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Frozen shoulder, (or adhesive capsulitis) is a common condition affecting people generally between the ages of 40-65, especially in people with a history of diabetes and thyroid problems. Patients
Frozen Shoulder
with frozen shoulder have progressive loss of range of motion and pain with any motion of the affected shoulder.
Causes - The cause of frozen shoulder is not fully understood. Patients with frozen shoulder have thickening of the capsule around the shoulder, which leads to pain and loss of motion. It is more common in patients who have had a previous shoulder injury and have been immobilised. Symptoms - Patients with frozen shoulder usually have increasing pain as their shoulder loses motion. The pain is often exacerbated by quick motions of the shoulder. The shoulder becomes more painful as the stiffness worsens, and it is diffi cult even for other people to move the shoulder. Diagnosis is usually made by physical exam. Radiographs and MRI are often obtained to rule out other problems in the shoulder. Frozen shoulder has been divided into three stages: Stage 1: “Freezing” Stage: Characterised by a slow increase in pain, sometimes brought on by an apparently minor trauma. As the pain worsens, the shoulder loses motion.
Stage 2: “Frozen” Stage: The pain improves, but the stiffness remains. Stage 3: “Thawing” Stage: Shoulder motion slowly returns to normal. Stage 1 can last from 1 month to 9 months; stage 2 from 4 to 9 months, and stage 3 from 5 months to 2 years. Treatment. - Physical Therapy - The mainstay of treatment for frozen shoulder is aggressive physical therapy. A good therapist can help relieve pain and restore motion. Therapeutic exercises include stretching and range of motion exercises, followed by modalities such as heat and/or ice to improve symptoms. As with any physical therapy regime, a good home program is essential. Medications - Prescription oral anti-infl ammatories can help relieve pain, especially in the “freezing” stage. Surgical Treatment - More than 90% of patients improve without surgical treatment. However, in those few patients that do not get better with physical therapy and time, surgical intervention can be considered. Surgery involves an arthroscopic procedure to release the contracted tissue around the shoulder joint, followed by a manipulation to break up any other adhesions. The surgery is typically performed in an outpatient setting, and therapy commences a few days following the procedure. Recovery varies from six weeks to four months.
This article is for information purposes ONLY and should not be used as a diagnostic tool. Always consult with your medial adviser or G.P. on all medical matters. Should you require any further information, have any other question that you may want answered or would prefer a one to one FREE consultation then please contact Kevin 966 765 686 or 605 306 129 or email
physicaltherapyclinic@yahoo.com.
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