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Doctor insights on: Adhesive Capsulitis Of The Hip

Very: Quite painful in early stages.

Self-limited: Adhesive capsulitis/frozen shoulder is usually a self-limited process that goes through three phases. I-the inflammatory phase which can be quite painfull. Treatment includes nsaids, coricosteroid injections and avoidance of provacative activity. Ii-frozen phase. Less pain marked by loss of night pain. Treatment begin physical therapy. Iii-thawing phase. Motion returns.

See your doctor: You need to start moving it otherwise it will become permanent. See your doctor and physical therapist at once. It hurts because the tissues got inflamed and have scarred resulting in decreased motion and pain.

Many causes: Adhesive capsulitis can occur any time from many causes-diabetes; post surgical reaction; disuse, infection, etc. So, yes, you can get it. One thing most people don't realize is that what is often diagnosed as 'adhesive capsulitis' is actually shoulder motion frozen by severe pain from inflammed nerves like the axillary & suprascapular nerves. Find someone familiar w/neuroprolotherapy to check it out.

Scarring of joint: Adhesive capsulitis is a process of joint stiffening caused by capsular thickening or scarring. It can be post-traumatic, post-operative, or idiopathic (unknown cause). Hallmarks are loss of motion and often joint pain. Treatment is usually initially aggressive physical therapy.

Yes: Symptoms of adhesive capsulitis involve decreased mobility of the shoulder joint and pain with movement.

Not common: I would not say lots of people have adhesive capsulitis but it is not uncommon either. Most of the time it happens for reasons unknown in your non-dominant arm. It is best treated with management of the symptoms and rest. I can take upwards of 12-18 months to resolve. On rare occasions, surgery, therapy and injections are helpful.

Frozen shoulder: Frozen shoulder is the common name for adhesive capsulitis. Presents with limited motion and pain at the extremes of motion. Make sure to get an x-ray to be sure that arthritis is not present as they often present the same way.

Rotator cuff tear: You basically have a tear of your rotator cuff. You will have to sit down and discuss surgical verses no surgical options with an orthopedic surgeon.

Inflamed shoulder: Adhesive capsulitis is an inflammatory shrinkage of the shoulder capsule that limits motion and causes pain. We do not know what causes this process to start. It will resolve without treatment is in 2-5 years, but you should seek treatment of steroid injections and pt. If that fails to help after 6 months, you are a candidate for an arthroscopic capsular release.

Combo: Therapy, injections and more therapy. Ultimately if no progress is made, arthroscopy can resolve this issue.

Stretching: Adhesive capsulitis aka "frozen shoulder" occurs when the shoulder capsule becomes thickened, contracted, and adherent. The most effective treatment is a gradual, progressive stretching and/or physical therapy program that mobilizes and stretches the shoulder capsule. Oral meds and injections can help with pain. If symptoms persist, surgical release is performed. Postop stretching is critical.

Stretching: You can try stretching and anti-inflammatories. I might be more concerned that if this is not the correct diagnosis delay in more formal evaluation may allow for disease progression. You could get some physical therapy. In severe cases the adhesions need to be "broken up" while under general anesthesia.

Eat sensibly: Avoiding the very sugary, very salty and very greasy stuff. Your food choice won't impact your shoulder, but managing your diet will improve your overall health. Best wishes.

NSAIDs: Maybe helpful. Also consider supplements like glucosamine/chondroitin. Lastly if not improving consider how platelet therapy or stem cells can be helpful for you. Check out Regenexx. Com

Alternatives....: That procedure is fairly outdated, with limited success rate. Steroid injections, physical therapy, and manipulation are all considered, with arthroscopic capsular release as a last option of all else fails. See a shoulder specialist if your problem is not resolving with your current treatment regimen.

Keep your motion: First off see a specialist to determine the underlying risk factor for the capsulitis (diabetes, thyroid abnormalities, etc) and make sure the these risk factors are treated as well as the stiffness. Then I would implement a stringent bilateral range of motion program with a physical therapist. If you still lack motion after 6 months to a year then you may want to discuss surgical options.

Fluoroscopy: The resolution of the images is higher with fluoroscopy making procedural adjustments easier.

Yes: It can happen in other joints. I have treated patients with hip adhesive capsulitis.

Too many things: A frozen shoulder is very painful and does not typically show up on a MRI like the other items do. These things typically do not go together. I would suggest another opinion from a shoulder specialist. I would suggest treating the adhesive capsulitis first and non-operatively. Then if you are still having issues, consider addressing the others with surgery.