Arthrithis, Back Pain, Body pains, Stroke
TREATMENT FOR FROZEN SHOULDER
TREATMENT FOR FROZEN SHOULDER: Frozen Shoulder Frozen Shoulder, is a painful and progressive restriction of active and passive range of motion at the shoulder joint or area . It is often referred to as Adhesive capsulitis (AC), characterized by initially painful and later progressively costrain the glenohumeral (GH) joint range of motion. Treat of it can result in spontaneous complete or nearly-complete recovery over a varied period of time.
Common names for Frozen Shoulder include:
- Adhesive Capsulitis
- Painful stiff shoulder
- Periarthritis
- or an Idiopathic restriction of shoulder movement
RISK FACTORS & RED FLAGS
- Diabetes mellitus (with a prevalence of up to 20%)
- Stroke
- Thyroid disorder
- Shoulder injury (FOOSH, direct impact, dislocation)
- Dupuytren disease
- Parkinson’s
- Complex regional pain syndrome
- Avascular necrosis (rare, but can occur)
- Tuberculosis
- Shortness of breath, severe cough, any compromises to the quality of the breath
- Metastatic disease
- Rheumatisms
- Multiple joint involvement
- Fever, chills, severe (inexplicable) pain
- History of cancer (to the individual, or family)
Any suspicion of a systemic pathology or condition
CAUSES OF FROZEN SHOULDERS
Frozen Shoulder may be:
- Primary – Onset is generally idiopathic (it comes on for no attributable reason)
- Secondary – Results from a known cause, predisposing factor or surgical event. A secondary frozen shoulder can be the result of several predisposing factors. For example, post surgery, post-stroke and post-injury. Where post-injury, there may be an altered movement pattern to protect the painful structures, which will in turn change the motor control of the shoulder, reducing the range of motion, and gradually stiffens up the joint.
Frozen Shoulder may be:
- Primary – Onset is generally idiopathic (it comes on for no attributable reason)
- Secondary – Results from a known cause, predisposing factor or surgical event. A secondary frozen shoulder can be the result of several predisposing factors. For example, post surgery, post-stroke and post-injury. Where post-injury, there may be an altered movement pattern to protect the painful structures, which will in turn change the motor control of the shoulder, reducing the range of motion, and gradually stiffens up the joint.
SYMPTOMS OF FROZEN SHOULDERS
- Patients presenting with frozen shoulder will often report an insidious onset with a progressive increase in pain, and a gradual decrease in active and passive range of motion.
- One of the main presenting factors is loss of external rotation (ER) in a dependent position with the arm down by the side.
- Patients frequently have difficulty with grooming, performing overhead activities, dressing, and particularly fastening items behind the back.
PHYSIOTHERAPY TREATMENT FOR FROZEN SHOULDERS
- Thermal therapy/Cryotherapy
- Stretching exercises
- Range of motion exercises
- Strengthening exercises.
Physical therapy or Physiotherapy and home exercises can be a first-line treatment for frozen shoulder, with consideration of the patient’s symptoms and stage of the condition
At Effective Physiotherapy & Fitness Clinic, our specialists employ different techniques such as stretching, Ice and Heat application among others, to treat various kinds of pains especially at the shoulder area. It helps patient regain mobility and flexibility of the joints at the shoulder level, This will in turn restore clients to their previous level of pain free shoulder or as close to it as possible
