Capsulitis is a condition that causes inflammation and thickening of the joint capsule, the tissue that surrounds the joint and holds it together. It can cause pain and limited movement in the affected joint. Treatment options vary depending on the type of capsulitis, but may include physical therapy, medications, injection therapies, and/or surgery.
Physical Therapy
Physical therapy is often the first line of treatment for capsulitis. Physical therapy can help improve joint range of motion, reduce pain, and improve strength and flexibility. Exercises may include stretching, strengthening, and range of motion exercises. Manual therapy techniques, such as massage, joint mobilization, and trigger point release, may also be used to help reduce pain and improve joint mobility.
Medications
Medications may be used to help reduce pain and inflammation associated with capsulitis. Nonsteroidal anti-inflammatory drugs (NSAIDs), such as ibuprofen or naproxen, may be prescribed to help reduce inflammation and pain. Steroid injections may also be used to reduce inflammation and pain.
Injection Therapies
Injection therapies, such as prolotherapy and platelet-rich plasma (PRP) injections, may be used to help reduce pain and improve joint mobility. Prolotherapy is a type of injection therapy that involves the injection of a solution of dextrose and lidocaine into the affected joint. The solution helps to stimulate the growth of new connective tissues, which can help reduce pain and improve joint mobility. PRP injections involve the injection of a concentrated solution of platelets, which are components of the blood that help to stimulate healing.
Surgery
Surgery may be recommended for severe cases of capsulitis that have not responded to other treatments. Surgery may involve the release of the joint capsule or the removal of scar tissue. Surgery may also involve the repair or reconstruction of the joint capsule.