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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)

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