Frozen Shoulder Treatment in Nashik - Dr. Ajinkya Desale
About Frozen Shoulder
Frozen shoulder is a condition of stiffness and pain in your shoulder joint. The pain starts gradually, worsen over time and then resolve, usually within one to three years. It affects 2% of the population and is more common in women than men. It most commonly affects people between the ages of 40 and 60 years. Frozen shoulder is often called adhesive capsulitis. The shoulder may also become painful and stiff following trauma or shoulder surgery, where the body has a vigorous inflammatory response that results in excessive scar formation, and subsequent loss of motion.
The cause of a frozen shoulder is not completely understood. It is associated with several medical conditions like diabetes, thyroid disease, heart disease, and Parkinson's disease.
Pain from a frozen shoulder is usually a dull ache that often radiates towards the elbow. Pain may be felt around the shoulder blade (scapula) as well. It is often present at rest, and worse with movement. It also may be worse at night and affect sleep. Over time, the shoulder becomes stiffer.
Treatment of frozen shoulder
A frozen shoulder usually gets better on its own, but it may take more than 2 years to do so. Initial treatment is focused on controlling pain and maintaining range of movement with physiotherapy. Simple pain relief, such as paracetamol, taken regularly is a safe starting point. Simple anti-inflammatories, such as ibuprofen, can be taken in combination with this.
Steroid injections are powerful anti-inflammatories that can be injected directly into the joint. Physiotherapy can help restore movement, with a program of stretching and strength exercises. Applying heat to the shoulder before exercising may help "loosen up" the joint.
More than 90% of patients will improve with these simple measures.
Surgical treatment is rarely required. Where stiffness is failing to improve despite treatment with anti-inflammatories and physiotherapy, manipulation under anaesthesia and arthroscopic capsular release may be performed with good results. It is important not to do this whilst the shoulder is in the inflammatory (freezing) stage, as it may make the condition worse.
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