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Shoulder Procedure Clinic

A Procedure May Be Considered If You Have...

Sudden, severe shoulder pain that makes it hard to move your arm at all
Pain that wakes you up at night, making it hard to lie on the affected side
Pain that hasn't improved after 6 or more weeks of medication and physical therapy
A shoulder that's gradually stiffening, making it hard to get dressed or wash your hair
Imaging that shows calcium deposits or significant joint stiffness
A Procedure May Be Considered If You Have...

Main Procedures

The procedure is selected based on the cause of pain and the stage of the condition.

Calcific Aspiration

Using ultrasound guidance, a needle breaks up and flushes out calcium deposits in the tendon to reduce pain.

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Shoulder Joint Mobilization (Manipulation)

A physician gradually moves the stiff joint to expand its range of motion.

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Hydrodilatation

Medication and saline are injected into the joint to expand it and release adhesions.

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How Calcific Aspiration Is Performed

  1. 01

    Locating the Deposit With Ultrasound

    Local anesthesia

    Ultrasound is used to precisely check the location, size, and inflammation of the calcium deposit.

    Locating the calcium deposit with ultrasound
    Locating the calcium deposit with ultrasound
  2. 02

    Breaking Up and Aspirating With a Needle

    About 20-30 minutes

    A fine needle punctures the deposit repeatedly to break it up, then it's flushed out with saline.

    Ultrasound-guided calcific aspiration
    Ultrasound-guided calcific aspiration
  3. 03

    Reducing Inflammation and Finishing Up

    If needed, an anti-inflammatory medication is injected to complete the procedure. You can go home the same day.

    Calcium powder removed after aspiration
    Calcium powder removed after aspiration
Before the procedure

Before the procedure

10 days after the procedure

10 days after the procedure

How Shoulder Joint Mobilization Is Performed

  1. 01

    Regional Anesthesia and Assessment

    Regional anesthesia of the arm

    We check the location of pain, the direction of stiffness, and the current range of motion, then determine a safe range for movement.

  2. 02

    Gradually Mobilizing the Stiff Joint

    Same-day procedure

    The physician slowly moves the shoulder through flexion, abduction, and rotation to release the joint adhesions.

  3. 03

    Checking Range of Motion and Rehab Guidance

    Same-day discharge

    Movement is reassessed right after the procedure, and a stretching and rehabilitation plan is provided to help prevent the shoulder from stiffening again.

How Hydrodilatation Is Performed

  1. 01

    Locating the Joint Capsule With Ultrasound

    No anesthesia needed

    Ultrasound is used to identify a safe entry point into the shoulder joint and plan the injection path.

  2. 02

    Injecting Medication and Saline

    Same-day procedure

    Medication and saline are slowly injected into the joint to expand the joint capsule and ease adhesions.

  3. 03

    Checking Movement and Stretching Guidance

    Same-day discharge

    After the procedure, pain and range of motion are checked, and gentle stretches you can begin that same day are explained.

Frozen Shoulder Can Often Improve With These Two Key Treatments

Anesthesia
Regional anesthesia of the arm
Method
Directly moves the joint to release adhesions
Hospital stay
Same-day discharge
Recovery
Stretching rehab right after the procedure is important
Speed of response after the procedure
Range of motion tends to change quickly since the joint is released directly
Risk of complications
Rarely, a fracture can occur during mobilization if bone quality is weak

Which method is right for you is decided after an examination that considers the degree of stiffness, pain, and bone condition.

Frequently Asked Questions

QIs all of the calcium removed in one session?
Removing every last bit of calcium isn't the goal. The aim is to reduce pain and help your body absorb the remaining deposit, and many patients see their pain decrease after a single procedure.
QIf I have shoulder joint mobilization, can I skip rehab?
If you don't do stretching and strength recovery after shoulder joint mobilization or hydrodilatation, the shoulder can stiffen again. Rehab starting right after the procedure makes a real difference to the outcome.
QDoes the pain go away right after the procedure?
This varies from person to person. Some patients feel relief right away, while others improve gradually over several days, so we guide you based on how your recovery progresses.

Do not put off persistent pain. Have it checked.

Our staff can guide you during clinic hours. Call us if you have questions before your visit.

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