The procedure is usually well tolerated and adverse reactions are rare. The whole procedure usually takes less than 10 minutes. Some people feel no discomfort at all throughout the procedure.Īt the end of the procedure a small dressing will be placed over the puncture site. Thereafter, during the procedure, you may experience discomfort at the outer part of the shoulder, pins and needles in the arm, an ache or odd feelings down the arm or some pain. Occasionally other steroids or non steroidal anti-inflammatories may be used instead of celestone chronodose.Īs the fluid fills the joint, a person can experience a range of feelings.Īt first, you may experience a feeling of “filling”, then usually a feeling of heaviness/tightness at the back of the shoulder. This is made up of Marcaine(long acting anaesthetic – pain relief), Celestone Chronodose (Steroid- to try settle the inflammation) and Normal Saline 0.9% (to distend the shoulder joint capsule). Usually about 30ml fluid is then injected. A second needle will be introduced into the joint (you may feel a small “pinch” as the needle finds its final position). Thereafter the skin will be anaesthetised with the injection of local anaesthetic (Lignocaine 1%). The skin will be cleaned with antiseptic, usually chlorhexidine. Ultrasound will be used to plan the best pathway into the joint. If necessary the degree of discomfort can be eased with the use of analgesia (such as Ibuprofen and Paracetamol). There can be a slight increase in pain in the area injected for a day or two afterwards which can occasionally last up to a week. If so, I will usually be able to change my methods to make it more tolerable. Occasionally this procedure can be painful. Overall the procedure is well tolerated and usually produces only minimal discomfort. The degree of discomfort varies depending on:
During the procedure fluid is introduced into the shoulder joint to try to increase the range of movement of the shoulder joint as well as decrease the pain usually associated with this condition. This procedure is commonly used to treat adhesive capsulitis or ‘frozen shoulder’, where inflammation within the shoulder joint and formation of scar tissue which causes joint pain and stiffness. SHOULDER HYDRODILATATION Why perform a Shoulder Hydrodilatation?
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