Distension arthogram of the shoulder

Save this PDF as:
 WORD  PNG  TXT  JPG

Size: px
Start display at page:

Download "Distension arthogram of the shoulder"

Transcription

1 Patient information Distension arthogram of the shoulder This leaflet has been designed to give you some more information about having a distension arthogram of the shoulder. Your doctor believes you will benefit from this procedure. The aim of the procedure is to improve your function and range of movement. Barts Health Therapies Department

2 Why do I need a distension arthrogram? Your doctor has diagnosed you with a frozen shoulder, also known as adhesive capsulitis. The cause for this is not fully understood. Most cases occur in people between the ages of 40 and 60. It is five times more common in people with diabetes and is more common in women than men. People with other conditions such as heart or lung disease have an increased risk of developing frozen shoulder. The shoulder joint capsule becomes inflamed and contracted and loses its normal elasticity, resulting in severe shoulder pain, stiffness and reduced range of movement. Whilst the condition will usually resolve spontaneously this can take up to four years, you will probably already have tried physiotherapy, oral painkillers and anti-inflammatory medications and or shoulder injections to attempt to relieve the debilitating symptoms of pain and stiffness. What is a distension arthrogram? A distension arthrogram is where a special liquid is injected into your shoulder joint. Studies have shown this to be effective in helping to relieve symptoms of pain, improving range of movement and function. It is thought that by instilling a large amount of fluid into the shoulder joint capsule that it breaks down scar tissue, thereby improving range of movement and reducing pain and stiffness. Guide to the procedure: A distension arthrogram is a procedure that is performed by a radiology doctor in the x-ray department of your hospital. It takes about 15 minutes to perform and there is no need to fast prior to this procedure. After obtaining your consent you will be asked to lie down on your back. The procedure is done using x-ray or ultrasound guidance. The skin is cleaned and a needle is inserted into the shoulder joint. A small amount of x-ray dye is injected to make sure the needle is correctly positioned. Then a mixture of saline, steroid and local anaesthetic is injected. Approximately 40mls of fluid is injected into the shoulder joint. Understandably this may result in some discomfort during the injection. What are the risks of having a distension arthrogram? All procedures involve an element of risk, these are very small but you need to be aware of them and can discuss them with your doctor at any time. The main risks are Complications relating to the local anaesthetic. Infection might be introduced into the joint at the time of an injection. If the joint becomes more painful and hot then you should consult your GP immediately. Stiffness and or pain around the shoulder. Damage to nerves or blood vessels around the shoulder. Need to re-do the procedure if your symptoms are not relieved. If X-ray dye is used and there is a very small risk of allergic reaction. Very occasionally people notice a flare in their pain within the first hours after an injection. This usually settles spontaneously over the next couple of days. 2

3 Temporary flush of the face can occur in females. Local steroid injections may sometimes interfere with the menstrual cycle in females and could cause bleeding outside of the normal cycle in pre-menopausal women. It may also cause bleeding in post-menopausal women. If you are diabetic your sugar levels may be altered temporarily. Questions that we are often asked about the procedure: Getting ready for your procedure The staff will ask routine questions about your health, the medicine you take at the moment and any allergies you may have. You will be able to discuss the procedure with a doctor. You will be asked to sign a consent form to say that you understand the procedure, and what the procedure involves. When will I go home? You will be discharged home the same day as your procedure. Your shoulder is likely to be uncomfortable in the first few days post-procedure. This is normal. Discharge information Will I be in pain? It is normal to feel some pain following your procedure. This can be helped with regular oral pain killers. Using ice on your shoulder can be helpful in reducing pain. Wrap a bag of crushed ice, or frozen peas in a damp towel. Protect any dressings from getting wet with a layer of cling film, or a plastic bag, before applying the ice pack for minutes at a time. Posture can make a big difference to your pain after your procedure. Avoid hitching your shoulder or holding it in an elevated position. Also try to avoid slumping or standing/sitting with round shoulders as this puts more stress onto your shoulder. Are there things that I should avoid? We advise you to avoid heavy lifting or strenuous exercise for a day or two following the injection. Do I need to do exercises? Yes (see at the end of this leaflet) you will be shown exercises by the physiotherapist and you will need to continue with the exercises once you go home. It is extremely important that you commence these exercises straight away after this procedure to ensure you achieve the maximum possible benefit. 3

4 Getting back to normal how you can help yourself to recover Sleeping can be uncomfortable if you try and lie on the side that has had the procedure. We would recommend that initially you lie on your back or on the opposite side. If you lie on your back support your arm with a folded pillow under your lower arm. Make sure that your elbow is above your shoulder. If you are on your side then a folded pillow supports your affected arm from your elbow to your wrist. In the first few days after the procedure you will find it helps to support your arm on pillows with your elbow in front of your shoulder and slightly out to the side when you are sitting down (see picture). Try and avoid letting your affected shoulder hitch or rise up when you move it. It can lead to bad habits in your movement and eventually cause neck pain. How long will it take me to recover? Some patients have a benefit immediately following the injection. For others it can take a couple of weeks before they feel any improvement. Returning to work Return to work is dependent on the nature of your work and how quickly your pain settles. The following are guidelines only: Sedentary work as soon as you feel comfortable. Light manual work as soon as you feel comfortable. Heavy manual work weeks. Leisure activities You can usually begin driving one to two days after your procedure if you feel comfortable and have good range of movement. It is suggested that you check you can safely do a three point turn and an emergency stop before your return to driving. Check you can manage all the controls and start with short journeys. Notes 4

