Brief Answer:
Not unusual to be in pain at this stage.

Detailed Answer:
Hi Thanks for your question.

It is still very early days since your capsular release and suscapularis repair. Presumably this was performed arthroscopically. I would still expect you to be in discomfort at this stage particularly after your physiotherapy sessions.

You would still likely benefit from a regular antiinflammatory medication. Massage and heat treatments may also be useful. There are other drugs that might be helpful in the post operative period depending on the nature of your pain such as pregabalin or gabapentin.

If you have any signs like redness or discharge around the wounds or a fever then you should have your surgeon assess you to make sure you do not have a post-operative infection.

I hope this answers your question.

Besy wishes

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Brief Answer:
Adhesive capsulitis vs rotator cuff tear

Detailed Answer:
hi,

thanks for your further question.

Adhesive capsulitis is a painful and disabling condition that often causes great frustration for patients and caregivers due to slow recovery. Movement of the shoulder is severely restricted. Pain is usually constant, worse at night, and when the weather is colder; and along with the restricted movement can make even small tasks impossible. Certain movements or bumps can cause sudden onset of tremendous pain and cramping that can last several minutes.

This condition, for which an exact cause is unknown, can last from five months to three years or more and is thought in some cases to be caused by injury or trauma to the area. It is believed that it may have an autoimmune component, with the body attacking healthy tissue in the capsule. There is also a lack of fluid in the joint, further restricting movement.

In addition to difficulty with everyday tasks, people who suffer from adhesive capsulitis usually experience problems sleeping for extended periods due to pain that is worse at night and restricted movement/positions. The condition also can lead to depression, pain, and problems in the neck and back.

small rotator cuff tears can be a symptomatic.

the symptoms from a rotator cuff year are slightly different. an acute rotator cuff tear produces symptoms that include severe pain that radiates through the arm, and limited range of motion, specifically during abduction of the shoulder.

Symptoms arising as a result of chronic tears include sporadic worsening of pain, debilitation and atrophy of the muscles, noticeable pain during rest, crackling sensations (crepitus) when moving the shoulder, and inability to move or lift the arm sufficiently, especially during abduction and flexion motions.

i hope this information helps answer your question.

best wishes

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Brief Answer:
Hopefully quicker resolution with surgery

Detailed Answer:
Hi, Thanks for your follow up question.

The hope would be that arthroscopic capsular release would speed your recovery and reduce your symptoms rather than let the adhesive capsulitis run its course.

Your shoulder should improve with time although you may have some residual weakness and stiffness. You may also have a little onging discomfort in your shoulder as a result of your rotator cuff tear.

These conditions should not predispose you to osteoarthritis of the shoulder joint although you may have some arthritis in you acromioclavicular joint as part of this condition.

I hope this answers your question.

Best wishes

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Brief Answer:
External rotation more common

Detailed Answer:
thanks for the further question.

typically an adhesive capsulitis will result in loss of external rotation of the shoulder more than internal rotation.

the symptoms you describe of the shoulder wanting the come forward could be consistent with a subscapularis tear.

I hope this answers your question.

best wishes

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