Doctor insights on:
How To Prevent Frozen Shoulder
ROM exercises: Do gentle progressive range of motion exercises both passively and actively. ...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
Depends on phase: Frozen shoulders can be exceptionally painful, all the time, during the initial inflammatory phase. When in the frozen phase, pain usually occurs at the end range of motion. Once you start regaining your range of motion, pain begins to lessen fairly dramatically. Once you have approximately 85-90% motion, pain almost never as issue. ...Read more
Not easy: The treatment of a frozen shoulder usually requires an aggressive combination of anti-inflammatory medication, cortisone injection (s) into the shoulder, and physical therapy without aggressive treatment, a frozen shoulder can be permanent. Pain medications and often manipulation under anesthesia. ...Read more
Not so bad: Manipulation under anesthesia is performed for a frozen shoulder that has failed to improve after many months. Manipulation is designed to break up the scar tissue, and restore range of motion. Most times, shoulder arthroscopy is performed as well to perform additional capsular releases and improve outcomes. Pain is managed with narcotic pain meds, and most surgeons will recommend an interscalene block to further reduce post op pain. ...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
On other side: See prior answers on this topic.Get a more detailed answer ›
After resolution: A frozen shoulder goes through an inflammatory phase that becomes worse with any extensive exercises. It is best to wait until the inflammatory phase passes and the motion has started to return before attempting any strengthening. Most of these resolve on its own, but may take up to 1-2 years. ...Read more
Frozen shoulder: I would not advise it especially since you do not have normal range of motion at your shoulder. Supervised physical therapy sessions that include gradual active and passive range of motion exercises would make more sense. Getting a cortisone injection to help relieve pain may be helpful. As your range of motion, strength, and pain improves, then you have less risk of re-injury or worsening. ...Read more
C A on frozen should:
Sports injuries occur all the time, to everyone, to every nook and cranny of the body. The key is to doofus the activity correctly from the start, which mandates an expert in that activity how to doofus things right, avoiding as much as feasible, injuries.
Fs: range of motion exercises, heat, anti inflammatory medication, all under expert guidance of physical therapist. ...Read more
What can I do to loosen up my frozen shoulder that hurts when I do certain weight training excercises?
Had cortisone put in shoulder for frozen shoulder 3 weeks ago. Its stopped working already. Can I have more put in yet?
Cortisone: Cortisone is great to treat inflammation but can weaken structures like tendons and ligaments. For this reason, it is too early for another steroid injection. You need non-steroidal anti-inflammatories and physical therapy. If this fails, an anthroscopic procedure to break up adhesions. ...Read more
What is the best way to treat frozen shoulder? How recommended is a manip under anaesthesia and what are the pros/cons, and alternative options?
Recommended: Once the shoulder is frozen the patient will resist any movement to try and restore function. Essentially there is scar tissue which is impinging movement. Mua will allow the surgeon to manipulate and move the shoulder to break these adhesions and improve mobility. Alternatives, heavy physiotherapy. ...Read more
I can move my "frozen shoulder" with no restriction except when trying to take off my t-shirt or lifting something heavy then is it a frozen shoulder?
Thawing: Frozen simply describes a loss of range, not no range. It is normal to regain range with pain still limiting the extremes of range. You may also just have impungement at this point. Continue with your exercises. ...Read more
I have frozen shoulder physio gave me leaflet with exercises, explained nothing. Is there anything else I can do to recover/heal and how long it last?
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
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