Specialised treatment for frozen shoulder
Frozen shoulder or adhesive capsulitis, can develop as an isolated event or following an injury such as a fracture, dislocation or other trauma, where there may be reduced shoulder motion over a period of time.
Shoulder movement is dependent on the correct alignment of the surrounding supporting joint lining (or capsule). In adhesive capsulitis, the shoulder joint lining becomes inflamed causing scar tissue to form. This in turn severely reduces (or freezes) the shoulder’s range of movement and is often associated with significant joint pain. Restricted movement of the shoulder accompanied by persistent pain contributes to the frozen status of the joint.
frozen shoulder frequently asked questions
What are the signs and symptoms of Frozen shoulder?
- People with frozen shoulder will report increased shoulder pain associated with reduced joint movement. This is the first of three phases during which the shoulder ‘freezes’.
- Joint pain may become more localised during the ‘frozen’ stage as the inflammation subsides and tissue is replaced by less elastic scarred tissue.
- Patients often report poor sleep patterns due to increased pain at night.
- The third phase occurs as the condition begins to resolve and scar tissue produced during the initial stage begins to loosen.
- It may take considerable time for the condition to enter the ‘resolution’ phase, so treatment is aimed at speeding up the process as much as possible.
What are the causes of Frozen shoulder?
While research has indicated that some medical conditions such as diabetes, heart disease and arthritis can be associated with frozen shoulder, the condition can occur spontaneously, where there may appear to be no obvious cause.
How is Frozen shoulder diagnosed?
Diagnosis is usually made during a physical examination where shoulder pain, together with reduced forward flexion and rotation is observed.
If required, other investigations such as x-rays or ultrasound may be arranged to assist the diagnosis.
What are the treatment options for Frozen shoulder?
Treatment can include anti inflammatory medication; a ‘hydro-dilatation’ with either saline or steroid injections; and physiotherapy aimed to encourage gentle motion in the joint and to prevent the formation of further scar tissue.
If the condition is severe and unresponsive to conservative treatment, your Surgeon may elect to perform a shoulder manipulation under general anaesthesia to help stretch the scar tissue and encourage movement of the joint. This is often accompanied by arthroscopic (key-hole) surgery, aimed at removing scar tissue and adhesions before manipulating the joint to improve movement.
Shoulder treatments
Biceps Tenodesis & Tenotomy
Biceps tenodesis and biceps tenotomy are two similar surgical procedures used to treat chronic pain and tendonitis in the long head biceps tendon. It may also be used to treat SLAP tears. Tenodesis involves cutting the biceps tendon and attaching
Shoulder Arthroscopy
A shoulder arthroscopy allows your surgeon to look inside your shoulder joint and perform a number of procedures using small instruments guided through tiny incisions made in the skin.
Shoulder Replacement Surgery
Also called ‘shoulder arthroplasty’, shoulder replacement surgery is a procedure used to treat very damaged shoulder joints. It is usually recommended as a final treatment after conservative treatments – such as pain medication and physiotherapy – have failed. Orthopaedics SA
SLAP Tear Repair
SLAP is an acronym for superior, labrum, anterior, and posterior – A SLAP tear is an injury to the top part of the labrum where the biceps tendon attaches. The labrum is the ring of cartilage which reinforces the ball-and-socket
Why Orthopaedics SA?
Comprehensive care
From arthritis to sports injuries, we treat a full spectrum of bone and joint conditions to keep you moving.
Expert surgeons
Our highly trained doctors have years of experience delivering precise and effective treatments.
SA’s largest practice
With 23 specialists, we offer unmatched expertise and evidence-based care for every patient.
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We have multiple clinics across South Australia, making it simple to find expert care nearby.
Patient-centric approach
We prioritise understanding your condition to ensure every treatment recommendation feels right for you.
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Our team of nurses and administrative staff works behind the scenes to make your experience smooth and stress-free.
Meet our doctors
Our surgeons are highly qualified to offer personalised treatments tailored to your needs. We take the time to listen, explain your options, and ensure every decision is made with your well-being in mind.
We take responsibility for our patient’s experience
From your initial consultation to follow-up care, our team will guide you through every step of your treatment. Your specialist will provide a detailed recovery plan, including physical therapy to restore function and prevent future injuries.