This operation is performed under general anaesthetic and a regional nerve block. It involves two main steps: Arthroscopic release and manipulation.
First, an area at the front of the shoulder joint called the rotator interval is completely cleared of the inflamed thickened capsule. The superior capsule is then carefully released beneath your rotator cuff tendons and the anterior-inferior capsule is partially released to create 'a plane of weakness' (a bit like perforations on a piece of paper) that directs the tearing of the rest of the capsule during the subsequent manipulation of your shoulder. By doing this keyhole step first, risk of injury to the arm bone and the structures inside your shoulder is minimised.
Top - Thickened, inflamed rotator interval. Bottom Left - a radiofrequency probe is inserted and used to excise the thick and inflamed tissue. The image on the right shows the completed capsular release. At this point the arthroscope is withdrawn and the shoulder is manipulated. The manipulation involves your surgeon carefully taking your shoulder through a range of motion with enough force to complete the rupture of the residual tight capsule.
Patients generally stay in overnight so that they can rest their arm in an elevation sling. It also gives the physiotherpists a chance to see you before you go home.
Please take your painkillers regularly and start them before your nerve block wears off.
You can discard your sling after a few days and you should begin your shoulder rehabilitation programme as soon as you can.
Please take down your bulky padded dressings on day 3 after surgery, but keep your waterproof dressings on for 12 days. Showering is fine after four days as long as your waterproof dressings are on securely.
Patients' recovery varies, but in general you can expect to return to:
Office work after two weeks if your pain is manageable. Light physical work after six weeks. Heavy labour or overhead sport may take more time
Driving is allowed once you are confident and competent to control a car - this will probably be a few weeks.
Physiotherapy is vital after this procedure. This is because it is important to maintain range of motion in your shoulder as you heal from the surgery. If you do not, the risk is that your stiffness will recur. The hospital physiotherapist will see you while you are in with us and we will ensure you have your ongoing therapy sessions arranged.
I will see you two weeks after your operation to check on your progress. Thereafter your follow up will be tailored to your progress, but patients can often be discharged at three months.
This operation works well. 85% of patients will enjoy significant improvement in both their pain and their range of motion. A minority will require further treatment. Diabetics are slightly more resistant to treatment for frozen shoulder.
Although recurrence of frozen shoulder is rare on the same side, it is common (up to 40% chance) for patients to develop frozen shoulder on their opposite side at another time.
Shoulder surgery is generally very safe. Specific risks of surgery for frozen shoulder are rare but include: Bleeding, infection, nerve injury, broken humerus bone and damage to structures inside your shoulder joint
Mr Granville-Chapman was very polite and his examination and explanation of my symptoms and expected treatment was thorough
I found Mr Granville-Chapman to be very knowledgeable and professional. He put me very much at ease and explained all the options that I have thoroughly. He also told me to look for further information on the condition and procedures that I needed on his website, which gave lots of information and detail. It was also easy to understand for those without a medical background. I would highly recommend his services to anyone that has shoulder problems and requires a solution.
I attended for a repair of my right bicep tendon. After a thorough examination, Mr Granville-Chapman arranged an operation to be undertaken within 2 days which was extremely quick; he explained his reasoning which was both thorough and reassuring, explaining both the options of undergoing surgery and deciding to undertake conservative management.On the day of the surgery Mr Granville-Chapman was again very reassuring as although this is minor surgery I was still somewhat apprehensive. He came to fully explain the procedure and afterI woke up was quick to check on how I was doing.Overall I am very happy with the careMr Granville-Chapman
I have been very pleased with my treatment so far. Mr Granville-Chapman combines brisk efficiency with a pleasant, sympathetic manner. My operation, however, is still to come ...
From the initial consultation, through surgery on a fractured wrist, and now post-operative follow up, it has been a very positive and reassuring experience with Mr Granville-Chapman. I would have no hesitation in recommending him to someone else.
A first class clinician. A skilled surgeon with an excellent bedside manner.
A very pleasant Consultant who knows exactly how to make pain go away.
Mr Granville - Chapman has an excellent bedside manner. He engaged with my 12 year old son at an appropriate level and took the time to ensure that he understood the procedure and answer all his questions. He is thoroughly professional and I would not hesitate to recommend him.
I have been very pleased with the attention I have received. Mr. Granville-Chapman has reassured me that my symptoms are normal. It is very easy to make appointments that suit me.
Mr Granville chapman I found be caring informative and professional I would recommend him to all if you have a problem don't hesitate to contact him you won't be disappointed.
I recently broke my right clavicle in a mountain bike accident and it was repaired by Mr Granville-Chapman by adding a plate on top of the bone. Having just finished the last post-op consultation, I can confirm that I have been very happy with the process all along. In particular, Jeremy took time to explain in detail why a plate was needed, what the procedure would entail, and also was very patient answering my questions comprehensively beforehand and after during the recovery phase. Would certainly trust this competent surgeon to fix any future fractures I might sustain.
Mr Granville-Chapman has looked after my 15 year old son brilliantly, explaining the surgery, recovery and best way forward, and Kate has been very supportive helping with logistics etc, thank you so much.
So far my experience with Mr Jeremy Granville-Chapman has been personal and informative with regard to the operation I will be having. I feel confident that my operation will be a success and for this reason I am very happy to have Mr Jeremy Granville-Chapman as my consultant.
Very knowledgeable and helpful. Takes the time to make sure you're getting the treatment you need.
Mr Jeremy Granville -Chapman is not only a highly skilled consultant but is able to put you straight away at ease .My appointments were arranged very swiftly which was great, when you are experiencing severe pain. I am very happy with my treatment so far . many thanks to everyone who was involved in my treatment.
Polite, helpful, professional. Makes an effort to ensure full understanding of issues and procedures to be done. Highly satisfied
Very pleasant. Clear, careful explanations & options/possibilities. I feel well informed, and happy that my concerns are being well addressed, with a plan of review of the symptoms.
Excellent advise with everything explained clearly and a successful treatment which has benefited be greatly.
BMI The Princess Margaret Hospital
Osborne Rd, Windsor SL4 3SJ
Spire Thames Valley hospital
Wexham Street, Wexham, Buckinghamshire, SL3 6NH
BMI Bishops Wood Hospital
Rickmansworth Road, Northwood, HA62JW
Wexham Park Hospital, Slough, Berkshire, SL2 4HL