Frozen Shoulder

It’s also known as adhesive capsulitis, causing pain and stiffness in the shoulder.

Common in ages between 40 -60 years and more often in women and diabetics.

Capsule of the shoulder joint becomes thickened and tight. Stiff bands – adhesions develop over a period further leading to stiffness.

It occurs in 3 stages:

  • FREEZING – gradual worsening of pain and loss of motion lasts for 6 – 9 weeks.
  • FROZEN – pain improves but stiffness continues lasts for 4 -6 months.
  • THAWING – shoulder movements improve and return to near normal, takes 6 months – 2years.
Causes / risk factors
  • Diabetes
  • Immobilization – prolonged immobilization after injury or fractures
Symptoms
  • Pain
  • Inability to move shoulder
Investigations
  • X- rays – to rule out arthritis
  • MRI – to rule out rotator cuff and other soft tissue injuries
Treatment
Non-Surgical
  • Analgesics
  • Cortisone injections
  • Physiotherapy
Surgical
  • Manipulation – done under anaesthesia to break the adhesions.
  • Arthroscopy – to break the adhesions.
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