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Shoulder Hydrodilatation


Shoulder Hydrodilatation Specialist

Frozen shoulder, caused by inflammation of the shoulder capsule, is treated with one of the latest techniques called hydrodilatation to decrease the pain and improve the mobility of the shoulder joint. Shoulder hydrodilatation specialist, Dr. Kelechi Okoroha provides diagnosis and individualized non-operative and operative treatments in Detroit. He also provides highly specialized care during and after surgery. Contact Dr. Okoroha’s team for an appointment today!

Shoulder Anatomy

The shoulder is a ball and socket joint. The head of the humerus fits into the glenoid cavity of the scapula (shoulder blade). Connective tissue called the shoulder capsule surrounds the shoulder joint, holding the bones in place. This is lubricated by synovial fluid. All these tissues help in stabilizing the joint and allowing the smooth movement of the shoulder.

Frozen Shoulder

Frozen shoulder, also called adhesive capsulitis, is a condition characterized by pain and loss of motion in the shoulder joint. Frozen shoulder is caused by inflammation of the shoulder capsule. The shoulder capsule becomes thick, tight, and the stiff bands of tissue called adhesions may develop.

What is Shoulder Hydrodilatation?

Hydrodilatation is one of the latest techniques for the treatment of the frozen shoulder. It is performed to decrease the pain and improve the mobility of the shoulder joint.

Dr. Okoroha and his staff have extensive training in shoulder hydrodilatation and provide this service for patients in Detroit, Royal Oak, Sterling Heights, Bloomfield Hills, Dearborn, Michigan and beyond.

Preparing for Shoulder Hydrodilatation

Before shoulder hydrodilatation, you should inform Dr. Okoroha of any of the following conditions:

  • If you have diabetes
  • If you have any allergies, especially to contrast material or any medications
  • If you are on any blood-thinning drugs especially warfarin
  • If you are feeling unwell
  • If you are pregnant or suspect pregnancy

Shoulder Hydrodilatation Procedure

  • You will be placed on an X-ray table.
  • The skin around your shoulder is sterilized with an antiseptic solution.
  • A fine needle is then inserted into the shoulder joint under X-ray guidance.
  • A small amount of contrast medium is injected through the needle to confirm proper positioning of the needle.
  • Once the position of the needle has been confirmed, a mixture of local anesthetic and steroid is injected into the joint through the needle.
  • A small amount of sterile saline will also be injected through the needle to distend the joint capsule.
  • At this instance, you may have a feeling of tightness or heaviness and slight discomfort in your shoulder.
  • After all the fluid has been injected, the needle is removed, and you will be advised to rest for a few minutes on the table.

Post-operative Care for Shoulder Hydrodilatation

You may need to have a companion drive you home after the procedure. Gentle movements of the shoulder can be performed but avoid heavy lifting and intense activity of the shoulder for the subsequent 3 days following the procedure. You will also be advised for a follow-up appointment with your physician.

Complications of Shoulder Hydrodilatation

You may develop a small facial or neck rash that can last for 2 to 3 days after the procedure, but this generally resolves by itself. Although rare, you may develop a fever. Contact your doctor immediately if you develop fever or experience increased pain or redness at the injection site.

If you would like additional information on shoulder treatments or to learn more about shoulder hydrodilatation, please contact the office of Dr. Okoroha, shoulder surgeon serving the communities of Detroit, Royal Oak, Sterling Heights, Bloomfield Hills, Dearborn, Michigan and beyond.