Arthroscopic Lysis of Adhesions

Arthroscopic surgery performed for persistent frozen shoulder.

Arthroscopic Lysis of Adhesions

If a frozen shoulder persists despite cortisone injections and therapy, the patient may be a candidate for an arthroscopic lysis of adhesions. The shoulder arthroscopy is a surgical procedure done with a small camera and instruments through small incisions called portals. This procedure allows the surgeon to directly visualize and release the adhesions that are restricting motion. The shoulder will also be manipulated in the operating room to measure the motion after the capsular release. Physical therapy will be a crucial part of the postoperative recovery and will begin almost immediately after surgery to ensure that the patient retains the motion gained in the operating room. The patient’s progress will be carefully monitored by their surgeon and physical therapists. Once the patient’s motion has improved, it is critical that they continue to do the exercises on their own to avoid developing the problem again in the future.

Modern Orthopaedics of New Jersey, Wayne, Parsippany, Dr. Peter DeNoble MD and Dr. David Ratliff MD. Orthopedic Surgeons, Hand Surgeon

Frequently Asked Questions

Most shoulder pain can be treated with rest, anti-inflammatories and physical therapy. Any primary doctor or general orthopedist can prescribe these simple solutions, but a trained shoulder specialist won’t just treat your pain — they will diagnose and treat your specific problem

At Modern Orthopaedics, our trained shoulder specialists will ask the right questions, perform specific examinations and order imaging when appropriate. They will be able to diagnose your problem and treat you whether your problem is simple or complex. Although you may not feel like your shoulder issue is “bad enough” to see a specialist, it is advantageous to have the opinion of an expert in the field when it comes to your health.

Before deciding on the treatment for your shoulder pain, our doctors will first diagnose your problem. Depending on the type and severity of your problem, the treatment options will vary.

Generally, physical therapy will be involved in the first step of treatment. You will work closely with a therapist two to three times a week to develop a routine that is tailored to your diagnosis and needs. Therapy may take some time to help, which is why a six-week trial is generally recommended before proceeding with other treatment options.

Cortisone injections are often used in orthopedics. Our doctors are conservative when it comes to using cortisone injections and reserve them for specific situations. They are most commonly used for patients who may have a stiff or frozen shoulder or shoulder arthritis. They use them less commonly for rotator cuff issues, but there are exceptions. Each patient’s situation is unique, and our doctors will work with you to ensure the highest level of care.

Surgical intervention is reserved for shoulder issues that do not respond to more conservative measures or acute injuries that need to be addressed right away. The most common shoulder surgeries performed by our doctors are done arthroscopically. This allows for smaller incisions and a quicker recovery for our patients. The length of recovery, immobilization period and rehabilitation protocol differ depending on the surgery.

Many patients complain of shoulder pain that disturbs their sleep. It can be caused by many different shoulder issues. The pain comes from inflammation in the shoulder that may be a result of tendinopathy, rotator cuff tear, frozen shoulder, arthritis or a number of other issues. When lying in bed, it is difficult to find a position that is comfortable due to the fact that many people lie on their sides, stomach or with their arms overhead. In many cases, if the pain is persistent, patients will find sleeping in a recliner is most helpful. Whether you have had months of restless nights or just a few days, we can help you understand what is wrong and determine the best ways to improve your quality of life.
DRUJ Instability/Arthritis, Ulnocarpal Impaction, DIP Pinning for Mallet Finger

Benefits

Our world-class orthopedic surgeons have years of experience treating shoulder conditions. We believe that even the simplest problems should be evaluated by a specialist.

Personalized care

As our patient, you will have an in-depth consultation with one of our doctors. We will create an individualized treatment plan together, tailored to your problem and lifestyle. Our doctors prefer non-invasive treatments whenever possible, including physical therapy and/or injections. If your problem ultimately does require surgery, our doctors prefer the least invasive surgical techniques possible. Our goals are the same as yours: to get you back to living your best life, pain free. 

Get in touch

Please contact us using the below form or call (973) 898-5999 to request an appointment today.