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FROZEN SHOULDER(ADHESIVE CAPSULITIS)

WHAT IS FROZEN SHOULDER?

  • It is a painful condition in which the movement of the shoulder becomes limited.
  • It occurs when the strong connective tissues surrounding the shoulder joint (joint capsule) becomes thick , stiff and inflammed.
  • The joint capsule contains the ligaments that attach the top of the humeral head to the glenoid firmly holding the joint in place.
  • The condition is called Frozen shoulder because the more pain that is felt , the less likely the shoulder will be used.
  • Lack of use causes the shoulder capsule to thicken and become tight, making the shoulder even more difficult to move - it is frozen in this position.
        Here is a exercise video of that which will help you to reduce pain:

    FrozenShoulder 



WHO ARE AT RISKS?

AGE: Adults are more commonly at risks who are in between 40 and 60 years old

GENDER: More common in women than men.

RECENT SHOULDER INJURY: Any shoulder injury or surgery that results in the need to keep the shoulder from moving .

DIABETES: Between 10 to 20 percent of individuals with diabetes mellitus develop frozen shoulder.

OTHER HEALTH DISEASES: Includes stroke, hypothyroidism hyperthyroidism , parkinson's disease and heart diseases.

Stroke is a risk factor for frozen shoulder because movement of an arm and shoulder may be limited.

SIGNS AND SYMPTOMS

Symptoms of frozen shoulder are divided into three stages:

  1. THE 'FREEZING STAGE' : In this stage , the shoulder becomes stiff and painful to move. The pain slowly increases. It may worsen at night. Inability to move the shoulder increases , this stage lasts 6 weeks to 9 months.
  2. THE 'FROZEN' STAGE: In this satge pain may lessen but the shoulder remains stiff. This makes it more difficult to complete the daily activities , this stage lasts 2 to 6 months.
  3. THE 'THAWING (RECOVERY ) STAGE: In this stage pain lessen and ability to move the shoulder slowly improves , full or near normal strength and motion return , the stage lasts 6 months to 2 years.

DIAGNOSIS:

  • It can usually be diagnosed from signs and symptoms.
  • X-Rays or MRI may be used to rule out the other problems like arthritis or a  torn rotator cuff that can also cause pain and limit the movement.

TREATMENT:

A combination of the following can speed up the recovery:
  • Physical Therapy
  • Medication
  • Surgery
  • Home care

PHYSICAL THERAPY:

  • It is the most common tretament for frozen shoulder.
  • The goal is to stretch the shoulder joint and regain the lost motion.
  • It can take some time like few weeks to nine months also to see the progress of the tretament.
  • A home exercise programme of gentle range of motion exercises is important.                                  

MEDICATIONS:

To treat the pain and reduce the joint inflammation an anti inflammatory drigs like aspirin, ibuprofen is given or sometimes steroidal injections may also help.

HOME CARE:

Placing an ice pack on your shoulder for 15 min. at a time several times per day can help to reduce the pain.


SURGERY:

  • If the condition is not improved then surgery is an option.
  • In this we have to manipulate the shoulder and put it through a full range of motion under a general anaesthtic to help break up any adhesions.
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