Doctor insights on:
Adhesive Capsulitis Of The Hip
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. ...Read more
What to do if I have frozen shoulder (adhesive capsulitis). Why does it hurt so bad when I first move it.?
I have SECONDARY adhesive capsulitis (frozen shoulder). Is it possible for my other shoulder to get this? I read that there's a 20-30% chance.
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. ...Read more
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. ...Read more
Yes: Symptoms of adhesive capsulitis involve decreased mobility of the shoulder joint and pain with movement. ...Read more
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. ...Read more
Please translate-Severe tendopathy high grade partial thickness tearing from critical zone to insertion site. Nodular synovitis adhesive capsulitis?
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. ...Read more
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. ...Read more
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. ...Read more
What are some food or supplement that would help in treating frozen shoulder or adhesive capsulitis?
I trying to find a doctor who will do arthrographic distension for adhesive capsulitis in the Northeast US (I live in southern Vermont).
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. ...Read more
I have had adhesive capsulitis on left shoulder for 9 months now. I am beginig to feel pain on right arm. How can I prevent AC on my right arm?
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. ...Read more
I was diagnosed with early adhesive capsulitis. My doc prescribed cortisone injection. He asked me to decide: under fluoroscopy or ultrasound. Advice?
Fluoroscopy: The resolution of the images is higher with fluoroscopy making procedural adjustments easier. ...Read more
As a 30 year type-i diabetic I've had frozen shoulder. Now having similar pain in legs. Is adhesive capsulitis possible in other than the shoulder?
Yes: It can happen in other joints. I have treated patients with hip adhesive capsulitis. ...Read more
Have tear in labrum. Bone spur. Slight arthiritis (i'm 28). Surgeon states surgery will fix these issues and solve adhesive capsulitis. Is this true?
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. ...Read more
Type 1 diabetic bilateral adhesive capsulitis for 4 years-manipulation under anesthesia on left-no help-extensive physical therapy.-no help-now what?
Please help! I have duputryne's contracture in hands, cords, nodules, clubbed fingers, adhesive capsulitis. Autoimmune normal. I'm a"medical mystery."?
Dupuytren's: Consider seeing a hand surgeon for a non-invasive treatment with na or xiaflex (collagenase clostridium histolyticum). ...Read more
I had shoulder surgery 3 months ago and I am still in severe pain my MRI from friday shows adhesive capsulitis, burisits and low-grade fraying and partial disruption of the anterior supraspinatus, I had a bursectomy etc why do I have these problems still
Second Opinion: It is unclear from your question if you are having the same pain you were having prior to your shoulder operation and what the primary diagnosis was in recommending a shoulder operation? It is also not entirely clear to me what exactly was done during your operation and why? I recommend you consider a second opinion to first and foremost establish the primary and secondary diagnoses. ...Read more
I have severe humerus fracture with dislocation. I have plate and 8 screws in shoulder and arm. Also had second surgery adhesive capsulitis.?
What: Is your question? I hope you are doing well ...Read more
Left hip pain x 2 yrs. Done: chiro, pt, steroid inj. & oral - no relief. Int. & ext rotation hurts. Unable to raise knee to chest. Capsulitis maybe?
Arthritis: Your symptoms suggest osteoarthritis of the hip joint. Painful motion is typical early as is pain w/ weight bearing. As the arthritis progresses loss of internal rotation is often found on physical exam. Pain in groin, thigh and buttock are characteristic. Some patients note difficulty tying shoes and similar motions... Time to see an orthopedic surgeon for examination, x-rays and treatment! Gl! ...Read more
For the most part its unknown. Risk factors are diabetes, some endocrine disorders, and trauma.
Frozen shoulder can be divided into 4 phases each lasting 3-4 months.
Phase 1 - inflammatory phase - painful, but motion ok. Good time to get a cortisone shot & reduce chance of progression.
Phase 2 - freezing phase - pain + loss of motion. Pt and nsaids help.
Phase 3 - frozen phase - not much pain, but loss of motion. If no improvement by 6months - surgery is indicated for capsular release.
Phase 4 - thawing phase - motion returns to normal. ...Read more
Get moving: The treatment for frozen shoulder (adhesive capsulitis) is to get the jnt moving. The pain & inflammation from this condition may be managed w; meds, or therapeutic modalities (heat, ice, massage, e-stim, etc), but the ultimate goal of treatment is to regain motion by breaking down the adhesions. If therapy doesn't work, you may need the jnt manipulated under anesthesia, or arthroscopy. ...Read more
A few things...: Physical therapy is typically prescribed for progressive restoration of motion. Your doctor may offer you an injection into the shoulder to help control pain as well as to help make the joint capsule stretch more easily. If these efforts don't restore motion, sometimes a manipulation of the shoulder under anesthesia or a shoulder arthroscopy and capsule release are recommended to restore motion. ...Read more
See answer: Treatment for frozen shoulder (adhesive capsulitis) varies depending on stage of the condition and severity of one's pain and stiffness. A variety of treatment options are available ranging from self-help measures to physiotherapy to anti-inflammatory medications to steroid injections to surgical procedures. Though supporting research is lacking, a number of people have found acupuncture helpful. ...Read more