09/08/2023
๐๐ฟ๐ผ๐๐ฒ๐ป ๐ฆ๐ต๐ผ๐๐น๐ฑ๐ฒ๐ฟ
Also called adhesive capsulitis, causes pain and stiffness in the shoulder. Over time, the shoulder becomes very hard to move. Frozen shoulder most commonly affects people between the ages of 40 and 60, and occurs in women more often than men. In addition, people with diabetes are at an increased risk for developing frozen shoulder.
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The causes of frozen shoulder are not fully understood. There is no clear connection to arm dominance or occupation. A few factors may put you more at risk for developing frozen shoulder.
๐ฌ๐ฟ๐๐๐๐๐ฉ๐๐จ. Frozen shoulder occurs much more often in people with diabetes. The reason for this is not known. In addition, diabetic patients with frozen shoulder tend to have a greater degree of stiffness that continues for a longer time before "thawing."
โฃ๏ธ๐๐ฉ๐๐๐ง ๐๐๐จ๐๐๐จ๐๐จ. Some additional medical problems associated with frozen shoulder include hypothyroidism, hyperthyroidism, Parkinson's disease, and cardiac disease.
๐๐๐ข๐ข๐ค๐๐๐ก๐๐ฏ๐๐ฉ๐๐ค๐ฃ. Frozen shoulder can develop after a shoulder has been immobilized for a period of time due to surgery, a fracture, or other injury. Having patients move their shoulders soon after injury or surgery is one measure prescribed to prevent frozen shoulder.
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In frozen shoulder, the shoulder capsule thickens and becomes stiff and tight. Thick bands of tissue called adhesions develop. In many cases, there is less synovial fluid in the joint. The hallmark signs of this condition are severe pain and being unable to move your shoulder either on your own or with the help of someone else. It develops in three stages:
๐๐ฉ๐๐๐ 1: ๐๐ง๐๐๐ฏ๐๐ฃ๐
In the "freezing" stage, you slowly have more and more pain. As the pain worsens, your shoulder loses range of motion. Freezing typically lasts from 6 weeks to 9 months.
๐๐ฉ๐๐๐ 2: ๐๐ง๐ค๐ฏ๐๐ฃ
Painful symptoms may actually improve during this stage, but the stiffness remains. During the 4 to 6 months of the "frozen" stage, daily activities may be very difficult.
๐๐ฉ๐๐๐ 3: ๐๐๐๐ฌ๐๐ฃ๐
Shoulder motion slowly improves during the "thawing" stage. Complete return to normal or close to normal strength and motion typically takes from 6 months to 2 years.
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๐ค๐๐๐ฎ๐จ๐๐๐๐ก ๐๐ญ๐๐ข๐๐ฃ๐๐ฉ๐๐ค๐ฃ. Your doctor will compare this to the range of motion you display when you move your shoulder on your own ("active range of motion"). People with frozen shoulder have limited range of motion both actively and passively.
โข๏ธ๐-๐ง๐๐ฎ๐จ.
โข๏ธ๐๐๐ & ๐๐ก๐ฉ๐ง๐๐จ๐ค๐ช๐ฃ๐.
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Frozen shoulder generally gets better over time, although it may take up to 3 years. The focus of treatment is to control pain and restore motion and strength through physical therapy.
๐๐ค๐ฃ๐จ๐ช๐ง๐๐๐๐๐ก ๐๐ญ:
๐Non-steroidal anti-inflammatory medicines. Drugs like aspirin and ibuprofen reduce pain and swelling.
๐๏ธSteroid injections. Cortisone is a powerful anti-inflammatory medicine that is injected directly into your shoulder joint.
๐๏ธHydrodilatation. This procedure involves gently injecting a large volume of sterile fluid into the shoulder joint to expand and stretch the shoulder joint capsule.
๐ช๏ธPhysical 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. Sometimes heat is used to help loosen the shoulder up before stretching.
SOURCE: Orthoinfo.aaos.org
