pain you have to put up with before they treat you but going private was out of my reach.
Good luck & keep the arm moving as much as you can....I know the pain!!
moira61832 elaine93514
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elaine93514 moira61832
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That's good, you will soon feel the benefits...roll on May 15th for my procedure😊
jackie98217 elaine93514
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lyn123xmas elaine93514
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I had hydrodialtion and within 3 weeks i have movement back except putting bra on but i excersized every 20 mins for 2 weeks
But pain is still there
Ive had fs since feb now waiting on steroid injection
Hydrodilatation was very painful x
jackie98217 lyn123xmas
Posted
Hi Lynne,
I'm sorry to hear the hydroditliation has not been completely successful for you, on a positive note, the pain has greatly reduced for me following the cortisone injection but the restriction on movement has not changed at all, hopefully when you have the injection you may be able to get back to normal, it is such a debilitating thing to have isn't it, I hope you get your injection soon x
CynCash lyn123xmas
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pollmadoll64 maria58274
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maria58274 pollmadoll64
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maria58274
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As expected, I had some aching when the local anaesthetic wore off but nothing too drastic, just a mild ache. This has gradually worn off over the last couple of days. There is now just an odd slight twinge on certain movements and if I try to push too far beyond my range but it doesn't hurt at all at rest and I can even lie on that side - for a short time at least.
The physio seems to think I have gained a bit more movement since my last visit. I told him that from my perspective, lack of pain was most important and I was happy to regain my movement slowly. He checked me out and did a bit of minor manipulation but basically said it's up to me now. He's happy for me to carry on with the excercises at home and only need to go back to him if I have problems. He also worked some magic on my back which I think I pulled by doing everything so awkwardly! I have a follow-up appointment with the consultant at the end of January, so will see how it is by then.
Will report back if anything changes - in the meantime, I hope all of you have a peaceful Christmas and a pain-free new year!
denise7654 maria58274
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Hi Maria. I had Hydrodilatation last week - i have 2 frozen shoulders. They did one shoulder last week and then the next day I had to start physio. The physio told me to use a shoulder pulley and to take amitriiptyline for the pain. At the moment I am only using cocodamol for the pain. I don't know if I have pushed too far with the exercises but I am in agony.
How did you get on with your physio? What did they have you doing? There's so much conflicting advice out there. How are you now? Thanks! Denise
maria58274 denise7654
Posted
Hi Denise
2 shoulders at once, sounds awful! I didn't have much physio after the first one (a very badly frozen shoulder) - the physiotherapist showed me exercises to do at home, which I continued on a rather ad hoc basis. These were all gentle exercises, stretches, etc, stopping if it hurt. The physio I did before the first hydrodilatation did not help - in fact it often seemed to make things worse. The procedure stopped the pain after a couple of days - just leaving a little discomfort if I slept on that shoulder for a while. My movement didn't return immediately but I gradually regained it over the following months.
The second one (2 years later) was done at a much earlier stage, as I'd recognised the symptoms and I hadn't lost much movement. I did have some physio after that - but again the excercises were gentle enough not to cause pain. I had a great physiotherapist, known personally to my consultant and she'd had a frozen shoulder herself, so knew what I was going through. A year on from that second procedure, I'm absolutely fine. As far as I can tell, I have full movement and no pain. It worked very well for me.
There is a lot of conflicting information - and I'm no doctor - but from a personal perspective, I don't think physio that causes more pain is helpful and could even set you back. Exercise by all means but keep it gentle, stopping if it becomes painful. Good luck, hope you're soon on the mend.
denise7654 maria58274
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Hi Maria
Thanks for your very helpful and reassuring reply. It's so so good to speak to someone who has been through this. Not many people have heard of hydrodilatation (even my own GP, and other healthcare professionals I know as friends, had not heard of it) let alone been through it.
It's been a nightmare with both shoulders at the same time. Agony!!! My partner is doing everything (cooking, cleaning, washing my hair, helping me dress and even doing my work .... I'm a dance teacher!). I'd had a minor issue with one shoulder late last year, went to a physio in Feb, and the exercises he gave me were the final straw - both shoulders seized up almost immediately (pure agony!!)
I paid to see a private sports doctor in March and she diagnosed it and recommended hydrodilatation. Thanks to my GP, they managed to get it done on my left shoulder last week through the NHS. Almost immediately afterwards the shoulder felt looser and in less pain. Not much change in range of movement but certainly less pain.
The hospital had arranged a physio appointment for me for the following day. The physio gave me exercises with a pulley for both shoulders. He wasn’t impressed that I’d had the procedure done, as he believes he could sort out both shoulders through physio alone. He really pushed me hard ... hence the agony I was back in yesterday.
I think you are right - I will do exercises ... but very very gently.
The problem with FS is that every healthcare person has a completely different view on it. I’ve had so much conflicting advice/info. You end up battling not only with the pain/disability, but also with the doubt about whether the approach you have taken is the correct one.
It really is so good to be able to speak to people who have been through the same thing. No matter how much my family and friends try to help, they really don’t know how painful this is.
Thank you!!
CynCash denise7654
Posted
Hi Denise, I too have two frozen shoulders! The left one for 11 months and the right for about 6 weeks now. I pretty much left the left one alone and the pain subsided after a few months and I gotten some ROM back. I am noticing that the pain has come back a bit again in that shoulder as I had to all of a sudden pick up all of the slack with that arm once my right one went FS!
This time I went to an ortho who is recommending hydrodialation with aggressive PT. My PT from Florida said best to rest it more than aggravate it and that it will get better on its own in its own time if I don't mess with it too much.
What to do? How are you doing? Thanks!
maria58274 CynCash
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I highly recommend hydrodilatation - I've had it done twice now, first on my badly frozen and painful shoulder and the second on my other shoulder which was done much earlier, as I recognised the symptoms. I do NOT however recommend aggressive physiotherapy - gentle physio only, stopping if it hurts. First time the procedure stopped the pain and I regained my movement over a few months with mainly home exercise. The second time I hadn't lost much ROM - with the procedure and gentle physio, I was able to avoid the months of pain, lack of sleep, etc and stopped my shoulder from freezing further. Good luck and I hope you get the treatment you need.