Frozen Shoulder

What is Frozen Shoulder?

Adhesive Capsulitis of the Shoulder, commonly known as frozen shoulder, is a condition that causes pain, stiffness, and limited range of motion in the shoulder joint. It occurs when the capsule surrounding the shoulder joint becomes thickened and tight, leading to the formation of adhesions. These adhesions restrict the normal movement of the shoulder, resulting in pain and functional limitations. Frozen shoulder requires specialized care from frozen shoulder specialists who can accurately diagnose and provide effective treatment for this condition.

Causes

The exact causes of frozen shoulder are not fully understood, but several factors may contribute to its development. These include:

  1. Immobilization or prolonged lack of use: After an injury or surgery, immobilization of the shoulder joint or prolonged lack of movement can lead to the development of adhesions and subsequent frozen shoulder.
  2. Shoulder injury or trauma: Any injury or trauma to the shoulder, such as a fracture or dislocation, can trigger the inflammatory response that leads to frozen shoulder.
  3. Systemic conditions: Certain systemic conditions, such as diabetes, thyroid disorders, and autoimmune diseases, are associated with an increased risk of developing frozen shoulder.

Symptoms

Recognizing the symptoms of frozen shoulder is crucial for early diagnosis and appropriate treatment. Common symptoms include:

  • Dull, aching pain in the shoulder joint that worsens with movement or at rest.
  • Gradual onset of stiffness that progressively limits the ability to perform daily activities, such as reaching overhead, behind the back, or across the body.
  • Difficulty performing tasks that require full shoulder mobility, such as putting on clothes, brushing hair, or lifting objects.
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Frozen shoulder can cause significant pain and restriction of shoulder movement, but with the help of frozen shoulder specialists, effective treatments are available. Through a combination of physical therapy, medications, joint mobilization techniques, hydrodilatation, and surgical intervention when necessary, frozen shoulder can be effectively managed, allowing individuals to regain pain-free shoulder function and improve their quality of life.

If you are experiencing symptoms of frozen shoulder, don’t hesitate to seek the expertise of a frozen shoulder specialist who can guide you towards the most suitable treatment options for your specific needs.

Treatments

The treatment approach for frozen shoulder aims to alleviate pain, restore shoulder function, and improve the range of motion. Treatment options for frozen shoulder include:

Frozen Shoulder Specialist’s interventions:

Physical therapy

A key component of frozen shoulder treatment, physical therapy involves specific exercises and stretches to help improve range of motion and strengthen the shoulder muscles. A frozen shoulder specialist will create a personalized physical therapy plan tailored to your individual needs.

Joint mobilization techniques

A frozen shoulder specialist may perform gentle manipulation of the shoulder joint to help break up adhesions and improve mobility. This procedure is typically done under anesthesia to ensure patient comfort.

Medications

Nonsteroidal anti-inflammatory drugs (NSAIDs) may be prescribed to reduce pain and inflammation associated with frozen shoulder. In some cases, corticosteroid injections may be recommended to provide temporary relief from pain and help decrease inflammation.

Hydrodilatation

This procedure involves the injection of a sterile fluid, typically a mixture of saline and corticosteroids, into the joint capsule. The fluid helps stretch and expand the capsule, providing pain relief and improving range of motion.

Surgical intervention

In severe cases of frozen shoulder where conservative treatments have not been successful, surgical intervention may be considered. The specific surgical procedure will depend on the individual case and may involve arthroscopic release, where the scar tissue and adhesions are removed, or manipulation under anesthesia, where the specialist manipulates the shoulder joint to improve mobility.