Frozen shoulder, also known as adhesive capsulitis
It usually involves pain and stiffness in your shoulder that develops gradually, gets worse.
Pain can be worse at night when sleeping
significant loss of movement of shoulder joint in all directions.
After a period of worsening symptoms, frozen shoulder tends to get better, although full recovery may take up to 3 years
Frozen shoulder most commonly affects
people between the ages of 40 and 60
women more often affected than men.
Diabetes,Thyroid problem,deranged lipid profile are at an increased risk
Treatment – works in 3 main steps:
Most of the patients get relief from below mentioned therapies
Non-steroidal anti-inflammatory medicine to reduce pain and swelling.
Steroid injections – Cortisone is a powerful anti-inflammatory medicine that is injected directly into your shoulder joint. 80-90%
Physical therapy. Specific exercises will help restore motion. These may be done under the supervision of a physical therapist or via a home program. Therapy includes stretching or range of motion exercises for the shoulder.
Surgical Treatment
If your symptoms are not relieved by therapy and other conservative methods, you and your doctor may discuss surgery. Surgery is not required usually if we follow the conservative treatment.
The goal of surgery is to stretch and release the stiffened joint capsule. The most common methods include manipulation under anaesthesia and shoulder arthroscopy.
Manipulation under anaesthesia – During this procedure,we gave short anaesthesia . We will force your shoulder to move which causes the capsule and scar tissue to stretch or tear. This releases the tightening and increases range of motion.
Shoulder Arthroscopy –In this procedure, your doctor will cut through tight portions of the joint capsule. This is done using pencil-sized instruments inserted through small incisions around your shoulder.
In many cases, manipulation and arthroscopy are used in combination to obtain maximum results. Most patients have good outcomes with these procedures.