Arthroscopic capsular release involves using small instruments to release the tight capsule of the hip joint, improving range of motion and reducing pain. It is typically recommended when conservative treatments have failed to restore mobility and relieve pain.
The surgery itself is painless due to anaesthesia, but post-operative pain is common. Pain management strategies will be provided, and physiotherapy is crucial for recovery.
This procedure is very effective for restoring range of motion and reducing pain in patients with frozen hip. It allows for a quicker recovery compared to open surgery and helps improve the quality of life.
Arthroscopic capsular release of the hip is most commonly performed under general anaesthesia. This means the patient is completely asleep and unaware during the procedure, which ensures comfort and allows the surgical team to apply traction to the hip safely. Traction is often needed to create space in the joint so that the surgeon can see and work effectively using the arthroscope and instruments. In some cases, regional anaesthesia such as a spinal or epidural block may be used, either on its own or in combination with general anaesthesia. Regional anaesthesia can provide excellent pain relief during and after the surgery, helping to reduce the need for strong pain medications in the recovery period. Often, local anaesthetic is also injected into the area around the hip joint at the end of the procedure to help control pain in the first few hours after surgery. The choice of anaesthesia is tailored to each patient based on factors like age, medical history, and personal preferences. Before the operation, the anaesthetist will discuss the options and recommend the most suitable and safe approach. Regardless of the method, patients are closely monitored throughout the procedure to ensure their safety and comfort.
Arthroscopic capsular release of the hip typically takes **between 60 to 90 minutes**, though this can vary depending on the complexity of the case and whether additional procedures—such as labral debridement or treatment for femoroacetabular impingement (FAI)—are performed during the same operation. The minimally invasive nature of hip arthroscopy allows surgeons to access the joint through small incisions, using a camera (arthroscope) and specialised instruments to precisely release the tight or thickened capsule. If the capsular stiffness is extensive or if there is significant scarring, the procedure may take longer to carefully and safely free up the joint. Before surgery begins, time is also required for anaesthetic administration and patient positioning, particularly as hip arthroscopy often involves the use of traction to open the joint space for better visibility. While the operative portion may take an hour or so, patients should expect to be in the hospital for several hours from check-in to recovery. After surgery, most patients can go home the same day, although they’ll need someone to assist them. Recovery begins immediately with a focus on pain control, gentle range-of-motion exercises, and physiotherapy. The overall goal is to restore hip mobility and reduce pain associated with the frozen hip.
Yes, physiotherapy is a key part of recovery after arthroscopic capsular release for a frozen hip. While the surgery helps release the tight capsule and restore joint movement, rehabilitation through physiotherapy is essential to maintain and build on those surgical gains. In the early stages, physiotherapy focuses on gentle range-of-motion exercises to prevent scar tissue from reforming and to reduce stiffness. A physiotherapist will guide you through movements designed to keep the joint mobile without overloading it. Depending on your surgeon’s protocol, these exercises may begin within a day or two of surgery. As healing progresses, the program will gradually shift towards strengthening the muscles around the hip, improving stability, and restoring normal walking patterns and functional movement. Stretching, low-impact activities, and manual therapy techniques may also be used. Consistency is important. Skipping physiotherapy or doing too much too soon can affect the outcome. Most patients continue with a structured rehabilitation plan for several weeks to months, depending on how stiff the hip was before surgery and how the joint responds afterward. Your surgeon and physiotherapist will tailor the program to your needs, goals, and progress. Active participation in your rehab is one of the best predictors of a successful outcome.
Recovery after arthroscopic capsular release varies from person to person, but most patients can expect a gradual return to normal activities over several weeks to months, depending on the severity of the frozen hip before surgery and how well rehabilitation progresses. In the first couple of weeks, activities are limited to gentle movement and light daily tasks. Patients are usually advised to avoid high-impact or strenuous movements early on, but walking short distances and basic self-care are often possible within a few days of surgery. By around 4 to 6 weeks, many people can return to office-based work or light duties, especially if their job doesn’t involve prolonged standing, squatting, or lifting. Driving is usually allowed once pain is controlled and leg movement is sufficient—often after 1 to 2 weeks, depending on individual recovery and the leg operated on. More physically demanding activities, including sports or heavy labour, may take up to 3 to 6 months. This timeline depends heavily on how well the joint responds to surgery, how consistently physiotherapy is followed, and whether any other hip problems were treated at the same time. Your surgeon and physiotherapist will guide you through a personalised recovery plan and help determine when it’s safe to resume your usual routine.