5 Exercises Day One after the procedure: Use painkillers and/or ice packs to reduce the pain before you exercise, if necessary. Do short, frequent sessions (e.g minutes, 4 times a day) rather than one long session. It is normal for you to feel aching, discomfort or stretching sensations when doing these exercises. However, intense and lasting pain (e.g. for more than 30 minutes) is an indication to change the exercise by doing it less forcefully or often. When you are not doing your exercises ensure your shoulder is supported by pillows or your sling as described earlier in this leaflet, to assist with pain relief. Ensure you keep your neck, elbow, wrist and hand moving after the procedure. These exercises can be started straight after the procedure: 1. It is important to set the shoulder blades in a good position before commencing with these exercises. In order to do this you need to sit up straight with elbows by your sides, gently lift the tips of your shoulders very slowly upwards about two centimetres. The base of your shoulder blades will lift up and outwards very slightly. Hold for five seconds In lying position 2. Lying or sitting. Slowly take your affected arm up towards the ceiling. You can clasp your hands together to allow your un-affected side to help with the movement if necessary. 5

6 3. Lying on your back. Reach your hands up towards your ears and slowly let your elbows drop out and down towards the bed, In sitting position a) Start with your upper arms close to your sides and elbows at right angles. Rest your palm on a table on a piece of cloth (a tea towel) or a plastic bag that will slide easily along the table b) Slowly slide your hand forward across the table reaching out as far as you feel comfortable In standing position 5. Sit or stand. Keep your upper arms close to your sides and elbows at right angles. Turn your forearms outwards. 6

7 6. In standing, rest your un-affected arm on a table and lean slowly forwards allowing your affected arm to hang down. Slowly swing your arm in a pendulum motion forwards and backwards. 7. Stand facing a wall. Walk your fingers up the wall as high as you feel comfortable. Then slowly lower your hand down in the same way. Day 7+ Continue with the above exercises with the aim of trying to regain full shoulder range of movement. 7

8 Where can I get more information? The telephone numbers and contacts below are available for you to contact a physiotherapist. You will have the opportunity to ask your Orthopaedic Surgeon questions about the operation during your consultation or you can also contact them via their secretary through the Barts Health switchboard. - this is a very good site that has a lot of information written by Orthopaedic Surgeons specialising in the upper limb. Patient Advice and Liaison Service (PALS) If you need general information or advice about Trust services, please contact the Patient Advice and Liaison Service (PALS) on or visit Alternatively please contact staff who are providing your care if you require clinical advice. Your health records To enable us to improve the quality of the care that we provide, your health records are kept by the Trust and may be used for teaching, training, audit and research. Further information on how the Trust uses your information can be found on our website at Contact information Barts Health Therapies Department The Royal London Hospital Telephone No: Mile End Hospital Telephone No: Authors: Elizabeth Foster, specialist physiotherapist, Jenny Harper, extended scope physiotherapist and Susan Cross, MSK radiologist. Large print and other languages For this leaflet in large print, please ring or For help interpreting this leaflet in other languages, please ring Reference: BH/PIN/182 Publication date: January 2014 All our patient information leaflets are reviewed every three years. Barts Health NHS Trust Switchboard:

Reverse total shoulder replacement

Reverse total shoulder replacement Patient information Reverse total shoulder replacement This leaflet has been designed to give you some more information about having a reverse shoulder replacement. Your surgeon believes you will benefit

More information

Occupational Therapy & Physiotherapy Service ADVICE FOR PATIENTS FOLLOWING TREATMENT FOR FROZEN SHOULDER SYNDROME

Occupational Therapy & Physiotherapy Service ADVICE FOR PATIENTS FOLLOWING TREATMENT FOR FROZEN SHOULDER SYNDROME If you require this document in Braille, large print or another language, please call the Community Patient Advice and Liaison Service (PALS) on: 0800 073 0578 Occupational Therapy & Physiotherapy Service

More information

Frozen Shoulder. Causes? There are two main types of frozen shoulder. Primary frozen shoulder is when the exact cause is not known.

Frozen Shoulder. Causes? There are two main types of frozen shoulder. Primary frozen shoulder is when the exact cause is not known. Frozen Shoulder. What is frozen shoulder Frozen shoulder is when the shoulder becomes stiff and painful, often for no apparent reason. It can mean that you have difficulty doing your usual daily activities.

More information

Rotator cuff repair. Patient information

Rotator cuff repair. Patient information Patient information Rotator cuff repair This leaflet has been designed to give you some more information about having a rotator cuff repair. Your surgeon believes you will benefit from this operation.

