Dr. M.J. Bazos, MD
Patient Handout
FROZEN
SHOULDER
About Your
DiagnosisFrozen shoulder, also known
as adhesive capsulitis, usually develops without any identifiable cause. It is a
painful condition that almost universally results in decreased range of motion
of the shoulder joint. It may develop gradually, preventing one from realizing
the magnitude of the problem. On the other hand, the symptoms can be quite
sudden and severe with nearly complete loss of shoulder motion. Adults in their
forties and fifties are most at risk; however, anyone with a previous shoulder
injury may be affected. Persons with a history of diabetes are at greater risk
for adhesive capsulitis than are persons who do not have diabetes. The condition
can often be present in both shoulders and may resist all forms of treatment.
Radiographs (x-rays) usually are needed to rule out other possible causes of
shoulder stiffness, such as degenerative arthritis, tumors, and shoulder
dislocation.Living With Your
DiagnosisFrozen shoulder has been
termed a “benign” process because it tends to improve over the
course of 1 to 3 years. Unfortunately, many patients cannot endure the pain or
the limitation of motion while they wait for the symptoms to resolve. As a
result, physical therapy plays an important role in the conservative management
of this
condition.TreatmentWhen
frozen shoulder develops spontaneously, without a prior shoulder injury or
operation, conservative management with physical therapy is preferred. However,
when this condition develops after an operation on the shoulder, a more
aggressive treatment plan, including possible further surgical intervention, may
be necessary. Analgesics and anti-inflammatory drugs may help to reduce pain,
but use of these drugs has to be combined with a supervised therapy program for
maximum relief. Injection of steroid-type medications into the joint itself
often is helpful.The
DOs• Take your medications as
prescribed.• Undertake a supervised
therapy program that combines range of motion exercises with strengthening
exercises.The
DON’Ts• Do not discontinue
your physical therapy without consulting your
doctor.When to Call Your
Doctor• If you notice shoulder
pain that is not responding to rest and is associated with a decrease in the
overall range of motion of the shoulder
joint.Websites:http://www.vir.com/frankenstein/faq/shoulder/frozen.faq.html