Frozen shoulder and treatment

FROZEN SHOULDER – ULTRASOUND GUIDED HYDRODILATATION OR HYDRO DISTENSION INJECTION:

If you are suffering from the frozen shoulder, HomePhysio247 can offer you a special procedure called ‘Hydro dilatation’, also known as ‘Hydro distension’. In the majority of cases this simple outpatient procedure can stop the shoulder joint pain and improve range of movement in a few weeks time, preventing from invasive surgery.

If untreated frozen shoulder symptoms (severe pain and joint movement restriction) may lasts for years. 

This procedure is an outpatient procedure and carried out at your convenient time.  You do not require a GP referral for this. 

 

What is frozen shoulder?

Frozen shoulder is a condition where the shoulder becomes very painful and gradually loses mobility on all directions. It can be a result of injury, but it can also happen spontaneously.

Signs and symptoms: 

  • Unable to reach back.
  • Unable to fasten bra
  • Difficulty putting on clothes.
  • Intense shoulder pain with daily activities. 
  • Moderate to Severe shoulder pain, especially during night time. 

    Who is prone to develop frozen shoulder?

    Middle age poeple are more prone to develop the condition.

  • Often associated with stretching injury to the affected shoulder 
  • Following a fall / trauma
  • Diabetes 
  • Unknown reason

 

         What do we do?

  • We will assess your shoulder clinically to confirm the frozen shoulder. 
  • In house Ultrasound shoulder scan is carried out immediately to rule out rotator cuff tear. 
  • Then the safety checks are carried out for the suitability of the injection.
  • If suitable, ‘Hydro dilatation’ or ‘Hydro distension’, is carried out in the same appointment under ultrasound guidance.
  • Injection may start working immediately or in 3-4 days of time. 

     

Does it work?

‘Hydro dilatation’ or ‘Hydro distension’, is a special procedure to treat frozen shoulder condition. Fluid expands the joint capsule and stretches the scar tissue, ligaments and muscles to improve shoulder movement. Steroid is a strong anti inflammatory medication helps to reduce the shoulder pain. The success rate is great, especially when combined with the physiotherapy exercises following the procedure. 

What is Hydro dilatation injection?

This special procedure for the frozen shoulder is carried out under ultrasound guidance. Local anaesthesia is given just under the skin using a very small needle to numb the skin. Then the needle is guided in to the joint space and injected with local anaesthesia + water for injection + Steroid/Corticosteroid, until the joint capsule is stretched or felt pop.

Frozen shoulder and treatment