More information

Acromio-Clavicular Joint Stabilisation

Acromio-Clavicular Joint Stabilisation Acromio-Clavicular Joint Stabilisation An information guide for patients Delivering the best in care UHB is a no smoking Trust To see all of our current patient information leaflets please visit www.uhb.nhs.uk/patient-information-leaflets.htm

More information

FROZEN SHOULDER OXFORD SHOULDER & ELBOW CLINIC INFORMATION FOR YOU. Frozen Shoulder FROZEN SHOULDER

FROZEN SHOULDER OXFORD SHOULDER & ELBOW CLINIC INFORMATION FOR YOU. Frozen Shoulder FROZEN SHOULDER OXFORD SHOULDER & ELBOW CLINIC INFORMATION FOR YOU Frozen Shoulder The aim of this information sheet is to give you some understanding of the problem you may have with your shoulder. It has been divided

More information

Rotator cuff repair. An information guide for patients. Delivering the best in care. UHB is a no smoking Trust

Rotator cuff repair. An information guide for patients. Delivering the best in care. UHB is a no smoking Trust Rotator cuff repair An information guide for patients Delivering the best in care UHB is a no smoking Trust To see all of our current patient information leaflets please visit www.uhb.nhs.uk/patient-information-leaflets.htm

More information

SLAP repair. An information guide for patients. Delivering the best in care. UHB is a no smoking Trust

SLAP repair. An information guide for patients. Delivering the best in care. UHB is a no smoking Trust SLAP repair An information guide for patients Delivering the best in care UHB is a no smoking Trust To see all of our current patient information leaflets please visit www.uhb.nhs.uk/patient-information-leaflets.htm

More information

Biceps Tenodesis. An information guide for patients. Delivering the best in care. UHB is a no smoking Trust

Biceps Tenodesis. An information guide for patients. Delivering the best in care. UHB is a no smoking Trust Biceps Tenodesis An information guide for patients Delivering the best in care UHB is a no smoking Trust To see all of our current patient information leaflets please visit www.uhb.nhs.uk/patient-information-leaflets.htm

More information

FROZEN SHOULDER. Typically the joint is stiff and initially painful, often starting without an apparent cause.

FROZEN SHOULDER. Typically the joint is stiff and initially painful, often starting without an apparent cause. The aim of this information sheet is to give you some understanding of the problem you may have with your shoulder. It has been divided into sections, describing your shoulder, what we know about frozen

More information

Subacromial decompression

Subacromial decompression Subacromial decompression An information guide for patients Delivering the best in care UHB is a no smoking Trust To see all of our current patient information leaflets please visit www.uhb.nhs.uk/patient-information-leaflets.htm

More information

Carpal Tunnel Syndrome

Carpal Tunnel Syndrome Carpal Tunnel Syndrome Information for Patients Gateshead Upper Limb Unit Page 1 of 6 What is the carpal tunnel? The wrist consists of 8 small bones called carpal bones. A ligament ( also called retinaculum)

More information

Reverse Shoulder Replacement

Reverse Shoulder Replacement Reverse Shoulder Replacement An information guide for patients Delivering the best in care UHB is a no smoking Trust To see all of our current patient information leaflets please visit www.uhb.nhs.uk/patient-information-leaflets.htm

More information

Manipulation under anaesthetic (MUA)

Manipulation under anaesthetic (MUA) OXFORD SHOULDER & ELBOW CLINIC INFORMATION FOR YOU AFTER YOUR OPERATION Manipulation under anaesthetic (MUA) and Arthroscopy of the shoulder This information booklet has been produced to help you to gain

More information

Physiotherapy and frozen shoulder

Physiotherapy and frozen shoulder Physiotherapy and frozen shoulder Other formats If you need this information in another format such as audio tape or computer disk, Braille, large print, high contrast, British Sign Language or translated

More information

Shoulder Capsular Release

Shoulder Capsular Release Shoulder Capsular Release An information guide for patients Delivering the best in care UHB is a no smoking Trust To see all of our current patient information leaflets please visit www.uhb.nhs.uk/patient-information-leaflets.htm

More information

Bankart repair/ anterior stabilisation of the shoulder

Bankart repair/ anterior stabilisation of the shoulder Patient information Bankart repair/ anterior stabilisation of the shoulder This leaflet has been designed to give you some more information about having a Bankart repair. Your surgeon believes you will

More information

Manipulation under Anaesthetic and Arthroscopic Release Operation

Manipulation under Anaesthetic and Arthroscopic Release Operation Feedback We appreciate and encourage feedback. If you need advice or are concerned about any aspect of care or treatment please speak to a member of staff or contact the Patient Advice and Liaison Service

More information

Arthroscopic Release of a frozen shoulder

Arthroscopic Release of a frozen shoulder Arthroscopic Release of a frozen shoulder Physiotherapy Department Page 12 Patient Information What is a frozen shoulder? A frozen shoulder is a disorder of the shoulder capsule, a thin tissue which surrounds

More information

Frozen shoulder. Information for patients Physiotherapy

Frozen shoulder. Information for patients Physiotherapy Frozen shoulder Information for patients Physiotherapy Introduction The physiotherapy team would like you and your family to understand as much as possible about your shoulder condition. This booklet contains

More information

Urmston Physio Clinic

Urmston Physio Clinic Urmston Physio Clinic Patient Information Frozen Shoulder Prepared for Mr B. Roy Consultant Orthopaedic Surgeon 102 Church Road, Urmston, Manchester, M41 9DB Tel: 0161 748 4100 Frozen Shoulder - Why does

More information

Elbow arthroscopy. Key points

Elbow arthroscopy. Key points Patient information Elbow arthroscopy This information has been produced to help you gain the maximum benefit and understanding of your operation. It includes the following information: Key points About

