Frozen shoulder

Frozen shoulder, also known as adhesive capsulitis, is a condition that affects the shoulder joint, causing stiffness and pain. Let’s explore the details:

1. Overview:

   • Signs and Symptoms:

     • Typically begin slowly and worsen over time.

     • Usually resolve within 1 to 3 years.

     • Risk increases after keeping the shoulder still for an extended period (e.g., due to surgery or an arm fracture).

   • Treatment:

     • Range-of-motion exercises.

     • Corticosteroids and numbing medications injected into the joint.

     • Rarely, arthroscopic surgery to loosen the joint capsule.

2. Stages of Frozen Shoulder:

   • Freezing Stage:

     • Pain with any shoulder movement.

     • Limited shoulder mobility.

     • Lasts 2 to 9 months.

   • Frozen Stage:

     • Pain may lessen, but stiffness increases.

     • Difficulty using the shoulder.

     • Lasts 4 to 12 months.

   • Thawing Stage:

     • Shoulder movement gradually improves.

     • Lasts 5 to 24 months.

     • Nighttime pain may disrupt sleep.

3. Causes:

   • Thickening and Tightening of the Capsule:

     • The shoulder joint is enclosed in a capsule of connective tissue.

     • Frozen shoulder occurs when this capsule thickens and restricts movement.

   • Risk Factors:

     • Age (people 40 and older, especially women).

     • Immobility (after surgery, arm fracture, or prolonged shoulder rest).

     • Systemic diseases (diabetes, thyroid disorders, cardiovascular disease, Parkinson’s).

4. Prevention and Management:

   • Avoid prolonged shoulder immobility.

   • Maintain shoulder movement during recovery.

   • Physical therapy and self-help measures.

Remember, early intervention and proper care can help manage frozen shoulder effectively. You can always consult Dr Chinmoy  Roy at Rajarhat Pain Clinic Kolkata.