Doctor insights on:
Frozen Shoulder And Hypothyroidism
62yr woman. Left supraclavicular swelling for 2mnth. Non-tender. Soft. Frozen shoulder for 6mnth. BP 140/90.subclinical hypothyroidism. Why the swelling?
Lymph nodes: Make sure not small lymph node that has gotten large. May or may not be related to the shoulder issue. ...Read more
Freezing is to mean turning liquid into solid form by lowering the temperature. Water begins to freeze at 32 degree f or 0 degree celsius. Freezing reduces the movement of the substance/object--solid. Also commonly used in daily communication--police says to a perpetraitor "freeze" and hopefully the bad boy/girl stays solid/still (just for fun :-)). Have ...Read more
Therapy first: If not severe then start with nsaid's and a home program to regain the range of motion. If no improvement then seek care sooner then later and consider formal therapy and possibly a steroid injection in the shoulder joint. If all fails, surgery "manipulation under anesthesia" or arthroscopic surgery with release of adhesions can be very successful. ...Read more
Causes are unknown: No one knows what causes frozen shoulder, aka adhesive capsulitis. There are well defined demographic associations, such as it is more common in women, in middle-aged patients, sedentary patients, diabetics, patients with hypothyroidism, etc. You might want to watch this video: http://youtu. Be/h-umxi8yi0e. ...Read more
The shoulder paradox: Unusual to the shoulder joint, once it starts to 'get stuck', the pain develops, and pain increases as the joint becomes 'more stuck'. This kind of pain is best treated with Acetaminophen at therapeutic doses, and ice, and gentle range of motion of the joint. We teach a simple exercise called pendulum or codman's swing - google this! See a doctor if you need more help please. ...Read more
Sure: I would have them focus on gentle passive stretching. Other modalities like ultrasound, tens, etc can help but have limited efficacy in terms of documented clincical outcomes. As long as your chiropracter knows his or her limitations and when to refer I think they are perfectly capable of helping in this regard. Nothing forceful! ...Read more
Joint injection: Usually joint injection relief the pain and help the movement. ...Read more
Pt: Some pain meds help but time and pt are the best. ...Read more
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
Frozen shoulder: He can continue to work. Activity and motion is good. Avoid heavy lifting. ...Read more
Buoyancy of water: Will help to make exercise easier by lessening the stress on the joints and soft tissues. Just like an injured runner may simulate running in the swimming pool until he recovers. Just be easy with your swim strokes and don't over do it so that you don't reinjure or worsen your shoulder. ...Read more
What to do if I have frozen shoulder (adhesive capsulitis). Why does it hurt so bad when I first move it.?
I had a tear in bicept and rotor cuff 1 yr. Ago was treated for frozen shoulder but I still cant put my arm behind my back. Why?
Which is better for frozen shoulder? Mua w/scope scar tissue removal and release or just scope w/scar tissue removal and release
MUA: MUA, or manipulation under anaesthesia is the most patient friendly way to perform any procedure compared to the same procedure without anaesthesia. Your orthopedist may tell you he/she can assess things better without anaesthesia, but some people have a low pain threshold, and would not be very compliant in those circumstances, making the procedure difficult to impossible to do the right way ...Read more
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
My shoulder randomly makes "grinding" noises following surgery for a torn rotator cuff and frozen shoulder (6 months ago). Should I be concerned?
Shoulder issue: Grinding noise is a non-specific symptom and may not be anything to worry about, but it may be part of a bigger picture that may need attention. It all depends on your recovery. If your pain is improving and function is slowly getting better, then you may need to watch it and consult your doc if other symptoms are present or recovery halts. ...Read more
I have frozen shoulder. I keep reading this problem "not uncommonly precedes the diagnosis of Parkinson's". Am I likely to get it? Some family have.
More commonly seen-: -in diabetes, or idiopathic. Usually bilateral, one after the other, mainly women of your age. I have treated many and have not seen any develop Parkinson's. if your last few words mean some of you family have developed Parkinson's, I would think the familial cause is way greater than a frozen shoulder. ...Read more
I had cortisone injection 2 weeks ago for frozen shoulder and impingement. Now, I can't abduct my shoulder past 30 degrees. It's stuck with pain. Why?
I have recently been diagnosed with frozen shoulder with symptoms of severe pain in the top centre of my neck, my right shoulder, down to my right elb?
While it is painful and limits range of motion, with treatment, the disease goes away and near normal function results. Treatment varies with the severity of the affliction. You may consult this site for information and discuss the matter with your doctor for choice of treatment.
http://www. Mayoclinic. Org/diseases-conditions/frozen-shoulder/basics/symptoms/CON-20022510 ...Read more
I have frozen shoulder and my question is about costs of manipulation. In the interest of personal responsibility, I am shouldering the cost of my health care out of pocket and was wondering what the cost of manipulation of my shoulder will be. I have h
Costs depend on: The extent of the procedure and the facility charge. I routinely perform an arthroscopy with capsular release and manipulation. I may charge 1000 to 1500 dollars or so for this but the real cost comes from the surgery center or hospital. Additionally therapy is necessary after this type of procedure. See if you can negotiate the surgery center fee. ...Read more
Shoulder capsule: In frozen shoulder (or adhesive capsulitis), the actual shoulder joint is tight. Since we do not know the actual causes or adhesive capsulitis, we have difficulty studying it. We do see a period of inflammation that causes thickening of the shoulder lining (capsule). There can also be adhesions that stick from the capsule to the surrounding shoulder. This all loosens and thins over 8-16 months. ...Read more