What is Frozen Shoulder?

Frozen shoulder, medically known as adhesive capsulitis, is a condition characterized by pain and stiffness in the shoulder joint, which can significantly limit its range of motion. This condition often develops gradually and can progress to a point where even simple movements become challenging. It is more prevalent in women and typically affects individuals aged between 40 and 60 years.

Causes

The primary cause of frozen shoulder is inflammation of the shoulder capsule, which is the connective tissue surrounding the shoulder joint. This inflammation leads to thickening and tightening of the capsule, resulting in the formation of stiff bands of tissue known as adhesions. These changes restrict movement and can cause considerable discomfort.

Risk Factors

Several factors can increase the risk of developing frozen shoulder, including:

• Previous shoulder injuries or surgeries that may lead to prolonged immobilization.
• Medical conditions such as diabetes, hypothyroidism, hyperthyroidism, Parkinson’s disease, and certain cardiac diseases.
• Age and gender, with women and older adults being more susceptible.

Symptoms

Individuals with frozen shoulder often experience:

• Pain that may be constant or intermittent, typically worsening at night.
• Stiffness that limits the ability to perform everyday activities, such as reaching overhead or behind the back.

Diagnosis

Diagnosing frozen shoulder involves a thorough evaluation of the patient’s symptoms and medical history. Healthcare providers may also utilize radiological diagnostic procedures, such as X-rays or MRI scans, to rule out other conditions and confirm the diagnosis.

Treatment

Treatment for frozen shoulder aims to relieve pain and restore mobility. Common approaches include:

• Nonsteroidal anti-inflammatory drugs (NSAIDs) to reduce pain and inflammation.
• Corticosteroid injections to provide temporary relief from severe pain.
• Physical therapy to improve flexibility and strength in the shoulder.
• In more severe cases, shoulder arthroscopy may be recommended. During this minimally invasive surgery, scar tissue is removed, and tight ligaments are dissected to enhance movement.

Following surgery, a structured physical therapy program is essential to regain full range of motion and strengthen the shoulder muscles. With appropriate treatment, most individuals can expect significant improvement over time, although recovery may take several months.

Contact us today for an appointment.