Surgical Treatments for Adhesive Capsulitis

Surgery is only used for severe cases of adhesive capsulitis in which all other treatments have failed. The aim of adhesive capsulitis surgery is to stretch or release the contracted, tight shoulder joint capsule. This can be accomplished through 2 methods - your surgeon will determine the best procedure for you.

Manipulation under Anesthesia (MUA) is a day procedure that involves the surgeon manipulating your shoulder (forcing your shoulder to move through full range of motion) to stretch and break up tight scar tissue around your shoulder joint while you are asleep. This is supposed to free the shoulder and increase range of motion. It is often performed in stage 1 or stage 2 of adhesive capsulitis. There are some complications with this procedure that include but are not limited to, stretching and possibly tearing of the soft tissues in your shoulder (rotator cuff muscles and tendons, ligaments, cartilage, joint capsule), increasing inflammation and scarring in the shoulder joint, dislocating or fracturing your arm bone, neurovascular injury to your brachial plexus or other nerves, and severe osteopenia (reduction in bone mass or density). This procedure requires aggressive rehabilitation.

Arthroscopic Capsular Release

Occasionally an arthroscopic exam or open surgical procedure is required to release a tight shoulder joint capsule, especially when you have a very adhesive capsulitis after an injury, trauma or fracture (often used with diabetics as well). Arthroscopic surgery involves making tiny incisions around your shoulder joint and inserting a pencil-thin, fiber optic camera with a small lens and lighting system in one hole, and small surgical instruments in the other holes. The surgeon will take a look inside your joint to investigate all the soft tissues and bones. These images will then be transmitted to a TV monitor, which allow the doctor to make a diagnosis and/or perform the adhesive capsulitis surgery under video control. At the end of surgery, your incisions are closed, and a dressing is applied.

Arthroscopic capsular release involves cutting the tight portions of your joint capsule, scar tissue and your coracohumeral ligament. This frees your joint which alleviates pain and returns your full range of motion. Results are seen faster with this surgery than with MUA, and this surgery can be repeated a few times if inflammation and scar tissue persist. However, if shoulder movement isn't regained, open surgery may be required (a larger incision is made to have better access to the shoulder). Complications with this surgery involve persistent stiffness and pain.

Sometimes both surgeries will be used to get the best results. Generally recovery ranges from 6 weeks to a year after surgery. Your doctor will provide you with a rigorous, customized rehabilitation plan based on the treatments noted previously.

Keep in mind the longer you have your adhesive capsulitis symptoms prior to surgery, the longer it will take to recuperate. If you return to your activities too soon, you could cause permanent damage. You want to ensure the strength, flexibility and stability of your shoulder muscles before taking on too much.

Therapeutic Products

Blood Flow Stimulation Therapy

You can help your body repair itself by speeding its natural healing process using an Inferno Wrap™. The Inferno Wrap's patented design delivers the most effective Blood Flow Stimulation Therapy you can find.

During normal activities, the movement promotes blood flow through our body. Our body responds to the movement by sending oxygen and nutrient-rich blood to the muscles, joints, tendons and other soft tissue in the body.

When at rest, the blood flow to your tendons is greatly reduced. Unfortunately, when your tendon is injured it requires rest but it also needs the blood flow to promote the healing process. Since you can't work your tendon without danger of further injury, you need to stimulate the blood flow another way.

Our innovative Inferno Wrap™ gives you the best Blood Flow Stimulation Therapy available. The Inferno Wrap™ creates energy waves that stimulate blood flow by penetrating through the outer layers of your body. The energy waves reach deep into your muscles, tendons and cartilage, reducing your pain as they heal the inner tissue.

An Inferno Wrap™ gives you unparalleled blood flow stimulation to your injured tendon. You simply won't find a comparable product on the market. Other therapy products can not come close to offering the comfortable, contoured fit and targeted energy treatment an Inferno Wrap™ provides.

You will experience a soothing, penetrating warmth deep in the tissue as it works to stimulate your blood flow, we guarantee it. Now you can reduce your pain and heal yourself with the comfortable, light weight Inferno Wrap™.

The Inferno Wrap™ provides effective, non-invasive, non-addictive pain relief with no side effects.

When your tendon has healed somewhat and it comes time for more aggressive rehabilitation, stretching and activity, Blood Flow Stimultation Therapy warms the muscles in the injured area which increases range of motion and allows for a safer more thorough stretch.

Therapeutic Ultrasound

Ultrasound Therapy is also a great tool for pain prevention of tendonitis or healing a tendon tear, and having a therapeutic ultrasound device at home can be a powerful and convenient treatment tool. If you have symptoms of tendonitis or are recovering from a tendon injury, using ultrasound on a regular basis before your activity or throughout the day will help relax your tendons and muscles, diminish pain and inflammation, soften scar tissue and contribute greatly to the healing of your injury.

Therapeutic Ultrasound heats and massages your soft tissue giving you three primary benefits. First, it increases blood flow in the treated area which speeds your body's natural healing process. Second, it reduces swelling and edema which are the main sources of pain. Third, ultrasound softens existing scar tissue and minimizes the build up of new scar tissue resulting in reduced pain while healing and greater flexibility once healing is complete.

Eucalyptus...
It's in our Gel!

Ultrasound can also be used to administer therapeutic medicines into the body. This is a process known as phonophoresis. Ultrasound with Phonophoresis is rapidly becoming more popular than Ultrasound Therapy alone.

Peppermint...
It's in our gel too!

Our MendMeShop Lavender Infusion Gel is the only topical therapeutic gel that is also a Phonophoretic Ultrasound Gel. It is made with natural medical ingredients including eucalyptus, peppermint, Bulgarian lavender and menthol. These effective ingredients have anesthetic, anti-inflammatory, analgesic, decongestant, and circulatory stimulant properties. When applied topically and massaged into the skin, MendMeShop Lavender Infusion Gel relieves pain and speeds healing without any side-effects.

Cold Compression Therapy

Our cold compression wraps work by interrupting and slowing nerve and cell function in the area of your injured tendon. Once blood vessels are damaged they can no longer carry oxygenated blood to the damaged tissue and therefore cells begin to break-down. The deep cold provided by our cold compression wraps slows cell function thereby reducing cellular break-down. Furthermore, because the cold wraps serve to numb the nerves, the wraps also reduce pain!

We have noticed over time that our customers are so fond of our cold wraps that they are frequently coming back and ordering a second one - this way they can cool one while wearing the other. The wraps are becoming very popular with baseball and soccer trainers, and the wraps can be conveniently stored in a cooler for quick application on the field when needed.

Always allow the injured area to return to normal body temperature between hot and cold treatments by waiting 60-90 minutes before applying a different therapy.

Or email us at service@MendMeShop.com