PHOENIX — A speaker at the Orthopaedic Research Society Annual Meeting said he and his colleagues recommend that only after trying all other conservative approaches to treat adhesive capsulitis of the shoulder should manipulation under anesthesia be performed, due to the poor economic profile of the procedure.

“Costs for performing this procedure far exceeded reimbursements, resulting in a substantial cost for patients treated operatively. So, the mean day of surgery cost was $20,000 vs. reimbursements of $4,500, resulting in a net loss of about $16,000,” Travis A. Doering, MD, said.