More information

Preparing for your retrograde ureteric stent

Preparing for your retrograde ureteric stent Preparing for your retrograde ureteric stent Welcome We look forward to welcoming you to The Royal London Hospital. You have been referred to us to have a stent (plastic tube) put in to support your ureter

More information

Arthroscopic subacromial decompression (ASD) / excision of the acromioclavicular joint (ACJE)

Arthroscopic subacromial decompression (ASD) / excision of the acromioclavicular joint (ACJE) Information and exercises Arthroscopic subacromial decompression (ASD) / excision of the acromioclavicular joint (ACJE) Introduction The subacromial area lies between the top of the arm bone (humerus)

More information

Ultrasound guided pleural tap or drain

Ultrasound guided pleural tap or drain Patient information Whipps Cross University Hospital Ultrasound guided pleural tap or drain Department of Respiratory Medicine Why do I need a Pleural tap or drain? n These are procedures to remove fluid

More information

Physiotherapy Advice following Breast Surgery

Physiotherapy Advice following Breast Surgery Physiotherapy Advice following Breast Surgery Exceptional healthcare, personally delivered Name of physiotherapist... Please contact the physiotherapy team if you have any concerns about the advice given

More information

Rehabilitation after shoulder dislocation

Rehabilitation after shoulder dislocation Physiotherapy Department Rehabilitation after shoulder dislocation Information for patients This information leaflet gives you advice on rehabilitation after your shoulder dislocation. It is not a substitute

More information

Hand & Plastics Physiotherapy Department Cubital Tunnel Syndrome Information for patients

Hand & Plastics Physiotherapy Department Cubital Tunnel Syndrome Information for patients Oxford University Hospitals NHS Trust Hand & Plastics Physiotherapy Department Cubital Tunnel Syndrome Information for patients This leaflet has been developed to answer any questions you may have regarding

More information

FROZEN SHOULDER. A guide to the symptoms and treatment for frozen shoulder (adhesive capsulitis)

FROZEN SHOULDER. A guide to the symptoms and treatment for frozen shoulder (adhesive capsulitis) FROZEN SHOULDER A guide to the symptoms and treatment for frozen shoulder (adhesive capsulitis) FROZEN SHOULDER Frozen shoulder is a condition that causes your shoulder to become stiff and painful. Movement

More information

Subacromial Impingement of Shoulder Orthopaedic Department Patient Information Leaflet. Under review. Page 1

Subacromial Impingement of Shoulder Orthopaedic Department Patient Information Leaflet. Under review. Page 1 Subacromial Impingement of Shoulder Orthopaedic Department Patient Information Leaflet Page 1 Subacromial Impingement of Shoulder About your shoulder The shoulder is a ball and socket joint formed by a

More information

Hand and Wrist Exercises

Hand and Wrist Exercises Hand and Wrist Exercises Information for Patients Carers Relatives Physiotherapy Department Weston General Hospital Grange Road Uphill Weston-super-Mare BS23 4TQ Tel: 01934 647131 Website: www.waht.nhs.uk

More information

Guidelines for patients having a Shoulder. Manipulation. Shoulder Manipulation

Guidelines for patients having a Shoulder. Manipulation. Shoulder Manipulation ORTHOPAEDIC WARD: 01-293 8687 /01-293 6602 BEACON CENTRE FOR ORTHOPAEDICS: 01-2937575 PHYSIOTHERAPY DEPARTMENT: 01-2936692 Guidelines for patients having a Shoulder Manipulation Please stick addressograph

More information

Rotator Cuff Surgery

Rotator Cuff Surgery What is the rotator cuff? Rotator Cuff Surgery The shoulder contains a layer of muscles called the rotator cuff muscles. These are 4 short muscles that are attached to a bone on your back called the shoulder

More information

Ulnar nerve decompression

Ulnar nerve decompression Patient information Ulnar nerve decompression This information has been produced to help you gain the maximum benefit and understanding of your condition and its treatment. It includes the following information:

More information

INFORMATION FOR YOU AFTER YOUR OPERATION

INFORMATION FOR YOU AFTER YOUR OPERATION OXFORD SHOULDER & ELBOW CLINIC INFORMATION FOR YOU AFTER YOUR OPERATION Rotator cuff repair This information booklet has been produced to help you gain the maximum benefit after your operation. It is not

More information

ROTATOR CUFF REPAIR. Rotator Cuff Repair

ROTATOR CUFF REPAIR. Rotator Cuff Repair ORTHOPAEDIC UNIT: 01-293 8687 /01-293 6602 UPMC BEACON CENTRE FOR ORTHOPAEDICS: 01-2937575 PHYSIOTHERAPY DEPARTMENT: 01-2936692 GUIDELINES FOR PATIENTS HAVING A ROTATOR CUFF REPAIR Please stick addressograph

More information

Arthroscopic frozen shoulder release

Arthroscopic frozen shoulder release Patient Advice and Liaison Service (PALS) King s Mill Hosp ital 01623 672222 Newark Hospital 01636 685692 Arthroscopic frozen shoulder release Patient information If you need this information in a different

More information

Frozen shoulder (adhesive capsulitis)

Frozen shoulder (adhesive capsulitis) Patient information Frozen shoulder (adhesive capsulitis) This information has been produced to help you gain the maximum benefit and understanding of your operation. It includes the following information:

More information

Frozen Shoulder (Adhesive Capsulitis)

