Frozen Shoulder

SYMPTOMS OF FROZEN SHOULDER

• Pain over shoulder
• Decrease movement of Shoulder
• Above head movement are painful or not possible at all
• Stiffness of shoulder joint
• Stiff Shoulder
• Night time pain in advance stage
• Patient find it difficult to comb his/her head, difficulty in getting dressed

RISK FACTOR

Capsule in the shoulder joint which hold bone together are made up of ligament. When this capsule becomes inflamed, shoulder bones are unable to move freely. Most of the time there is no known cause found, however risk factor includes

• Diabetes
• Shoulder injury
• Cervical disc disease in neck
• Shoulder surgery
• Any kind of surgery which required prolong bed rest
• Excessive strain on shoulder in patient with knee pain

SIGNS AND TESTS FOR FROZEN SHOULDER

Doctor usually decides by examining patient. X ray, sonography and MRI test are helpful to find out any cause. Mostly there is no cause found in such investigation except inflammation and some fluid collection in capsule.

TREATMENT OF FROZEN SHOULDER

Treatment usually starts with anti-inflammatory medicine and physical therapy. Shoulder mobilization therapy is useful in almost all cases. Many any of the patients respond well to such kind of treatment. It may take almost 4 to 8 weeks to get a good respond with medicine and physical therapy.

INTERVENTION FOR FROZEN SHOULDER

If pain does not improved with medicine and physiotherapy thenpain specialist can inject an anti-inflammatory drug inside the capsule. This ultimately reduces inflammation and fastens recovery. This injection helps patient in reducing pain as well as improving movement.

Doctor can inject a jelly kind of material inside a joint to get better results. Sometime doctor can do a force mobilization under general anesthesia. Jelly Kind of Injection is what we prefer because it helps us to reduce inflammation inside the joint and give better results.

WHAT TO EXPECT AFTER PROCEDURE ?

Patient will discharge after 10 to 20 minutes of procedure. Patient should take a rest for a day. He can resume an activity from next day. Patient needs to take a physical therapy as well as anti-inflammatory medicine for few days.

HOW TO PREVENT FROZEN SHOULDER ?

Keep your shoulder moving, do exercise particularly rotating and above head exercise. Rotate your arms in clockwise and anti-clockwise. Do strengthening exercise. Take medical attention in early phase of pain because advanced stages are more difficult to treat.

Patients with frozen shoulder are more prone to have other episodes of frozen shoulder in their life. To prevent reoccurrence of frozen shoulder patient needs to do regular exercise, keep shoulder moving and controlled diabetes and other disease which can contribute to frozen shoulder.