Innovative Treatments for Frozen Shoulder: Exploring Regenerative Orthopedic Solutions

Interview with Dr. Kevin O’Donnell | Revitalize Regenerative Orthopedics

What regenerative orthopedic treatments do you recommend for frozen shoulder, and how do they compare to traditional methods?

Frozen shoulder, also known as adhesive capsulitis, is a chronic condition characterized by progressive pain and reduced range of motion in the shoulder. Traditional methods typically involve physical therapy to restore motion, which can be effective but often requires months or even years for improvement. In more severe cases, corticosteroid injections combined with physical therapy may provide modest results. Alternatively, an orthopedic surgeon might suggest manipulation under anesthesia, a more aggressive approach to restore motion.

At Revitalize Regenerative Orthopedics, we’ve developed a minimally invasive treatment called hydrodilation. This procedure involves a nerve block to numb the shoulder, an injection to expand the joint, and gentle osteopathic manipulation to stretch the tight capsule. Patients generally experience moderate to significant improvement after just one treatment, followed by physical therapy for sustained recovery. This method is faster and less aggressive than traditional approaches.

Why are women more likely than men to develop frozen shoulder?

Women, particularly those over 40 and in the perimenopausal or menopausal phase, are more prone to frozen shoulder. Hormonal changes during this time increase the likelihood of developing this condition. Additionally, individuals with certain medical conditions, like diabetes, are at a higher risk. In our practice, the ratio of women to men treated for frozen shoulder is approximately three to one.

Can frozen shoulder be linked to underlying health conditions? How do you address this in your practice?

Yes, frozen shoulder can sometimes be a symptom of underlying conditions such as diabetes, thyroid disorders, or cardiovascular disease. If a patient comes to us directly, we always review their medical history and inquire about recent blood tests, including hemoglobin A1c levels or thyroid function. If we suspect a more serious underlying issue, we work closely with their primary care physician to address it alongside the treatment for frozen shoulder.

Do patients always know they have a frozen shoulder, or do they sometimes mistake it for something else?

While most patients suspect frozen shoulder, some arrive thinking they have a rotator cuff issue or general shoulder pain. During an examination, the limited shoulder movement often reveals the true diagnosis. Frozen shoulder can coexist with other shoulder issues, so we prioritize treating the frozen shoulder first, then follow up with physical therapy or Regenerative Injections Therapies to address additional concerns.

What treatment options do you use for frozen shoulder?

Hydrodilation is our primary treatment for frozen shoulder due to its effectiveness and quicker recovery time. A hydrodialation is an ultrasound guided needle procedure in which we stretch out the overly tightened capsule using fluid and anesthetics We also use Shockwave therapy, which has been proven to alleviate symptoms and promote healing. For severe cases, we may combine hydrodilation with Shockwave therapy to enhance outcomes and ensure continuous improvement in shoulder motion.

Can frozen shoulder return in the same shoulder or affect the opposite one?

Frozen shoulder can recur, though it’s more common for the condition to develop in the opposite shoulder. In our experience, less than 10% of patients experience a recurrence in the treated shoulder. However, those who have had frozen shoulder in one shoulder are at a higher risk of developing it in the other.

How do you educate patients about aftercare and the risk of recurrence?

We provide all patients with post-treatment instructions, including detailed guidance on rehab and symptoms to monitor. Our team maintains close follow-ups for several months to track progress and ensure patients are recovering as expected. Education is a key component of preventing recurrence or addressing it early if it arises.

What role does physical therapy play in the recovery process?

Physical therapy is essential to achieving full recovery from frozen shoulder. While treatments like hydrodilation can offer significant improvement—up to 80% in some cases—physical therapy helps patients regain the remaining range of motion and strength. We encourage patients to work with a therapist or engage in a dedicated home exercise program to achieve optimal results.

Key Takeaways:

• Hydrodilation offers a minimally invasive and effective solution for frozen shoulder, providing significant improvement in one treatment.
• Women over 40 and individuals with underlying conditions like diabetes are at higher risk for frozen shoulder.
• A comprehensive approach, including physical therapy and follow-up care, is crucial for full recovery and preventing recurrence.

Ready to Take the Next Step?

If you’re experiencing shoulder pain or stiffness, Revitalize Regenerative Orthopedics can help. Book an assessment today, including an advanced diagnostic ultrasound, to identify the best treatment for your condition. Don’t let frozen shoulder limit your life—start your recovery journey now!