Frozen Shoulder (Adhesive Capsulitis) University Teaching Trust Frozen Shoulder (Adhesive Capsulitis) Irving Building Physiotherapy 0161 206 5328 All Rights Reserved 2016. Document for issue as handout. What is a frozen shoulder? A frozen

More information

SHOULDER ACROMIOPLASTY/ SHOULDER DECOMPRESSION

SHOULDER ACROMIOPLASTY/ SHOULDER DECOMPRESSION ORTHOPAEDIC WARD: 01-293 8687 /01-293 6602 BEACON CENTRE FOR ORTHOPAEDICS: 01-2937575 PHYSIOTHERAPY DEPARTMENT: 01-2936692 GUIDELINES FOR PATIENTS HAVING A SHOULDER ACROMIOPLASTY/ SHOULDER DECOMPRESSION

More information

Frozen shoulder (adhesive capsulitis)

Frozen shoulder (adhesive capsulitis) Patient information Frozen shoulder (adhesive capsulitis) This information has been produced to help you gain the maximum benefit and understanding of your operation. It includes the following information:

More information

How to treat your injured neck

How to treat your injured neck How to treat your injured neck Exceptional healthcare, personally delivered Your neck is made up of a number of bones bound together by strong discs and ligaments. It is also protected by strong muscles.

More information

Achilles Tendinitis What is an Achilles tendinitis?

Achilles Tendinitis What is an Achilles tendinitis? Achilles Tendinitis What is an Achilles tendinitis? The Achilles tendon is a band of tissue that connects the heel bone to the calf muscle of the leg. This band of tissue/tendon may become inflamed and

More information

Subacromial Decompression Surgery

Subacromial Decompression Surgery Subacromial Decompression Surgery Exceptional healthcare, personally delivered This leaflet aims to help you gain the maximum benefit from your operation. It is not a substitute for professional medical

More information

Frozen Shoulder Healthshare Information for Guided Patient Management

Frozen Shoulder Healthshare Information for Guided Patient Management Healthshare Information for Guided Patient Management Index What is a frozen shoulder? 2 Why me? 3 How long does it last? 3 How is it diagnosed? 3 What are my treatment options? 3 What can I do to help?

More information

Patient Information Leaflet - WRIST FRACTURES Fracture Clinic. Telephone ext 2220.

Patient Information Leaflet - WRIST FRACTURES Fracture Clinic. Telephone ext 2220. Leaflet - WRIST FRACTURES Fracture Clinic. Telephone 01384 456111 ext 2220. WRIST FRACTURES, Page 1 of 5 WRIST FRACTURES Welcome to the Dudley Group of Hospitals Emergency Department/Fracture Clinic. This

More information

Your Arthroscopic Rotator Cuff Repair Information for Patients

Your Arthroscopic Rotator Cuff Repair Information for Patients Your Arthroscopic Rotator Cuff Repair Information for Patients This leaflet will provide you with general information about Rotator Cuff surgical repair. It will briefly explain the operation procedure

More information

Arthroscopic subacromial decompression and rotator cuff repair

Arthroscopic subacromial decompression and rotator cuff repair Further sources of information http://www.patient.co.uk/showdoc/553/ http://www.shoulderdoc.co.uk/article.asp?section=11 http://www.medic8.com/healthguide/articles/painfulshoulder.html http://www.cks.nhs.uk/patientinformationleaflet/shoulderpainarc/st

More information

Capsular Shift Operation

Capsular Shift Operation Feedback We appreciate and encourage feedback. If you need advice or are concerned about any aspect of care or treatment please speak to a member of staff or contact the Patient Advice and Liaison Service

More information

Frozen Shoulder Surgery. Decreasing Pain and Improving Flexibility

Frozen Shoulder Surgery. Decreasing Pain and Improving Flexibility Frozen Shoulder Surgery Decreasing Pain and Improving Flexibility Understanding Frozen Shoulder Have you felt nagging pain and stiffness in your shoulder? If so, you may have frozen shoulder. This problem

More information

Lumbar Epidural. Patient Information. Pain Department

Lumbar Epidural. Patient Information. Pain Department Lumbar Epidural Patient Information Pain Department Author ID: SD Leaflet Number: Pain 016 Version: 6 Name of Leaflet: Lumbar Epidural Date Produced: May 2016 Review Date: May 2018 Lumbar Epidural Page

More information

Northumbria Healthcare NHS Foundation Trust. Nerve Root Block Injections. Issued by the Orthopaedic Department

Northumbria Healthcare NHS Foundation Trust. Nerve Root Block Injections. Issued by the Orthopaedic Department Northumbria Healthcare NHS Foundation Trust Nerve Root Block Injections Issued by the Orthopaedic Department Welcome to the Day Treatment Centre. This leaflet tells you about having a nerve root injection,

More information

A Patient's Guide to Adhesive Capsulitis

A Patient's Guide to Adhesive Capsulitis Introduction Adhesive capsulitis, also called frozen shoulder, is a painful condition. It results in a severe loss of motion in the shoulder. It may follow an injury, or it may arise gradually with no

