Do you feel that your arm movement is restrained? How even the act of combing your hair is painful and tiring now? If so, you may have a case of a frozen shoulder. Here’s what you need to know about adhesive capsulitis or frozen shoulder.
Written by Mae Charisse Antalan, MD · General Practitioner
Do you feel that your arm movement is restrained? How even the act of combing your hair is painful and tiring now? If so, you may have a case of a frozen shoulder. Here’s what you need to know about adhesive capsulitis or frozen shoulder.
Adhesive capsulitis, another name for frozen shoulder, is a disorder in which the capsule, the tissue that surrounds the shoulder joint, thickens and tightens until it contracts and produces scar tissue.
There is frequently less synovial fluid in the joint, which acts like a lubricant or cushion to reduce friction between joints.
Here are some things you need to know about the factors that contribute to the development of a frozen shoulder.
Severe discomfort and an inability to move the shoulder, either on your own or with assistance, are the defining characteristics of this illness.
The discomfort is typically felt in the outer shoulder area and occasionally in the upper arm. As the pain gets worse, people try to avoid using their shoulders, which makes them stiffer and eventually causes them to lose complete range of motion. Daily tasks like hair-brushing and getting dressed can become excruciatingly painful, as well as sleeping on the same side as the injured shoulder.
During the physical exam, the doctor will carefully move your shoulder in all directions to evaluate whether the movement is restricted and if discomfort is felt when moving it.
Your doctor will compare the range of motion you demonstrate when you move your shoulder on your own to the “passive range of motion,” which is the range of motion when someone else moves your shoulder.
Active and passive range of motion is both restricted in people with a frozen shoulder.
To rule out further problems, like arthritis or a torn rotator cuff, ancillary procedures like an X-ray or MRI may be required.
Even though it could take up to three years, a frozen shoulder usually improves with time.
Through physical therapy, the goal of treatment is to reduce discomfort while regaining strength and range of motion.
Additionally, the main ways to cure a frozen shoulder are through exercise and shoulder stretches.
Also, it may be relieving to know that most occurrences of frozen shoulders are resolved non-operatively.
If the pain and frozen shoulder situation worsens, you should see a doctor. Additionally, doctors may recommend cortisone injections, physical therapy, and anti-inflammatory drugs.
Joint distension, which injects sterile water into the joint capsule to stretch the tissue, can be used to reduce discomfort and enhance your range of motion in the shoulder.
Shoulder manipulation while under a general anesthetic may also help loosen up constricted tissues in the joint, making it simpler to move the joint.
If physiotherapy or other treatments are ineffective, surgery may be recommended. One such surgery is Capsular release, which involves keyhole surgery to release the tight capsule that leads to adhesive capsulitis.
Finally, remember that you must consult a doctor if you feel worried about your frozen shoulder.
Learn more about Orthopedics here.
Disclaimer
Hello Health Group does not provide medical advice, diagnosis or treatment.
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