Frozen Shoulder

Frozen shoulder, also known as adhesive capsulitis, is a condition characterized by stiffness and pain in the shoulder joint. This condition typically develops gradually and can severely limit the range of motion in the affected shoulder. Frozen shoulder is more common in people over 40, especially in women and those with certain medical conditions such as diabetes. The condition usually progresses through three stages: freezing, frozen, and thawing.
Common Symptoms
  • Gradual onset of shoulder pain
  • Stiffness in the shoulder joint
  • Limited range of motion
  • Pain that worsens at night
  • Difficulty performing daily activities that involve shoulder movement
  • Three Stages: Frozen shoulder progresses through three stages: freezing (pain and limited motion increase), frozen (pain may lessen, but stiffness remains), and thawing (gradual improvement in range of motion).
  • Risk Factors: Certain conditions like diabetes, heart disease, and thyroid disorders increase the risk of developing frozen shoulder.
  • Immobility Factor: Prolonged immobility of the shoulder, such as after surgery or an injury, can contribute to the development of frozen shoulder.
  • Self-Limiting: Frozen shoulder often resolves on its own over time, but this can take several months to years.
The exact cause of frozen shoulder is not well understood, but it is associated with inflammation and thickening of the shoulder capsule, leading to stiffness and pain. Risk factors include prolonged immobility, diabetes, and other systemic conditions.
Diagnosis involves a physical examination to assess range of motion and pain, as well as imaging tests such as X-rays or MRI to rule out other conditions and confirm the diagnosis.
Treatment options include physical therapy to improve range of motion, pain relief medications, anti-inflammatory drugs, corticosteroid injections, and in severe cases, surgical intervention such as manipulation under anesthesia or arthroscopic surgery.
Recovery varies; many patients improve with conservative treatments within a few months to years. Physical therapy is essential for restoring shoulder movement and function. Recovery can be slow, and patience is necessary.
Preventative measures include maintaining shoulder mobility through regular exercise, especially after an injury or surgery, and managing underlying health conditions that may increase the risk.
If you experience persistent shoulder pain, stiffness, or difficulty moving your shoulder, it is important to seek medical advice for an accurate diagnosis and appropriate treatment. Early intervention can help manage symptoms and improve outcomes.

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