Shoulder arthroscopy with synovectomy is surgery for patients with adhesive capsulitis that has been unresolved with physical therapy, NSAIDs (non-steroidal anti-inflammatories), or steroid injections. This procedure will improve range of motions and decrease pain.
We have created a packet that includes all of the information you will need to plan your surgery.
Download the surgery packet for your INPATIENT procedure (PDF)
Download the surgery packet for your OUTPATIENT procedure (PDF)
In order to resolve the stiffness associated with adhesive capsulitis, capsular release (cutting of the tissue that encompasses the joint) is performed to break up the inflamed scar tissue in the shoulder and allow the shoulder to move more freely. Depending on how stiff the shoulder is prior to surgery, a manipulation of the shoulder may be performed, which involves moving the shoulder around through all ranges of motion to help alleviate the stiffness in the shoulder.
Additional immediate postoperative care: You may be given a CPM (continuous passive motion) machine to ensure early range of motion. You will see your physical therapist on the day of your surgery or the next day to work on range of motion of your shoulder.
One week post-op: First follow-up visit with Dr. Snibbe/Jennifer. Stitches will be taken out, and you’ll get to see your pictures from the surgery. Continue icing two to three times a day (or more if needed). Discontinue sling as soon as possible to avoid recurring stiffness. Physical therapy will be prescribed. Start physical therapy immediately to work on range of motion.
Four weeks post-op: Second follow-up visit. Range of motion and strength test. Physical therapy will continue to improve range of motion. Mild stiffness is still common. Discomfort at night and with certain motions is common at this stage of the rehab process
Eight weeks post-op: Third follow-up visit. Range of motion and strength testing. If additional range of motion or strength training needed, continue physical therapy to work on rotator cuff strengthening. Pain should be mostly resolved at this point.
Twelve weeks post-op: Fourth follow-up visit. Range of motion should be full/normal. You should feel stronger and have very little pain, if any. Near to full recovery is expected at this time.
Download the postoperative instructions for your procedure (PDF)