Frozen Shoulder (Adhesive Capsulitis)
Article by J. Miller, S.Armfield
Frozen Shoulder
A Physiotherapist’s Insight
What is Frozen Shoulder?
Frozen shoulder, medically known as adhesive capsulitis, is a condition causing significant shoulder pain and affects between 2% and 5% of people, mainly those aged 40 to 60. It’s more common in women, affecting around 70% of those diagnosed. This condition differs from rotator cuff injuries by presenting a unique pattern of symptoms: severe pain, loss of function, and eventual stiffness. It involves inflammation and fibrotic adhesions in the shoulder capsule, restricting movement.
Recent studies suggest various potential triggers for frozen shoulder, including health conditions like diabetes and thyroid disorders. For instance, diabetics have a 10 to 38% chance of developing this condition. Post-surgical patients are also at risk, highlighting the need for careful post-operative care.
What are the 3 Stages of Frozen Shoulder?
Frozen shoulder progresses through three stages:
- Freezing Phase: Lasting 3 to 9 months, this stage causes pain and reduced movement. Aggressive treatments should be avoided at this time.
- Frozen Phase: This 9 to 15-month period involves increased stiffness. Transitioning between the first and second phases can be particularly painful.
- Thawing Phase: Over 15 to 24 months, movement gradually returns. Tailored physiotherapy interventions are most beneficial in this stage, focusing on pain relief initially and then restoring range of motion.
Diagnosing Frozen Shoulder
Diagnosis involves a clinical assessment where difficulties in reaching overhead, throwing, or moving the arm behind the back are noted. A specific capsular pattern of stiffness is often present. Imaging, such as X-rays or MRI, aids in confirming the diagnosis.
Risk Factors
People between 40 to 60 years old are at higher risk, with conditions like shoulder trauma, surgery, diabetes, inflammatory and autoimmune diseases, and thyroid disorders increasing susceptibility. Notably, 20% of individuals with frozen shoulder in one arm may develop it in the other.
How Do You Get Rid of a Frozen Shoulder?
Treatment varies by stage:
- Freezing Stage: Focuses on pain relief and ruling out other causes. Early intracapsular hydrocortisone injections can be beneficial.
- Frozen Stage: Gentle mobilisation, muscle release, acupuncture, dry needling, and exercises are key for regaining range and strength. Overly aggressive activities should be avoided.
- Thawing Stage: Physiotherapy becomes more effective with mobilisations, stretches, and exercises tailored to restore full movement.
Surgery, often a last resort, can improve stiffness by up to 80% when combined with physiotherapy.
Prevention Strategies
Prevention centres on avoiding prolonged shoulder inactivity, particularly after surgery or injury. Managing underlying health conditions like diabetes and thyroid disorders is also crucial.
Conclusion and Call to Action
Frozen shoulder, while challenging, can be effectively managed with the right approach. If you’re experiencing symptoms or fall into a higher risk category, consult a professional physiotherapist for tailored advice and treatment.
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Book Online: SandgateRelated Articles
- Shoulder Pain & Injury
- Readers will find comprehensive information on common causes of shoulder pain and injury, offering insights into how frozen shoulder fits into the broader context of shoulder issues.
- Rotator Cuff Injuries
- This article explains rotator cuff injuries, differentiating them from frozen shoulder, which is crucial for readers to understand the specific nature of their condition.
- Physiotherapy for Shoulder Pain
- Discover the benefits of physiotherapy in treating shoulder pain, including techniques that can also apply to managing frozen shoulder symptoms.
- Diabetes and Musculoskeletal Health
- Given the link between diabetes and frozen shoulder, this article can provide valuable information on managing diabetes to potentially reduce the risk of developing frozen shoulder.
- Post-Surgical Rehabilitation
- Learn about the importance of post-surgical care for shoulder surgeries, which can help prevent complications like frozen shoulder.
- Acupuncture for Pain Relief
- This article discusses how acupuncture can be used as a pain relief method, including for conditions like frozen shoulder.
Article by John Miller
What are the Common Causes of Shoulder Pain?
Shoulder pain is a widespread issue that can significantly affect your daily activities. Whether it's due to an injury, overuse, or an underlying condition, identifying the root cause is crucial for effective treatment and recovery. This FAQ page aims to address the most common causes of shoulder pain and guide you towards the next steps for managing your symptoms.
Why Does Shoulder Pain Occur?
Shoulder pain can arise from various conditions and injuries, each affecting different parts of the shoulder joint and surrounding tissues. Understanding the cause of your shoulder pain is essential to finding the right treatment. The common causes include:
Rotator Cuff Issues
The rotator cuff stabilises your shoulder, but it’s prone to injury, especially with repetitive movements.
