Frozen shoulder is a condition in which the shoulder joint becomes stiff and painful, significantly limiting movement. It typically develops gradually, starting with increasing pain followed by reduced range of motion until the shoulder feels “frozen.” Common symptoms include pain when moving the shoulder, difficulty lifting the arm, and challenges in performing daily activities such as dressing or combing hair.
At Mandaya Royal Puri Hospital, this condition can be treated by an experienced orthopedic shoulder and elbow consultant, dr. Troydimas Panjaitan, Sp.OT (K), using a minimally invasive arthroscopic procedure that requires only a small incision of around 1 cm. This approach helps accelerate recovery while minimizing risks.
“The hallmark of frozen shoulder is stiffness. We can see that before surgery, the rotational movement is limited,” explained dr. Troydimas.
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Patient Condition Assessment by dr. Troydimas
Before performing the procedure, dr. Troydimas explained that the patient’s arm could not be lifted optimally, with a significantly limited range of motion due to frozen shoulder.
“This case has been ongoing for quite some time. The patient has undergone conservative therapy for about 3–6 months, but the improvement was minimal. The patient still could not move normally—lifting, rotating, all movements were limited and painful,” said dr. Troydimas.
“Since this patient requires high mobility and does not have enough time for intensive physiotherapy, we offered arthroscopic release surgery. With this procedure, we expect the shoulder’s range of motion to recover faster compared to conservative treatment or physiotherapy,” he added.
Understanding Arthroscopic Treatment for Frozen Shoulder
Arthroscopy is a minimally invasive procedure performed through a small incision of approximately 1 cm in the shoulder. The goal of this procedure is to release the tissues causing stiffness and pain in the shoulder joint.
This technique allows for greater accuracy and precision, as dr. Troydimas uses a specialized camera to directly visualize the affected area in real time, with up to 10x magnification.
The advantages of arthroscopy in treating frozen shoulder include:
- Minimally invasive procedure: Performed with very small incisions (generally less than 1 cm), preserving surrounding healthy tissue.
- Faster recovery time: Minimal tissue damage allows patients to recover more quickly compared to open surgery.
- Lower risk of complications: Smaller incisions reduce the risk of infection and bleeding.
- Enhanced visualization and precision: With the help of an arthroscope, doctors can clearly see the joint condition and treat scar tissue or adhesions more accurately.
- Less postoperative pain: Patients typically experience milder pain and improved shoulder mobility relatively soon after the procedure.
Profile and Practice Schedule of dr. Troydimas
dr. Troydimas Panjaitan, Sp.OT (K), is an orthopedic specialist with a subspecialty in shoulder and elbow, experienced in managing various shoulder conditions. His expertise includes treating sports-related shoulder injuries, shoulder osteoarthritis, frozen shoulder (stiff and painful shoulder), shoulder dislocation, muscle injuries in the shoulder area, and shoulder fractures.
He completed his consultant training at the Sports Medicine & Joint Center, Funabashi Orthopaedic Hospital, Chiba, Japan, and is skilled in advanced techniques such as arthroscopy and arthroplasty (joint replacement surgery).
dr. Troydimas provides a comprehensive “one-stop service” approach, covering diagnosis, patient education, medication therapy, surgical procedures when needed, and physiotherapy programs for recovery. Treatment is tailored to the severity of each patient’s condition. In early stages, therapy usually involves medication and physiotherapy. However, if symptoms do not improve, advanced procedures such as arthroscopy, arthroplasty, rotator cuff repair, or shoulder reconstruction may be recommended to restore optimal shoulder function.
dr. Troydimas Panjaitan, Sp.OT (K) is available at Mandaya Royal Puri Hospital on:
- Tuesday: 5:00 PM – 8:00 PM (WIB)
- Friday: 5:00 PM – 8:00 PM (WIB)
To make your visit easier, you can use the WhatsApp Chat feature, Book Appointment service, or the Care Dokter app (available on Google Play and App Store) to schedule appointments, check queue numbers, and access additional information.
*The information provided on this page is intended for educational purposes and general overview only, and may not represent all medical services offered by each doctor. For appropriate treatment based on your condition, it is recommended to consult directly with the respective doctor.
If you have any questions, suggestions, or need further information, please contact our call center at 0811-1900-2000.