More information

SHOULDER IMPINGEMENT OXFORD SHOULDER & ELBOW CLINIC INFORMATION FOR YOU. Shoulder Impingement SHOULDER IMPINGEMENT

SHOULDER IMPINGEMENT OXFORD SHOULDER & ELBOW CLINIC INFORMATION FOR YOU. Shoulder Impingement SHOULDER IMPINGEMENT OXFORD SHOULDER & ELBOW CLINIC INFORMATION FOR YOU Shoulder Impingement SHOULDER IMPINGEMENT Shoulder Impingement The aim of this information sheet is to give you some understanding of the problem you

More information

Physiotherapy Department Acute Neck Pain a guide to help your recovery

Physiotherapy Department Acute Neck Pain a guide to help your recovery Oxford University Hospitals NHS Trust Physiotherapy Department Acute Neck Pain a guide to help your recovery Information for patients Most acute neck injuries are not serious and the pain will improve

More information

Having a kidney biopsy

Having a kidney biopsy Having a kidney biopsy Delivering the best in care UHB is a no smoking Trust To see all of our current patient information leaflets please visit www.uhb.nhs.uk/patient-information-leaflets.htm Introduction

More information

Information and exercises following microdiscectomy

Information and exercises following microdiscectomy Information and exercises Information and exercises following microdiscectomy This information is designed to help you get back to full fitness as quickly as possible after your operation. Before you leave

More information

Stabilisation of the acromioclavicular joint

Stabilisation of the acromioclavicular joint Patient information Stabilisation of the acromioclavicular joint This information has been produced to help you gain the maximum benefit and understanding of your operation. It includes the following information:

More information

ADHESIVE CAPSULITIS/FROZEN SHOULDER INFORMATION FOR PATIENTS

ADHESIVE CAPSULITIS/FROZEN SHOULDER INFORMATION FOR PATIENTS ADHESIVE CAPSULITIS/FROZEN SHOULDER INFORMATION FOR PATIENTS What is frozen shoulder? Frozen shoulder is the painful and gradual stiffening of the shoulder capsule. This painful stiffening over time leads

More information

Integrated Musculoskeletal Service Physiotherapy Department. Lateral Hip Pain. (Outer side of hip)

Integrated Musculoskeletal Service Physiotherapy Department. Lateral Hip Pain. (Outer side of hip) Integrated Musculoskeletal Service Lateral Hip Pain (Outer side of hip) Information and Exercise Leaflet for Patient s and Carers Lateral hip pain is a condition where pain is felt on the outer side of

More information

SUB ACROMIAL DECOMPRESSION SURGERY POST-OPERATIVE REHABILITATION PROGRAMME

SUB ACROMIAL DECOMPRESSION SURGERY POST-OPERATIVE REHABILITATION PROGRAMME SUB ACROMIAL DECOMPRESSION SURGERY POST-OPERATIVE REHABILITATION PROGRAMME ABOUT THE OPERATION If your shoulder has not recovered with appropriate conservative management, the next step to consider is

More information

CARPAL TUNNEL SYNDROME A PATIENT GUIDE TO THE NURSE-LED CARPAL TUNNEL SERVICE

CARPAL TUNNEL SYNDROME A PATIENT GUIDE TO THE NURSE-LED CARPAL TUNNEL SERVICE CARPAL TUNNEL SYNDROME A PATIENT GUIDE TO THE NURSE-LED CARPAL TUNNEL SERVICE Information Leaflet Your Health. Our Priority. Page 2 of 6 What is carpal tunnel syndrome? It is entrapment of a nerve at the

More information

Shoulder replacement

Shoulder replacement OXFORD SHOULDER & ELBOW CLINIC INFORMATION FOR YOU AFTER YOUR OPERATION Shoulder replacement INFORMATION FOR YOU AFTER YOUR OPERATION Shoulder replacement PAGE 3 This information booklet is to help you

More information

INFORMATION FOR YOU AFTER YOUR OPERATION

INFORMATION FOR YOU AFTER YOUR OPERATION OXFORD SHOULDER & ELBOW CLINIC INFORMATION FOR YOU AFTER YOUR OPERATION Elbow replacement This information booklet is to help you after your operation and to gain the maximum benefit from your elbow replacement.

More information

National Hospital for Neurology and Neurosurgery. Muscle biopsy Centre for Neuromuscular Diseases

National Hospital for Neurology and Neurosurgery. Muscle biopsy Centre for Neuromuscular Diseases National Hospital for Neurology and Neurosurgery Muscle biopsy Centre for Neuromuscular Diseases If you would like this document in another language or format or if you require the services of an interpreter

More information

a patient s guide Physiotherapy advice and exercises from four weeks after neck dissection surgery

a patient s guide Physiotherapy advice and exercises from four weeks after neck dissection surgery Physiotherapy advice and exercises from four weeks after neck dissection surgery Patient Information Series PI 47 East and North Hertfordshire NHS Trust 2 This leaflet has been produced by professionals,

More information

Department of Cardiology Coronary Angiogram. Patient Information leaflet. Whiston Hospital Warrington Road Prescot L35 5DR

Department of Cardiology Coronary Angiogram. Patient Information leaflet. Whiston Hospital Warrington Road Prescot L35 5DR Department of Cardiology 0151 430 7662 Coronary Angiogram Patient Information leaflet Creation Date August 2009 V2 (Revised May 2015) Review Date May 2018 Produced by Department of Cardiology Whiston Hospital

More information

Discharge Instructions and Advice Following Knee Arthroscopy Under General Anaesthetic

