Tuesday 20 August 2019

What is Frozen shoulder?


Frozen Shoulder or adhesive capsulitis is a progressive pain and stiffness with marked loss of mobility and function.
Frozen shoulder causes the capsule surrounding the shoulder joint to contract and form scar tissue.  
the incidence of frozen shoulder in diabetics can be 10 to 38%. Researchers are unsure why the risk is increased in these patient groups.
It affects mainly people ages 40 to 60 . 
Women more often than men.

Who gets frozen shoulder?
1.People who don't receive exercise therapy after an injury, and when wear a sling for more than a few days without intermittent stretching.   
2.Immobility resulting from a stroke, heart condition
3.surgery may also result in a frozen shoulder.
4. Parkinson's disease

 Investigations :
      In some cases, patients may be referred for X-rays or MRI to rule out other causes of shoulder pain. X-rays are not able to diagnose frozen shoulder. MRI can provide a definitive diagnosis. Though this is usually not required if you have a skilled shoulder practitioner assessing you.

Treatment :
Your clinician may recommend an anti-inflammatory medication such as aspirin, ibuprofen or naproxen.
You may be given a corticosteroid injection into the shoulder joint or soft tissues.

Physiotherapy : 
Physical therapy for frozen shoulder typically involves using therapeutic modalities and procedures to reduce your pain, and aggressive range of motion (ROM) exercises to help improve your shoulder's mobility. Exercises and movement are essential for the successful treatment of your frozen shoulder. Heat pack should apply before exercise.
     An icepack to the shoulder joint post exercise. 

Surgery :
Surgery for frozen shoulder is rare, but if nothing else has helped, your doctor may recommend surgery to remove scar tissue and adhesions from inside your shoulder joint.