Hydrodilatation, also known as brisement, is an alternative to surgery and improves pain and function in some joints. It is commonly used for frozen shoulder, but Cleveland Clinic’s Interventional Sports Medicine team also has performed hydrodilatation on over 300 patients with arthritis of the shoulder, hip or elbow. The procedure involves injecting a large volume of fluid at the joint, plus a nerve block and immediate physical therapy to improve range of motion. The fluid injected is usually a combination of sterile water, steroids and local anesthetic.
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