Discharge Instructions and Advice Following Knee Arthroscopy Under General Anaesthetic Information for patients Discharge Instructions and Advice Following Knee Arthroscopy Under General Anaesthetic Martlesham Ward: Tel: 01473 702290 (24 hour) Raedwald Day Surgery Unit: Tel: 01473 702705

More information

Whiplash Associated Disorder (WAD)

Whiplash Associated Disorder (WAD) Information for patients Whiplash Associated Disorder (WAD) Physiotherapy Department Tel: 01473 703312 DPS ref: 05731-14(RP) Issue 3: December 2014 Review date: November 2017 The Ipswich Hospital NHS Trust,

More information

Frozen Shoulder Adhesive Capsulitis

Frozen Shoulder Adhesive Capsulitis Frozen Shoulder Adhesive Capsulitis Brett Sanders, MD Center For Sports Medicine and Orthopaedic 2415 McCallie Ave. Chattanooga, TN (423) 624-2696 If you're having trouble lifting your arm above your head,

More information

Physiotherapy following your ankle fracture

Physiotherapy following your ankle fracture Patient Information Physiotherapy following your ankle fracture Physiotherapy following your ankle fracture This leaflet has been given to you to assist you in returning back to normal after a fractured

More information

DENERVATION TREATMENT

DENERVATION TREATMENT 0BRADIOFREQUENCY DENERVATION TREATMENT Information Leaflet Your Health. Our Priority. Page 2 of 6 What is radiofrequency denervation treatment? Radiofrequency denervation is a specialised treatment that

More information

neck class KAISER PERMANENTE FREMONT PHYSICAL THERAPY

neck class KAISER PERMANENTE FREMONT PHYSICAL THERAPY neck class KAISER PERMANENTE FREMONT PHYSICAL THERAPY Hello and welcome to the neck clas s Often people with neck pain respond well with a series of progressive exercises as well as posture and body mechanic

More information

CAUDAL (EPIDURAL) STEROID INJECTION

CAUDAL (EPIDURAL) STEROID INJECTION CAUDAL (EPIDURAL) STEROID INJECTION Information Leaflet Your Health. Our Priority. Page 2 of 5 What is a Caudal Epidural Steroid injection? A caudal epidural injection is an injection of steroid (anti-inflammatory

More information

Having a Fibroid Embolisation

Having a Fibroid Embolisation Having a Fibroid Embolisation Information for Patients In this leaflet: Introduction 2 What is fibroid embolisation? 2 Why do I need fibroid embolisation? 2 Who has made the decision?. 2 Who will be doing

More information

Patient Information SHOULDER ARTHROSCOPY & SUBACROMIAL DECOMPRESSION

Patient Information SHOULDER ARTHROSCOPY & SUBACROMIAL DECOMPRESSION Patient Information SHOULDER ARTHROSCOPY & SUBACROMIAL DECOMPRESSION Mr. T.D.Tennent FRCS(Orth) Consultant Shoulder & Elbow Surgeon Shoulder and Elbow Unit, St. George s Hospital www.tennent.net www.wimbledonshoulderclinic.co.uk

More information

Wrist Fracture. Please stick addressograph here

Wrist Fracture. Please stick addressograph here ORTHOPAEDIC UNIT: 01-293 8687 /01-293 6602 UPMC BEACON CENTRE FOR ORTHOPAEDICS: 01-2937575 PHYSIOTHERAPY DEPARTMENT: 01-2936692 GUIDELINES FOR PATIENTS FOLLOWING WRIST FRACTURE Please stick addressograph

More information

Renal Vascular Access Having a Fistula For Haemodialysis

Renal Vascular Access Having a Fistula For Haemodialysis Renal Vascular Access Having a Fistula For Haemodialysis Delivering the best in care UHB is a no smoking Trust To see all of our current patient information leaflets please visit www.uhb.nhs.uk/patient-information-leaflets.htm

More information

Take a few minutes for yourself and incorporate some Office Yoga into your daily routine.

Take a few minutes for yourself and incorporate some Office Yoga into your daily routine. OFFICE YOGA Working in an office or at a computer for prolonged periods of time can put strain on the neck, shoulder and back muscles which in turn can lead to tension and stiffness. This tension can cause

More information

Hand exercises following burn injuries

Hand exercises following burn injuries Hand exercises following burn injuries Exceptional healthcare, personally delivered When you sustain a burn to your hand, the natural reaction is one of protection. This may mean you avoid moving your

More information

Hand & Plastics Physiotherapy Department Carpal Tunnel Syndrome Information for patients

Hand & Plastics Physiotherapy Department Carpal Tunnel Syndrome Information for patients Oxford University Hospitals NHS Trust Hand & Plastics Physiotherapy Department Carpal Tunnel Syndrome Information for patients page 2 What is the Carpal Tunnel? The carpal tunnel is made up of the bones

More information

Mesenteric Angiography

Mesenteric Angiography Information for patients Mesenteric Angiography Sheffield Vascular Institute Northern General Hospital You have been given this leaflet because you need a procedure known as a Mesenteric Angiogram. This

More information

Total Shoulder Arthroplasty

Total Shoulder Arthroplasty Specialists in Joint Replacement, Spinal Surgery, Orthopaedics and Sport Injuries Total Shoulder Arthroplasty Ms. Ruth Delaney Consultant Orthopaedic Surgeon www.sportssurgeryclinic.com Introduction Arthritis

