Frozen Shoulder

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Frozen Shoulder

Frozen shoulder (adhesive capsulitis) is stiffness, pain, and limited range of movement at your shoulder joint. It may happen after an injury or overuse or from a disease such as diabetes or a stroke. The tissues around the joint stiffen, scar tissue forms, and shoulder movements become difficult and painful. The condition usually comes on slowly, then goes away slowly over the course of a year or more if untreated  says Dr Rakesh Tyagi – physiotherapist in noida

What causes frozen shoulder?

Frozen shoulder can develop when you stop using the joint normally because of pain, injury, or a chronic health condition, such as diabetes or a stroke. Any shoulder problem can lead to frozen shoulder if you do not work to keep full range of motion.
Frozen shoulder occurs:
1. After surgery or injury.
2. Most often in people 40 to 70 years old.
3 More often in women (especially in postmenopausal women) than in men.
4. Most often in people with chronic diseases.

SYMPTOMS OF FROZEN SHOULDER

Pain at shoulder

Pain on sudden jerky movements

Disturbance in sleep due to pain

Pain on taking out purse from back pocket

Pain on wearing under garments  esp. in females

In worst cases pain may travel upto elbow or hand

In chronic case there may be continuous dull pain throughout and increase on movements

 

Diagnosis

Diagnosis of frozen shoulder or adhesive  capsulitis or periartheritis is mostly based on shoulder movements analysis. Shoulder is ball and socket joint and move all  three axis ,it means it can move forward-backward (Flexion-extension ) inside -outside (abduction-adduction ) and backward rotation-inward rotation  (external rotation-internal rotation )

Movement restriction order   ABDUCTION>EXTERNAL ROTATION>-INTERNAL ROTATION confirm diagnosis of frozen shoulder . Restriction is judged by Range of movement.

Normal range of motion (ROM) are

Abduction-0-180

external rotation  0-90

internal rotation 0-80

For example  abduction 90/external rotation 20/internal rotation 60 confirm the diagnosis of frozen shoulder

Treatment for frozen shoulder at vikalp physiotherapy noida:

traetment of frozen shoulder at vikalp physiotherapy

Cold pack and other modalities like SWD/IFT/LASER/HOT PACKS /COMBINATION THERAPY are used to reduce pain and swelling.

Our especially designed evidenced  based treatment protocol take 3-10 week time depend upon how intensely patient  do home work.

Mobilization , stretching and strengthening exercise combination is very skilled work based on outcome of functional assessment. Therefore analytical assessment is key of success. VIKALP PHYSIOTHERAPY CLINIC HAS DEVELOPED EXPERTISE IN ALL ASPECT OF FROZEN SHOULDER TREATMENT.

Prevention:

Gentle, progressive range-of-motion exercises, stretching, and using your shoulder more may help prevent frozen shoulder after surgery or an injury. Experts don’t know what causes some cases of frozen shoulder, and it may not be possible to prevent these. But be patient and follow your doctor’s advice. Frozen shoulder nearly always gets better over time.