- Rotator Cuff Injury: Typically results from repetitive overhead activities, causing pain and weakness. Learn more about rotator cuff injuries.
- Rotator Cuff Tendinopathy: Involves inflammation or damage to the tendons, leading to reduced mobility. Explore rotator cuff tendinopathy.
- Rotator Cuff Tear: Often due to injury or age-related wear, resulting in severe pain and limited function. Understand rotator cuff tears.
Shoulder Impingement and Related Conditions
Shoulder impingement occurs when tendons are pinched, leading to pain during arm movements.
- Shoulder Impingement Syndrome: A condition where tendons are compressed, causing pain and limited mobility.
- Shoulder Bursitis: Inflammation of the bursa in the shoulder, leading to pain.
- Swimmer’s Shoulder: Common in swimmers, this overuse injury causes impingement symptoms.
How Does Shoulder Pain Develop?
Shoulder pain can develop gradually or suddenly, depending on the cause. Chronic conditions often lead to stiffness and limited movement, while acute injuries might cause immediate pain. Common conditions include:
Frozen Shoulder (Adhesive Capsulitis)
A condition causing stiffness and pain, often developing slowly.
- Adhesive Capsulitis / Frozen Shoulder: Gradual onset of stiffness and pain, often without a specific cause.
- Shoulder Arthritis: Degenerative joint disease leading to pain and stiffness.
Shoulder Instability
Instability in the shoulder can result in recurrent dislocations or subluxations, causing ongoing pain.
- Shoulder Dislocation: Occurs when the joint is forced out of position.
- Functional Shoulder Instability: Chronic instability leading to recurrent issues.
What Should You Do Next?
If you’re experiencing shoulder pain, the best course of action is to seek advice from a physiotherapist or doctor. They can provide a thorough assessment and develop a personalised treatment plan. This might include exercises, manual therapy, or even surgery if necessary.
Post-Operative Shoulder Rehabilitation
Recovery after shoulder surgery is crucial to regain full function.
- Subacromial Decompression: A procedure to relieve impingement symptoms.
- Rotator Cuff Repair: Surgical repair to address torn rotator cuff muscles.
- Post-Operative Shoulder Rehabilitation: Tailored exercises to aid recovery after surgery.
Read more: Post-op Shoulder Rehab
Conclusion
Shoulder pain doesn’t have to control your life. By identifying the underlying cause and seeking appropriate treatment, you can effectively manage your pain and regain your quality of life. Consulting a physiotherapist or doctor is the best way to start your journey towards recovery.
Rochedale - Call 38410277
Book Online: RochedaleSalisbury - Call 32751044
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Book Online: SandgateShoulder Pain FAQS
- Why does my shoulder hurt when I lift my arm?
Lifting your arm can pinch tendons or muscles, often due to shoulder impingement or rotator cuff issues. - How can I treat shoulder pain at home?
Rest, ice, and gentle stretching can help, but professional assessment is recommended for persistent pain. - What are the signs of a rotator cuff tear?
A rotator cuff tear typically causes pain, weakness, and difficulty lifting your arm above your head. - Where can I get treatment for shoulder pain?
Consult a physiotherapist for a tailored treatment plan that may include exercises, manual therapy, or surgery. - When should I see a doctor for shoulder pain?
See a doctor if you experience severe pain, sudden inability to move your shoulder, or if the pain persists despite rest. - What is the most common cause of shoulder pain?
Rotator cuff injuries are the most common cause, often resulting from repetitive overhead activities.
Related Articles
- Rotator Cuff Injury: Causes and Treatment
Explore the common causes and treatment options for rotator cuff injuries. - Shoulder Impingement Syndrome: Symptoms and Recovery
Learn about the symptoms and how to recover from shoulder impingement. - Frozen Shoulder: What You Need to Know
Understand the signs and treatments for frozen shoulder. - Shoulder Arthritis: Managing Pain and Stiffness
Discover ways to manage the pain and stiffness associated with shoulder arthritis. - Shoulder Dislocation: Treatment and Prevention
Learn how to treat and prevent shoulder dislocations. - Post-Operative Shoulder Rehabilitation
Find out what to expect during post-operative rehabilitation for shoulder surgery. - AC Joint Injury: Causes and Treatment
Understand the causes and treatment options for AC joint injuries. - Biceps Tendinopathy: Symptoms and Treatment
Learn about the symptoms and treatment of biceps tendinopathy. - Shoulder Bursitis: Causes and Treatment
Explore the causes and treatment options for shoulder bursitis. - Shoulder Pain: Causes, Treatments, and When to See a Doctor
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Shoulder Pain FAQs
Your Comprehensive Guide to Understanding and Managing Shoulder Injuries
Welcome to the "Shoulder Pain FAQs" page, your go-to resource for understanding various aspects of shoulder pain, injuries, and how to manage them effectively. The shoulder is a complex joint that allows for a wide range of movements, but it is also susceptible to various injuries and conditions that can cause discomfort and limitations in daily activities.
