FROZEN SHOULDER/ ADHESIVE CAPSULITIS
What is a Frozen Shoulder?
The medical name is Adhesive Capsulitis. It affects the ligamentous capsule of the shoulder joint which becomes inflamed and over time thickens with scar tissue causing restriction of movement. Nobody knows why it starts. It can be triggered by a minor injury or shoulder surgery but usually occurs for no reason. We know that it usually affects adults aged 40-65 and is more common in people with diabetes or thyroid disorders.
What are the symptoms?
The typical features are of pain in the upper arm (rather than just the shoulder itself) that is bad enough to disturb sleep. There is pain even at rest. Fast movements of the shoulder can cause severe pain. Initially shoulder range of movement may not be affected but as time passes the shoulder becomes increasingly stiff. Rotational movements are worst affected such as reaching behind your back or behind your head.
What is the treatment for Frozen Shoulder?
A Frozen Shoulder will improve naturally over time but this can take up to two years, or longer in extreme cases. Steroid injections combined with stretching exercises are effective in reducing pain and improving function for the majority of patients.
When conservative treatments do not help, the options include a manipulation of the joint shoulder whilst the arm is anaesthetised or keyhole surgery (called arthroscopic capsular release). Both of these procedures are done as day care surgery.
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