top of page

HYDRODILATATION

Hydrodilatation, also known as hydrodistention, is a minimally invasive procedure used to treat certain joint conditions, particularly frozen shoulder (adhesive capsulitis). It involves injecting a sterile fluid (typically saline solution) into the joint capsule of the shoulder under pressure to stretch and expand the capsule. This procedure aims to break up adhesions (scar tissue) and increase the capacity of the joint capsule, thereby improving range of motion and reducing pain.



Understanding Hydrodilatation:

  1. Indications: Hydrodilatation is primarily used in cases of frozen shoulder where conservative treatments like physiotherapy and pain medications have not provided sufficient relief. Frozen shoulder is characterized by stiffness, pain and limited mobility in the shoulder joint due to thickening and tightening of the capsule surrounding the shoulder joint.

  2. Procedure:

  • The procedure is typically performed under local anesthesia or sedation to minimize discomfort.

  • A needle is inserted into the shoulder joint and a mixture of saline solution and sometimes a corticosteroid or local anesthetic is injected.

  • The injected fluid expands the shoulder capsule, stretching the tissues and breaking up adhesions that may be restricting movement.

  • After the injection, the shoulder is gently manipulated to further stretch the joint and enhance the effects of the procedure.

  1. Benefits:

  • Improved Range of Motion: Hydrodilatation can lead to significant improvements in shoulder joint mobility, allowing patients to regain the ability to perform daily activities and exercises more comfortably.

  • Pain Relief: By stretching the capsule and reducing adhesions, hydrodilatation can help alleviate pain associated with frozen shoulder.

  • Avoidance of Surgery: For many patients, hydrodilatation can effectively restore shoulder function without the need for surgical intervention.


How Physiotherapy Helps After Hydrodilatation:

Physiotherapy plays a crucial role in the post-procedure rehabilitation phase to optimise outcomes and maintain the benefits achieved through hydrodilatation. Here's how physiotherapy can help:

  1. Early Mobilisation: Physiotherapists initiate gentle exercises and movements soon after hydrodilatation to prevent stiffness and encourage gradual restoration of shoulder mobility. This may include passive range of motion exercises initially.

  2. Progressive Exercises: As the shoulder heals, physiotherapists prescribe a structured exercise program to gradually strengthen the muscles around the shoulder joint. These exercises improve stability, support the joint and enhance overall shoulder function.

  3. Stretching and Flexibility: Specific stretching exercises are prescribed to maintain and improve shoulder flexibility. Stretching helps prevent the formation of new adhesions and promotes optimal range of motion.

  4. Manual Therapy: Techniques such as joint mobilisations, soft tissue massage and myofascial release are used to further improve shoulder joint mobility, reduce muscle tightness and enhance tissue healing.

  5. Functional Rehabilitation: Physiotherapists tailor rehabilitation programs to the individual's specific needs and goals. This may include activities and exercises that mimic daily tasks or sports activities to ensure a safe return to functional activities.

  6. Pain Management: Modalities such as ice therapy, ultrasound or electrical stimulation may be used by physiotherapists to manage post-procedural discomfort and inflammation in the shoulder joint.

  7. Patient Education: Physiotherapists provide guidance on proper shoulder care, including posture correction, ergonomic considerations and techniques to avoid re-injury. They also educate patients on home exercises and self-management strategies to maintain shoulder health.


Benefits of Physiotherapy After Hydrodilatation:

  • Enhanced Recovery: Physiotherapy accelerates the recovery process after hydrodilatation by promoting joint mobility, strength and function.

  • Customised Care: Tailored rehabilitation programs address individual needs and goals, optimising outcomes and ensuring a safe return to activities.

  • Long-Term Shoulder Health: Education on preventive measures and ongoing exercises helps maintain shoulder mobility and function, reducing the risk of future shoulder issues.


In summary, hydrodilatation is a beneficial procedure for treating frozen shoulder and physiotherapy plays a critical role in maximising the benefits of the procedure. Through structured rehabilitation programs, physiotherapists help patients regain shoulder mobility, strength and function, facilitating a return to normal activities and enhancing overall shoulder health.

Jun 28, 2024

3 min read

0

1

0

Comments

Share Your ThoughtsBe the first to write a comment.

Get in touch

 

Physiotherapy near me, Physio near me, Physio Melbourne, best physio near, me, Prahran, South Yarra, Toorak, Richmond, Windsor, Armadale, GlenIris, Malvern, Malvern East, Prahran, South Yarra, Toorak, Richmond, Windsor, Armadale, Glen Iris, Malvern, Malvern East, All Melbourne, sports physio near me, Neck thoracic and lower back pain, Headaches and migraines, Muscle strains, shoulder pain relief, Tendon injuries and tendinopathies. Joint pain and arthritis, Pre-and post-natal, Pelvic and sacroiliac joint pain, Post-operative recovery, Rehabilitation, Jaw pain (Tempero-mandibular joint  dysfunction), TMJ, physio therapy near me that accepts medicare, physiotherapist, 

bottom of page