Doctor insights on:
Frozen Shoulder In Children
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
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
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
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
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
MOVE THE SHOULDER: 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
Adhesive Capsulitis!: Frozen should present with a diminution in to or three spheres of motion representing the shoulders movement: abduction (90'), external rotation (90'), and internal rotation (90'). Frozen shoulder has many causes, but the two most common are inflammatory arthritis (spondylitis or pseudogout) and/or diabetes, where high glucose levels help collagen stiffen by causing crosslinking to occur. ...Read more
Frozen shoulder: There are 2 main ussues concerning frozen shoulder. One is pain, the other loss of motion and function. Pain is best managed with nsaids, and occasionally intraarticulr cortisone injections. Loss of motion is best addressed with gentle but frequent stretching. Physical therapy can be very helpful as well. Need an xrays to make sure you do not have arthritis. Good luck! ...Read more
For A BolderShoulder: There is gobs of info if you check the web. Just Google 'frozen shoulder, home exercises.' As for the best? Whatever you are comfortable with at first. Take your time, progress slowly & see how you feel the next day. It could take several weeks, depending on how 'frozen' your shoulder is, how long it's been that way, & what caused it in the first place. You might consider some P.T. to get started. ...Read more
Onjection&therapy: I frozen shoulder is a common problem, especially among diabetics. It is usually self-limiting, but may take a year to resolve. Intra-articular injections of steroids and therapy with aggressive stretching can help speed up the process. Arthoscpoic surgery with manipulation is also a treatment option. See a board certified orthopaedic surgeon for evaluation and treatment. ...Read more
Possibly: Frozen shoulder is a difficult entity, often we don't know why it occurs and then often can't say how long it will take to resolve. Can definitely take a very long time for the motion to return and sometimes it doesnt. Hard to say if it will "thaw" at this point if you have had it over 18months. May be worth seeing a surgeon for possible capsular release if your range of motion is very limited. ...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
Runs its course.....: Adhesive capsulitis (frozen shoulder) runs its course through a "freeze-thaw" sequence. It does get better over time, but it can last over a year. It is painful and can impact your sleep. You can try measures like anti-inflammatory over-the-counter meds, heat/cold, physical therapy. If you can't wait this out, you might want to ask your orthopedist about shoulder manipulation under anesthesia. ...Read more
Adhesive capsulitis: Frozen shoulder or adhesive capsulitis is a disorder of the shoulder causing pain, stiffness and loss of motion. Injury, inflammation and/or medical disorders, especially diabetes, causes the shoulder joint capsule to contract. This contraction of the joint capsule is initially painful and results in loss of motion. Sometimes injections and therapy can resolve the symptoms, others require surgery. ...Read more
Inflammation: The technical name for a frozen shoulder is adhesive capsulitis. The shoulder capsule becomes inflamed and constricted, leading to loss in motion of the shoulder. Physical therapy is the gold standard treatment, if that is not successful surgery including either a manipulation under anesthesia or an arthroscopic lysis of adhesions is done. ...Read more
8-16 months: Whether you participate in physical therapy or not, a frozen shoulder can take up to a year and a half to resolve. The initial inflammation may not last long, but the stiffness can. Forcing the shoulder to move too early does not necessarily speed up recovery. Sometimes, the frozen shoulder is associated with rotator cuff tears or repairs, which is a different situation altogether. ...Read more
Yes: A frozen shoulder can occur after any surgery to the shoulder including a total shoulder. It is important that range of motion is initiated as soon after the surgery as possible to maintain the post-op rom. If the limitations of motion persist a full evaluation of the prosthesis (size, position, possibility of infection) should be performed. ...Read more
Frozen shoulder: Usually happens after a period of lack of movement of the shoulder, such as after immobilization after an injury. The capsule becomes rigid with scar tissue. There are a number of treatments from physical therapy to manipulation, injections to surgery. See a physician and try non-invasive treatments first. Hope this helps! ...Read more
Manipulation/Surgery: Adhesive capsulitis is a condition commonly referred to as a frozen shoulder, and is characterized by pain and limited motion. Historically it is treated with physical therapy and on occasions manipulation under anesthesia followed by more therapy. Arthroscopic capsular release has been described as well. Surgery can be avoided, if patient. This naturally resolves on its own in 12 – 24 months. ...Read more