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Advanced Hydrodilatation Surgery

Frozen shoulder affects one in 20 people from the general population, with this number rising among people with diabetes. Hydrodilatation provides a non-surgical treatment option for this painful condition. The medical term for this is hydraulic arthrographic capsular distension—a procedure that treats adhesive capsulitis by stretching the shoulder's joint capsule.

A radiologist performs the hydrodilatation procedure by injecting a mixture of contrast medium, local anaesthetic, and cortisone into the shoulder joint. The process continues as they add up to 40 ml of sterile saline solution to stretch the joint capsule under X-ray guidance. Doctors prefer this treatment because it targets both inflammation and stiffness simultaneously. Research shows mixed results—some studies indicate that hydrodilatation leads to better shoulder movement than steroid injections alone, while others present varying outcomes. Patients can feel reassured that complications from this procedure rarely occur.

Why CARE Group Hospitals is Your Top Choice for Hydrodilatation Procedure in Hyderabad

CARE Hospitals provides hydrodilatation, which has proven effective for treating frozen shoulder and helps patients reduce pain while improving mobility. Their specialists in orthopaedics and sports medicine serve patients at branches in Hyderabad.

Best Hydrodilatation Surgery Doctors in India

Innovative Technology at CARE Hospital

The hospital employs advanced imaging guidance systems to ensure precise hydrodilatation procedures. This non-surgical treatment uses hydraulic pressure to stretch the joint capsule and break down movement-limiting adhesions.

Indications for Hydrodilatation Procedure

CARE's hydrodilatation treatment addresses:

  • Adhesive capsulitis (frozen shoulder)
  • Shoulder stiffness from injury
  • Limited range of motion when physiotherapy hasn't helped

Types of Hydrodilatation Procedures

CARE Hospital's specialists perform these hydrodilatation variants:

  • Standard hydrodilatation with steroid, local anaesthetic and saline
  • Image-guided hydrodilatation using ultrasound or fluoroscopic assistance
  • Volume-controlled procedures tailored to each patient

CARE's medical team typically injects 30-40 ml of solution during hydrodilatation procedures to achieve the best capsular distension.

Pre-procedure Preparation

Patients must tell their doctors about any medical conditions, particularly diabetes, allergies, or blood-thinning medications. X-rays or MRI scans help confirm the diagnosis before moving forward. Doctors may ask patients to stop taking certain medications temporarily, such as blood thinners.

Hydrodilatation Procedure

Steps include:

  • The surgical team positions the patient on an X-ray table. 
  • The doctor cleans the skin with an antiseptic solution and applies a local anaesthetic. 
  • A fine needle goes into the shoulder joint under ultrasound or X-ray guidance. 
  • The doctor injects a mixture of steroid, local anaesthetic, and saline (30-35ml) to stretch the joint capsule. 

Most patients complete the procedure in just 10-15 minutes.

Post-procedure Recovery

Same-day discharge is common, but patients need someone to drive them home. Doctors will advise you:

  • 24-48 hours of rest
  • Avoid heavy lifting for several days
  • Recommends physical therapy exercises soon after the procedure to get the best results.

Risks and Complications

Complications are rare but can include:

  • Infection 
  • Bruising
  • Allergic reactions
  • Short-term pain flares within 48 hours
  • Nerve damage (rare)

Benefits of the Hydrodilatation Procedure

This minimally invasive procedure reduces pain, improves mobility, and allows for quick recovery. The success rate shows 80-90% of patients see major improvements.

Insurance Assistance for Hydrodilatation Procedure

Most medical insurance companies give coverage for this procedure. CARE Hospitals guides patients through insurance coverage details, coordinates with TPAs, and maintains clear communication about costs.

Second Opinion for Hydrodilatation Procedure

CARE's experienced surgical teams give expert recommendations to patients who want another viewpoint before surgery.

Conclusion

Hydrodilatation has emerged as a powerful non-surgical treatment for frozen shoulder. This procedure helps countless patients who suffer from this painful condition. The treatment works by stretching the joint capsule with a precise injection of sterile saline, local anaesthetic, and cortisone. Patients report substantial pain reduction and better mobility after this minimally invasive treatment.

CARE Hospitals delivers excellent hydrodilatation procedures at its Hyderabad facilities. Their specialists rely on advanced imaging guidance for precise needle placement and optimal capsular distension. The procedure takes only 10-15 minutes and patients can head home the same day. The procedure's low complication risk makes it a safe choice for people who don't deal very well with frozen shoulder.

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Hydrodilatation Surgery Hospitals in India

Frequently Asked Questions

Hydrodilatation is a minimally invasive procedure that treats frozen shoulder by stretching the joint capsule. The radiologist uses imaging guidance to inject a mixture of sterile saline, local anaesthetic, and corticosteroid into the shoulder joint. This process stretches the tight joint capsule, reduces inflammation, and breaks up adhesions.

Your doctor might recommend hydrodilatation if you:

  • Haven't responded to conservative treatments like NSAIDs or physiotherapy
  • Have pain that affects your daily activities
  • Struggle with severe shoulder stiffness and limited movement

The best candidates are people who:

  • Haven't found relief from steroid injections alone
  • Have shoulder pain that disrupts daily activities
  • Can't easily reach behind their head or back

Hydrodilatation is a safe procedure with rare serious complications. The infection risk is minimal. Most patients get substantial relief with few side effects.

You might feel pressure or a stretching sensation during the procedure. The local anaesthetic helps in minimizing the discomfort. Some patients experience moderate pain for about 30 minutes afterwards. The good news is that most patients feel no pain during the procedure.

The procedure usually takes 10-15 minutes. Some hospitals set aside 30 minutes for the complete process.

Hydrodilatation isn't a major surgery. It's an outpatient procedure done under local anaesthesia. You can go home the same day and usually return to normal activities within 24-48 hours.
 

The possible risks include:

  • Mild pain after injection
  • Bruising or bleeding (uncommon)
  • Infection 
  • Allergic reactions to medications
  • Very rare nerve damage

Each patient's recovery follows a unique path:

  • One-third of patients experience immediate relief and head home feeling better
  • The effects start showing up for most patients within days
  • Many patients return to work the next day and feel normal within 24 hours
  • Complete healing takes about 4 to 6 weeks
  • The majority of patients see major improvements within weeks and resume their regular activities.

The benefits of hydrodilatation are:

  • Most patients resume normal activities in 4-6 weeks with lasting relief
  • Patients manage to keep or improve their benefits for up to 2 years

Local anaesthesia serves as the main choice for hydrodilatation:

  • Doctors apply a local anaesthetic to the skin and nearby tissues
  • The joint receives an injection with a local anaesthetic mixture
  • Pain relief from local anaesthetic lasts 24-48 hours after the procedure

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