More information

Day case cerebral or spinal angiogram

Day case cerebral or spinal angiogram Day case cerebral or spinal angiogram Information for patients This leaflet answers some of the questions you may have about having a cerebral or spinal angiogram. It explains the risks and the benefits

More information

Physiotherapy for Video Assisted Thoracic Surgery Patients

Physiotherapy for Video Assisted Thoracic Surgery Patients Physio for VATS patients Royal Devon and Exeter NHS Foundation Trust Physiotherapy for Video Assisted Thoracic Surgery Patients July 2008 (Review date: July 2011) Physiotherapy Department...01392 402438

More information

Rotator Cuff Repair Surgery

Rotator Cuff Repair Surgery Rotator Cuff Repair Surgery Patient Information Author ID: JW Leaflet Number: Musc 014 Name of Leaflet: Rotator Cuff Repair Surgery Date Produced: June 2014 Review Date: June 2016 Rotator Cuff Repair Surgery

More information

Physiotherapy advice after breast reconstruction surgery using a DIEP or TRAM flap

Physiotherapy advice after breast reconstruction surgery using a DIEP or TRAM flap Physiotherapy advice after breast reconstruction surgery using a DIEP or TRAM flap The aim of this information booklet is to answer some of the questions you may have about recovering from breast reconstruction

More information

Skin Graft Your Operation Explained

Skin Graft Your Operation Explained Skin Graft Your Operation Explained Patient Information Introduction This leaflet has been written to help you understand the skin graft you are about to have. We hope it will answer some of the questions

More information

Excision of Epididymal Cyst

Excision of Epididymal Cyst Excision of Epididymal Cyst Patient Information Day Surgery Ward 3, Leigh Infirmary Author ID: LS Leaflet Number: SW3 011 Version: 5 Name of Leaflet: Excision of Epididymal Cyst Date Produced: April 2015

More information

Cast removal what to expect #3 Patient Information Leaflet

Cast removal what to expect #3 Patient Information Leaflet Cast removal what to expect #3 Patient Information Leaflet SM466 Now your cast is off, self help is the key! Follow the advice given to you by your doctor and the staff in the clinic. Your skin will be

More information

Community-Acquired Pneumonia

Community-Acquired Pneumonia GREY BRUCE HEALTH NETWORK EVIDENCE-BASED CARE PROGRAM Community-Acquired Pneumonia Patient Education Booklet (In-Patient) 2003-2010 Grey Bruce Health Network Table of Contents What is Pneumonia?...1 What

More information

Shoulder Replacement Guide

Shoulder Replacement Guide Shoulder Replacement Guide IM-CNOH-4 Revision No.: 1 Issue Date: March 2011 Review Date: March 2012 C A P PA G H N AT I O N A L O RT H O PA E D I C H O S P I TA L Founded 1908 Founded 1908 FINGLAS, DUBLIN

More information

Shoulder Pain Patient Information

Shoulder Pain Patient Information Shoulder Pain Patient Information Shoulder pain is a frequent complaint of patients at all ages. While it may start with a sudden injury, it usually begins gradually over a period of weeks to months, or

More information

SLAP Lesion Repair Operation

SLAP Lesion Repair Operation Feedback We appreciate and encourage feedback. If you need advice or are concerned about any aspect of care or treatment please speak to a member of staff or contact the Patient Advice and Liaison Service

More information

Exercises and advice for patients recovering from thyroid surgery

Exercises and advice for patients recovering from thyroid surgery Exercises and advice for patients recovering from thyroid surgery Information for patients who have had surgery for conditions affecting their thyroid gland Following your thyroid surgery, the position

More information

Lateral Epicondylitis (Tennis Elbow)

Lateral Epicondylitis (Tennis Elbow) Vasu Pai MS, MCh, FRACS Lateral Epicondylitis (Tennis Elbow) Lateral epicondylitis, commonly known as tennis elbow, is not limited to tennis players. The backhand swing in tennis can strain the muscles

More information

Guy s, King s and St Thomas Cancer Centre The Cancer Outpatient Clinic Central venous catheter: Peripherally inserted central catheter

Guy s, King s and St Thomas Cancer Centre The Cancer Outpatient Clinic Central venous catheter: Peripherally inserted central catheter Guy s, King s and St Thomas Cancer Centre The Cancer Outpatient Clinic Central venous catheter: Peripherally inserted central catheter This information leaflet aims to help answer some of the questions

More information

Exercise and advice after breast cancer surgery

Exercise and advice after breast cancer surgery Exercise and advice after breast cancer surgery Irving Building Physiotherapy All Rights Reserved 2015. Document for issue as handout. Role of the physiotherapist Exercises for the first week following

More information

Functional rehab after breast reconstruction surgery

Functional rehab after breast reconstruction surgery Functional rehab after breast reconstruction surgery UHN A guide for women who had DIEP, latissimus dorsi with a tissue expander or implant, or two-stage implant based breast reconstruction surgery Read

More information

Epidural Continuous Infusion. Patient information Leaflet

Epidural Continuous Infusion. Patient information Leaflet Epidural Continuous Infusion Patient information Leaflet April 2015 Introduction You may already know that epidural s are often used to treat pain during childbirth. This same technique can also used as

More information