Frozen Shoulder Treatment

Are you looking for the best frozen shoulder treatment in Hyderabad then consult the best doctor:

 

Frozen Shoulder is a medical condition in which over a period of time the shoulder movement becomes restricted and painful. The condition is also known as adhesive capsulitis. After a period of severe pain and stiffness, the frozen shoulder tends to get better. However complete recovery takes upto 3 years or more.
 

It generally affects people in the age group of 40-60 years and in more common in women. Also, diabetes is a risk factor for frozen shoulder. Physiotherapy is the primary treatment suggested for patients.

Description

In frozen shoulder, the shoulder capsule thickens causing stiffness. The most common signs of this condition are severe pain and inability to move the shoulder — either by yourself or with the help of others. The condition unfolds in three stages: STAGE 1: FREEZING:In the "freezing" stage, thepain gradually increases. As the pain worsens, the patient’s range of motion is decreased. This phasecan last from 1 and a half month to 9 months.STAGE 2: FROZENDuring this phase, the pain tends to decrease, but the stiffness persists. The "frozen" stage lasts for 4-6 months during which daily activities may become difficult. STAGE 3: THAWINGDuring the "thawing" stage the range of motion slightly gets better. It can take from 6 months to 2 years for the patient to completely return to normal in terms of shoulder strength and motion.

In the "freezing" stage, thepain gradually increases. As the pain worsens, the patient’s range of motion is decreased. This phasecan last from 1 and a half month to 9 months.
During this phase, the pain tends to decrease, but the stiffness persists. The "frozen" stage lasts for 4-6 months during which daily activities may become difficult.
During the "thawing" stage the range of motion slightly gets better. It can take from 6 months to 2 years for the patient to completely return to normal in terms of shoulder strength and motion.

Cause

There are no specific causes that may result in frozen shoulder. However, a few factors may increase your risk:

 

Diabetes. It has been found that this condition occurs more often in diabetic patients.

 

Other diseases. Some other medical problems associated with frozen shoulder are: hypothyroidism, hyperthyroidism, Parkinson’s disease& cardiac disease.

 

Immobilization. After a surgery, fracture or any other injury shoulder remains immobilized for a period of time. This could lead to frozen shoulder. To prevent this, patients are advised to move their shoulder after injury.

 

Now that you got to know the causes then consult the best frozen shoulder treatment in Hyderabad.

Symptoms

Frozen Shoulder causes dull and aching pain that is severe during the initial course of the disease and when the patient tries to move the arm. Pain is felt over the outer shoulder area.

 

Now that you got to know the symptoms then consult the best frozen shoulder treatment in Hyderabad.

 

Physical Examination

 

For the best clinical examination consult the best doctor for frozen shoulder in Hyderabad.

 

During the physical examination, the doctor will carefully move your shoulder in all directions to check if you feel any pain and if the movement is limited. When another person moves your shoulder the range of motion is known as passive range of motion. This is then compared to active range of motion (when you move your shoulder by yourself). In patients with frozen shoulder, both active &passive range of motion remains limited.

Imaging Tests

  • X Rays
  • Magnetic Resonance Imaging
  • Ultrasound

 

Treatment

 

There are surgical and non surgical procedures for frozen shoulder treatment which are as follows:

 

Frozen shoulder generally gets better over a period of time, may take up to 3 years. The treatment has to be focused on controlling the pain and restoring strength and motion in the shoulder.

anterior shoulder capsule stretch

Nonsurgical Treatment

Most patients respond to simple treatment methods. Some of the nonsurgical options include:
Steroid injections.Cortisone (anti-inflammatory medicine) is injected directly into the shoulder joint.
Hydrodilatation.

In this procedure, a large volume of sterile fluid is injected into the joint to stretch the shoulder joint capsule

Physical therapy

Certain specific exercises, done under the supervision of a physical therapist, can help restore movement. Sometimes, heat may also be used to loosen up the shoulder before stretching

Shoulder Treatment in Hyderabad

 

frozen shoulder
These photos taken through an arthroscope show a normal shoulder joint lining (left) and an inflamed joint lining affected by frozen shoulder.

Surgical Treatment

Surgical treatment option for frozen shoulder is offered during Frozen Stage. The main objective of surgery is to release and stretch the stiffened joint capsule. The most common method include:

 

  • Manipulation under anesthesia.In the procedure the patient is given a shot of general anesthesia and then the doctor tries to force the shoulder to move causing the capsule & scar tissue to stretch or tear. This helps to increase the range of motion by releasing the stiffness

 

  • Shoulder arthroscopy. In this procedure, the doctor will cut through stiff portions of the shoulder capsule. This is done by inserting pencil-sized instrument around your shoulder

 

In many cases, both these procedures are used in combination to obtain maximum results. Most patients have good outcomes with these procedures.

Recovery.

Recovery of frozen shoulder treatment are as follows: Physiotherpay is recommended after surgery to maintain the motion. Generally recovery takes from 6 weeks to 3 months. In most cases, long term outcomes are good and most patients have reduced or no pain and better range of motion. However, in some diabetic cases, it has been found that a certain degree of stiffness remains even after surgery. Also, frozen shoulder can recur in presence of contributing factors like diabetes.