What is the best way to treat frozen shoulder? how recommended is a manip under anaesthesia and what are the pros/cons, and alternative options?

Frozen Shoulder: Frozen shoulder syndrome fss (adhesive capsulitis) can be a really difficult condition to work through. Many patients will benefit from physical therapy and anti-inflammatory medications. Improvement is often slowgoing. With refractory fss it is possible to do manip w/ anesth - and even more agressive procedures. Discuss with your surgeon the value of this for you-ie, have you exhausted the alt's.

It's helpful: Frozen shoulder or adhesive capsulitis is more commone in diabetics and my take over a year to resolve on it's own. Intra-articular(in the joint) injections of steroid combined with therapy and splinting can be helpful. The other option is to add an arthroscopy to the manipulation to look at the joint and rotator cuff. The biggest risk with manipulation fracture.

Recommended: Once the shoulder is frozen the patient will resist any movement to try and restore function. Essentially there is scar tissue which is impinging movement. Mua will allow the surgeon to manipulate and move the shoulder to break these adhesions and improve mobility. Alternatives, heavy physiotherapy.