Adhesive Capsulitis -- Closed Manipulation

Adhesive capsulitis is a tightening in the shoulder joint. It decreases the range of motion in the shoulder and causes pain. The shoulder does not have full range of motion even when a therapist tries to move the shoulder. This condition is also known as frozen shoulder . It is caused by tightening of the soft tissue and formation of scar tissue. During closed manipulation, the doctor moves the arm at the shoulder joint. This is done to break up adhesions and loosen the stiff joint. The goal of the procedure is to improve range-of-motion by breaking up scar tissue.

  • Call Your Doctor


    After you leave the hospital, contact your doctor if any of the following occurs:

    • Cough, trouble breathing, or chest pain
    • Severe nausea or vomiting
    • Pain becomes worse or swelling increases
    • Tingling or numbness that will not go away, especially in arms and hands

    In case of an emergency, call for medical help right away.

  • Definition


    Adhesive capsulitis
    is a tightening in the shoulder joint. It decreases the range of motion in the shoulder and causes pain. The shoulder does not have full range of motion even when a therapist tries to move the shoulder. This condition is also known as
    frozen shoulder
    . It is caused by tightening of the soft tissue and formation of scar tissue.

    During closed manipulation, the doctor moves the arm at the shoulder joint. This is done to break up adhesions and loosen the stiff joint.
    The goal of the procedure is to improve range-of-motion by breaking up scar tissue.

    Frozen Shoulder
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    Copyright © Nucleus Medical Media, Inc.

  • What to Expect

  • Reasons for Procedure


    Your doctor may recommend closed manipulation if other methods of relief have failed. This procedure can relieve pain and stiffness for some patients. In others, there is still some pain and swelling in the shoulder joint. If the closed manipulation is not successful, you may need
    arthroscopic surgery
    .

  • Possible Complications