Tel:01706 869025
emma.shires2@circlehealthpartners.co.uk
www.fixmyshoulder.co.uk
Mr Robin Seagger
MBBS MSc FRCS
Consultant Orthopaedic Surgeon
Shoulders Elbows and Sports Injuries
Manipulation Under Anaesthetic (MUA) +/- Arthroscopic Capsular Release
Aim:
Reduce pain and restore range of movement in Frozen Shoulder
Frozen shoulder is more common in Diabetic patients
Surgery type:
No incisions (MUA) or Arthroscopic (keyhole)
Anaesthetic:
General (asleep) usually with a nerve block
Objective:
Release ‘scar tissue’ and thickening of the shoulder joint capsule
An area called the Rotator Interval is normally very inflamed and thickened
The shoulder is then manipulated to complete the release process
Most patients gain more movement and less pain
The shoulder will usually be much better but still a little stiff for a few weeks/months
Outcomes can be more unpredictable in diabetic patients
Duration:
10 mins (MUA) or 30-40 mins (Capsular Release)
Scars:
None (MUA) or 2 ( 1 at the back of the shoulder and 1 at the front- 1cm each)
Sling:
Until nerve block worn off ( 18-24 hours)
Sports:
As soon as comfortable
Work:
As soon as comfortable
Sedentary work- 2- 4 weeks
Active/Physical work- 4-6 weeks
Driving:
1-2 weeks as pain control and ROM allow (full control of vehicle)