NEWSLETTER Your Resource for Health, Wellness, and Caring For Your Body
JULY 2023
MELT YOUR FROZEN SHOULDER
FROZEN SHOULDER by mr. sandeep kumar rajavelu balachander, rpt
2. Frozen stage: Pain might lessen during this stage. However, the shoulder becomes stiffer. Functional movement, espe overhead activities, such as hair grooming and upper body dressing/ undressing, becomes more difficult. This stage lasts from 4 to 12 months. 3. Thawing stage: The shoulder’s ability to move begins to improve. This stage lasts from 5 to 24 months. Adhesive Capsulitis (frozen shoulder) affects approximately 0.75% to 5.0% percent of people per year. Rates are higher in people with diabetes (10–46%). Following breast surgery, some known complications include loss of shoulder range of motion (ROM) and reduced functional mobility in the arm. Occurrence is rare in children and people under age 40, with the highest prevalence between ages 40 and 70. The condition is more common in women than men (70% of patients are women aged 40–60). People with diabetes, stroke, lung disease, thyroid abnormalities (hypothyroidism/hyperthyroidism), Parkinson’s disease, rheumatoid arthritis, or heart disease are at a higher risk for frozen shoulder. Symptoms in people with diabetes may be more protracted than in the non-diabetic population. CAUSES The shoulder joint is enclosed in a capsule of connective tissue. A frozen shoulder occurs when this capsule thickens and tightens around the shoulder joint, restricting its movement. The cause can be unclear for some individuals. However, it is more likely to happen after keeping the shoulder immobilized for an extended period, such as after surgery or an injury.
Frozen Shoulder, also called adhesive capsulitis, involves stiffness and pain in the shoulder joint. Signs and symptoms typically begin mildly and can get worse. For some people, the pain worsens at night, sometimes disrupting sleep. Over time, symptoms get better, usually within 1 to 3 years. However, with physiotherapy and medical interventions, this period could be shorter. Keeping a shoulder still or in a limited mobility state for an extended period increases the risk of developing a frozen shoulder. This might happen after having surgery, a fracture, or a soft tissue injury to the arm. Treatment for a frozen shoulder involves range-of-motion exercises. Sometimes treatment involves corticosteroids and numbing medications injected into the joint. Rarely arthroscopic surgery is needed to loosen the joint capsule so that it can move more freely. It is unusual for a frozen shoulder to recur in the same shoulder. However, some people can develop a frozen shoulder in the initially unaffected arm, usually within five years. STAGES Frozen Shoulder typically develops slowly in three stages: 1. Freezing stage: Any shoulder movement causes pain, and the shoulder’s ability to move becomes limited. This stage lasts from 2 to 9 months.
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