Stretching exercises are often prescribed to loosen the joint. The healthcare provider may inject the shoulder with cortisone or a long acting anesthetic. This can decrease some of the pain and allow the patient to stretch the shoulder more effectively. Medications such as non-steroidal anti-inflammatory drugs (NSAIDS) can decrease inflammation and pain. Physical therapy can be helpful to increase the range of motion in the joint. Manipulation of the shoulder under anesthesia, also known as arthroscopic capsular release, may be required if exercises and medications are unsuccessful.
Rarely, shoulder manipulation can cause a torn ligament or tendon, or even a shoulder fracture. Allergic reactions may occur with injection of cortisone or an anesthetic.
Individuals are encouraged to maintain range of motion by doing daily exercises.
The healthcare provider will check shoulder range of motion during regular follow-up visits until the problem has resolved.