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Frozen Shoulder Surgery in Singapore

Overview

What Is Frozen Shoulder Surgery?

Frozen shoulder, or adhesive capsulitis, is a condition characterized by pain and stiffness in the shoulder joint, leading to limited mobility. In cases where conservative treatments fail, frozen shoulder surgery is recommended to restore movement and alleviate discomfort.

The primary surgical procedures include manipulation under anesthesia (MUA) and arthroscopic capsular release, both aimed at breaking up adhesions and improving shoulder function.

Benefits of Frozen Shoulder Surgery

  • Restores Shoulder Mobility: Surgery helps regain full or near-full range of motion, allowing for normal shoulder function
  • Reduces Pain: The removal of scar tissue and adhesions alleviates chronic discomfort and stiffness
  • Enhances Quality of Life: Patients can return to daily activities, sports, and work without significant limitations
  • Shorter Recovery Time (Compared to Prolonged Non-Surgical Treatment): In cases where conservative treatment has been ineffective for months, surgery can speed up recovery
  • Minimally Invasive Options Available: Arthroscopic surgery involves small incisions, reducing the risk of complications and shortening recovery time

To find out if frozen shoulder surgery may be suitable for you, please reach out to us today for a detailed evaluation and advice.

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Alternatives to Frozen Shoulder Surgery

Before opting for surgery, many patients try non-surgical treatments, which may include:

  • Physiotherapy: A structured program of stretching and strengthening exercises helps improve shoulder mobility”
  • Medications: Nonsteroidal anti-inflammatory drugs (NSAIDs) and corticosteroid injections can relieve pain and inflammation”
  • Hydrodilatation: A saline injection into the shoulder joint helps expand and break up adhesions

Who Is a Suitable Candidate for Frozen Shoulder Surgery?

Surgery is generally considered for patients who:

  • Have persistent symptoms despite 6–12 months of non-surgical treatment”
  • Experience significant pain that disrupts daily activities or sleep”
  • Have severe stiffness that limits movement and does not improve with therapy”
  • Are in good general health and can tolerate surgery and rehabilitation

How Is Frozen Shoulder Surgery Performed?

There are two main surgical procedures for frozen shoulder:

Manipulation Under Anesthesia (MUA):

  • The patient is placed under general anaesthesia
  • The surgeon carefully moves the shoulder joint through its full range of motion to break up scar tissue and adhesions
  • No incisions are required, but post-procedure physiotherapy is essential

Arthroscopic Capsular Release:

  • Performed using small incisions, this minimally invasive procedure involves inserting a tiny camera (arthroscope) into the shoulder
  • The surgeon precisely cuts through the thickened joint capsule to release adhesions and restore mobility
  • Recovery is faster compared to open surgery, with reduced post-operative pain and scarring

What to Expect Before and After Surgery

Before Surgery

  • A comprehensive consultation with an orthopaedic surgeon includes imaging tests (X-ray, MRI) to assess shoulder condition”
  • Patients may need to stop certain medications and undergo a physiotherapy programme to optimize post-surgical recovery”
  • Pre-operative fasting and hospital admission procedures will be explained

After Surgery

  • Immediate Post-Op: Pain management includes medications and ice therapy to reduce swelling
  • Rehabilitation & Physiotherapy: A structured physical therapy program starts early to prevent stiffness from recurring
  • Recovery Timeline: Most patients regain mobility within 6–12 weeks, but full recovery may take up to six months
  • Follow-Up Visits: Regular check-ups ensure proper healing and address any concerns

Risks of Frozen Shoulder Surgery

Although generally safe, frozen shoulder surgery carries some risks, including:

  • Infection: Though rare, it can occur at incision sites or within the joint
  • Bleeding and Blood Clots: More common in individuals with predisposing conditions
  • Nerve or Blood Vessel Damage: Uncommon but possible in arthroscopic procedures
  • Persistent shoulder pain or Stiffness: Some patients may not achieve full motion post-surgery
  • Adverse Reactions to Anesthesia: Side effects such as nausea, dizziness, or allergic reactions can occur
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FAQs on Plantar Fasciitis

Surgical procedures typically last between 30 and 60 minutes, depending on the complexity of the case.

A sling may be recommended for a few days to provide comfort and support. However, early movement is encouraged under the guidance of a physiotherapist to prevent the recurrence of stiffness and maintain shoulder flexibility.

Post-surgical pain is manageable with prescribed medications, ice therapy, and rest. Some discomfort is expected, especially during the early stages of rehabilitation, but pain typically improves within a few weeks as mobility returns and inflammation subsides

Recurrence is uncommon but can happen if post-operative rehabilitation is not followed properly. Regular physiotherapy, gentle stretching exercises, and ongoing shoulder care help reduce the risk of stiffness returning

Light activities can resume within 2–4 weeks, depending on job requirements. Strenuous activities and sports may take 3–6 months, as full recovery varies from person to person. A tailored rehabilitation program ensures a safe and effective return to normal activities

Physiotherapy usually begins within 24 to 48 hours post-surgery. Early intervention is essential for preventing stiffness and promoting healing.