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The mainstay of treatment is non-steroidal anti-inflammatory medications (NSAIDs) and physical therapy. While the condition nearly always responds to this intervention, it can take as long as 12-18 months to see improvement. The physical therapy is intense and needs to be performed by the patient on a daily basis at home to be successful.
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If therapy is not successful, or if a patient is unable to tolerate therapy, a shoulder manipulation may be performed. Under anesthesia, the shoulder may be forcibly brought through a range of motion to release the scar tissue.
Arthroscopic surgery can be used to cut the tight ligaments and remove the scar tissue from the shoulder. Some surgeons may use repeated pain blocks after surgery to allow the patient to participate in physical therapy after surgery.
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