Shoulder & Elbow Centre, Reading Shoulder Unit, Berkshire, Oxfordshire, Hampshire, Buckinghamshire, London > Patient Info > Guidelines for Patients > Guidelines for patients following Radiofrequency heat shrinkage stabilisation of the shoulder

Guidelines for patients following Radiofrequency heat shrinkage stabilisation of the shoulder

Introduction

We have been using this procedure for five years now and pioneered its development in Great Britain. When the shoulder dislocates (Comes out of joint) or subluxates (partly comes out of joint), the lining (capsule) of the joint can become stretched. Using a radiofrequency heat probe, the capsule of the joint can be shrunk so that the joint can be restabilised. This mechanically tightens the joint and makes the sensor mechanism within the joint more sensitive so that the muscles respond earlier to stabilise the joint.

General guidelines

  • Pain: A nerve block may be used during the surgery, which means that immediately after the operation the shoulder and arm often feel completely numb. This may last a few hours. After this the shoulder may well be sore and you will be given painkillers to help whilst in hospital, which you should continue to take at home if necessary. Ice packs may also help reduce pain. Wrap frozen peas/crushed ice in a damp, cold towel and place on the shoulder for up to 15 minutes.
  • Wearing a Sling: You will return from theatre with your arm in a sling. The arm should be rested in the sling until the majority of the soreness has settled. This should only take a couple of days. However it is important that you start moving the arm and using it for daily activities as soon as possible. You should avoid forcing the shoulder and stretching it for the first six weeks.
  • The Wound: This is a keyhole operation usually done through two or three small 5mm puncture wounds. There will be no stitches only small sticking plaster strips over the wounds. These should be kept dry until healed. This usually takes four to seven days.
  • Driving: You may drive as soon as you feel able and can manage all the controls safely.
  • Returning to work: You may return to work as soon as you feel able.
  • Leisure activities: These can be resumed when you feel able but you should avoid activities, which may stretch your shoulder for at least six weeks.
  • Follow up appointments: You will have an appointment with the physiotherapist and a follow up appointment will be made at The Reading Shoulder Unit at three weeks. Here you will be seen by either the doctor or specialist physiotherapist, to assess your progress.
  • Exercises: These are an important part of the procedure, re-educating the muscles around the shoulder and stabilising the joint. Your physiotherapist will guide you through the exercise programme. It is essential that this be carried out regularly.