Like any surgical procedure, arthroscopic capsular release involves some risks, although complications are generally uncommon when the operation is performed by an experienced orthopaedic surgeon. One potential risk is infection, either in the joint or around the small incisions. While uncommon, this can require antibiotics or, in rare cases, further treatment. Some patients may experience bleeding or noticeable bruising around the hip area. There is also a small risk of injury to nearby nerves or blood vessels, which can lead to temporary numbness, tingling, or weakness in the leg. In a few cases, patients may notice that their symptoms persist or that stiffness gradually returns. This can happen if scar tissue reforms, especially if physiotherapy is not followed closely. Ongoing discomfort or pain may also occur, sometimes due to underlying hip problems that are not fully addressed by the capsular release alone. Finally, as with any surgery involving general or regional anaesthesia, there is a low risk of anaesthetic-related side effects. These are typically managed by the anaesthetic team, who will assess your individual risk beforehand. Your surgeon will go through these risks in more detail and help you weigh the benefits and potential complications based on your specific situation.
Recovery time after arthroscopic capsular release for a frozen hip can vary depending on several factors, including the degree of joint stiffness before surgery, the patient’s general health, and how well rehabilitation is followed. However, most patients can expect meaningful improvement over a period of 6 to 12 weeks, with full recovery potentially taking 3 to 6 months. In the first few days to weeks, the focus is on pain control and gently restoring movement. Physiotherapy usually begins shortly after surgery to prevent scar tissue from reforming and to promote mobility. By 4 to 6 weeks, many people experience significant improvement in stiffness and can return to light daily activities, including work that doesn’t require heavy lifting or extended time on their feet. Driving is typically possible once the leg has regained enough control and comfort. Between 3 to 6 months, most patients regain a full or near-full range of motion and return to their normal lifestyle, including exercise and low-impact sport. Recovery can be slower in cases where the hip was severely restricted pre-operatively or if there are other joint issues. A tailored physiotherapy plan, combined with regular follow-up, is crucial to ensuring the best possible outcome.
Most patients can return to light, everyday activities within the first 2 to 4 weeks after arthroscopic capsular release. This includes walking short distances, climbing stairs carefully, and handling basic household tasks. If your job is office-based or involves minimal physical demand, you may be able to return to work within this time frame—depending on your individual progress and pain levels. Driving is often possible after 1 to 2 weeks, provided you feel confident controlling the car and are no longer taking strong pain medications. It’s important to check with your surgeon before getting behind the wheel. More physically demanding tasks—such as heavy lifting, prolonged standing, or participating in sport—usually require a longer recovery period. These may be gradually resumed over 3 to 6 months, depending on how well your hip responds to surgery and rehabilitation. Your return to normal activity will be guided by your physiotherapist and surgeon, and it’s important not to rush. Pushing too hard too early can delay recovery, while a steady, consistent rehab approach typically leads to the best long-term outcome.
Preparing for arthroscopic capsular release begins with a thorough discussion between you and your orthopaedic surgeon. Once surgery is planned, you may be asked to have updated imaging—such as an MRI or X-ray—to better understand the condition of your hip and surrounding structures. Your general health will also be reviewed, and you may need to visit your GP or undergo routine blood tests, ECG, or other assessments to ensure you're fit for anaesthesia. If you take any regular medications, especially blood thinners or diabetes medications, your doctor may provide specific instructions on how to adjust them in the days leading up to surgery. You’ll usually be asked to fast (no food or drink) for several hours before the procedure. It's also helpful to prepare your home for recovery. This might include setting up a comfortable resting area, organising support for household tasks, and arranging help with transport for the first few days. Practising safe movements or learning how to use crutches, if recommended, can also make the transition smoother. Following the instructions from your surgeon, anaesthetist, and hospital team carefully helps reduce risks and ensures everything goes as smoothly as possible on the day of surgery.