Frozen Shoulder
Definition:
Is a condition characterized by stiffness and pain in the shoulder joint, leading to restricted movement and functional impairment. It typically develops gradually over time and can be associated with inflammation and thickening of the shoulder joint capsule, the connective tissue that surrounds the shoulder joint.
Principal causes:
The exact cause of frozen shoulder is not always clear, but it is believed to involve a combination of factors, including:
Inflammation: Inflammation of the shoulder joint capsule can lead to thickening and tightening of the capsule, restricting movement.
Immobilization: Prolonged immobilization of the shoulder joint, such as after surgery or injury, can increase the risk of developing frozen shoulder.
Medical conditions: Certain medical conditions such as diabetes, thyroid disorders, or cardiovascular disease may increase the risk of developing frozen shoulder.
Age and gender: Frozen shoulder is more common in individuals over the age of 40 and is more prevalent in women than in men.
Symptoms:
Freezing stage: During this stage, individuals experience gradually increasing pain and stiffness in the shoulder joint, leading to restricted movement. This stage may last from a few weeks to several months.
Frozen stage: In this stage, the pain may begin to subside, but stiffness and restricted movement in the shoulder joint become more pronounced. Activities such as reaching overhead or behind the back may be particularly difficult.
Thawing stage: During this stage, the symptoms gradually improve, and range of motion in the shoulder joint begins to return. This stage may last several months to years, and full recovery may not occur for some individuals.
Our Treatment as a EvivaPHYSIO:
Treatment for frozen shoulder aims to alleviate pain, improve shoulder mobility, and restore function. It may include:
Pain management: Nonsteroidal anti-inflammatory drugs (NSAIDs) or corticosteroid injections may be prescribed to reduce pain and inflammation (if necessary).
Physical therapy: Specific exercises and stretching techniques to improve range of motion and flexibility in the shoulder joint.
Joint mobilization: Manual therapy techniques performed by a physical therapist to gently mobilize the shoulder joint and reduce stiffness.
Modalities: Heat, cold, ultrasound, or electrical stimulation may be used to relieve pain and improve shoulder mobility.
Home exercises: Individuals may be instructed to perform exercises at home to supplement their physical therapy and maintain shoulder mobility.
In severe cases of frozen shoulder that do not respond to conservative treatment, surgical intervention such as manipulation under anesthesia or arthroscopic release of the shoulder joint capsule may be considered to improve shoulder mobility.
Overall, the prognosis for frozen shoulder is generally favorable with appropriate treatment, although recovery may be slow and gradual. It is important for individuals with frozen shoulder to work closely with their healthcare provider and physical therapist to develop a comprehensive treatment plan tailored to their specific needs and goals. Early intervention and consistent management can help minimize pain and stiffness and promote optimal recovery.