Hydrodilatation

Hydrodilatation is a medical procedure used to treat adhesive capsulitis, commonly known as frozen shoulder. It involves the injection of a sterile fluid, typically a mixture of saline solution and a corticosteroid, into the shoulder joint capsule to help stretch and expand the tissue. This procedure is often performed under ultrasound guidance to ensure accuracy and safety.

The primary goal of hydrodilatation is to alleviate pain and improve range of motion in the affected shoulder. The injected fluid helps to break up adhesions and scar tissue within the joint capsule, allowing for greater mobility and reduced inflammation. In some cases, hydrodilatation may also help to improve the effectiveness of physical therapy and other conservative treatments for frozen shoulder.

Adhesive capsulitis is a condition characterized by pain and stiffness in the shoulder joint, often resulting from inflammation and thickening of the capsule that surrounds the joint. This can lead to a significant decrease in range of motion and functional impairment. Hydrodilatation is one of several treatment options available for managing frozen shoulder, and it is typically considered when conservative measures have not provided sufficient relief.

During the hydrodilatation procedure, the patient is positioned comfortably, and the skin over the shoulder is cleaned and sterilized. A local anesthetic may be used to numb the area before the injection is administered. Using ultrasound guidance, the healthcare provider carefully inserts a needle into the shoulder joint capsule and injects the fluid mixture. The pressure from the injected fluid helps to stretch the capsule and break up adhesions, facilitating improved movement and reduced pain.

After the procedure, patients may experience some soreness or discomfort at the injection site, which can typically be managed with over-the-counter pain medications. It is important to follow any post-procedure instructions provided by the healthcare provider, including recommendations for rest, activity modification, and physical therapy exercises to optimize the benefits of hydrodilatation.

Hydrodilatation is generally considered a safe and effective treatment for frozen shoulder, with minimal risks and complications. However, as with any medical procedure, there are potential side effects to be aware of, such as infection, bleeding, or allergic reactions to the injected substances. Patients should discuss the risks and benefits of hydrodilatation with their healthcare provider before undergoing the procedure.

In conclusion, hydrodilatation is a valuable treatment option for individuals suffering from adhesive capsulitis or frozen shoulder. By helping to stretch and expand the shoulder joint capsule, this procedure can provide relief from pain and stiffness, allowing patients to regain function and mobility in their shoulder. If conservative treatments have not been successful in managing frozen shoulder symptoms, hydrodilatation may be a beneficial intervention to consider.