In this comprehensive guide, we will explore the most common shoulder injuries, their causes, and how to identify and treat them. We'll also address frequently asked questions about specific shoulder conditions, providing you with valuable insights into your shoulder health.
When Should You Worry About Shoulder Pain?
Shoulder pain can be caused by numerous factors, ranging from minor strains to more severe injuries. Knowing when to seek medical attention is crucial to prevent further damage and facilitate timely recovery.
Common Shoulder Injuries
We'll swing into the most prevalent shoulder injuries, shedding light on their causes, symptoms, and appropriate treatment options.
More info: Common Shoulder Injuries
What Causes Shoulder Pain?
Understanding the root causes of shoulder pain is fundamental to addressing the issue effectively. We'll explore the various factors that can lead to shoulder discomfort and how to mitigate them.
More info: What Causes Shoulder Pain?
What is Your Scapulohumeral Rhythm?
The scapulohumeral rhythm plays a vital role in shoulder function and movement. We'll explain what it is and its significance in maintaining a healthy shoulder.
More info: What is Your Scapulohumeral Rhythm?
Rotator Cuff: An In-Depth Analysis
The rotator cuff is a critical group of muscles and tendons in the shoulder. We'll dive into its anatomy, functions, and common problems associated with it.
More info: Rotator Cuff: An In-Depth Analysis
How Can You Tell If You Have Torn Your Rotator Cuff?
Identifying a torn rotator cuff can be challenging, but we'll provide you with essential signs to look out for and when to seek professional evaluation.
More info: How Can You Tell If You Have Torn Your Rotator Cuff?
Can You Diagnose A Torn Rotator Cuff Without An MRI?
Find out about diagnostic methods for a torn rotator cuff, including whether an MRI is always necessary for accurate diagnosis.
More info: Can You Diagnose A Torn Rotator Cuff Without An MRI?
Can You Lift Your Arm With A Rotator Cuff Tear?
Discover the limitations and challenges you may face if you have a torn rotator cuff and how to manage arm movement during the healing process.
More info: Can You Lift Your Arm With A Rotator Cuff Tear?
Will Your Shoulder Blade Hurt With A Torn Rotator Cuff?
Learn about the possible relationship between a torn rotator cuff and shoulder blade pain, and what it indicates about your shoulder health.
More info: Will Your Shoulder Blade Hurt With A Torn Rotator Cuff?
Will A Cortisone Injection Help A Torn Rotator Cuff?
Cortisone injections are sometimes used for shoulder pain, but their effectiveness in treating a torn rotator cuff is a point of interest we'll explore.
More info: Will A Cortisone Injection Help A Torn Rotator Cuff?
How Can You Make Your Rotator Cuff Heal Faster?
We'll provide practical tips and strategies to aid in the healing process of a torn rotator cuff and restore shoulder function more rapidly.
More info: How Can You Make Your Rotator Cuff Heal Faster?
Shoulder Bursitis: Understanding the Condition
What is shoulder bursitis, and how does it differ from other shoulder injuries? Get insights into this inflammatory condition and how to manage it.
More info: Shoulder Bursitis: Understanding the Condition
Shoulder Impingement: Causes and Solutions
Understand the concept of the shoulder impingement zone and the factors contributing to rotator cuff impingement and bursitis.
More info: Shoulder Impingement: Causes and Solutions
Frozen Shoulder: Overcoming the Stiffness
Discover how to unfreeze a frozen shoulder and regain a full range of motion through effective therapeutic approaches.
More info: Frozen Shoulder: Overcoming the Stiffness
Shoulder Dislocation/Instability: Seeking Stability
Explore the causes of shoulder dislocation and instability, and the fastest ways to promote healing and prevent future occurrences.
More info: Shoulder Dislocation/Instability: Seeking Stability
Can You Fix Shoulder Instability?
Find out about treatment options to address shoulder instability and regain stability in the joint.
More info: Can You Fix Shoulder Instability?
AC Joint: Identifying and Managing Injuries
Learn how to recognise an injured AC joint and what steps to take for proper care and recovery.
More info: AC Joint: Identifying and Managing Injuries
Swimmers Shoulder: Causes and Remedies
If you're a swimmer or engage in repetitive overhead activities, understanding the causes of swimmer's shoulder and how to prevent it is essential.
More info: Swimmers Shoulder: Causes and Remedies
We hope this comprehensive guide will prove invaluable in your journey to understand and manage shoulder pain and injuries. However, it's essential to consult a healthcare professional for personalised advice and treatment based on your specific condition. Let's dive into the world of shoulder health together!