FROZEN SHOULDER RELEASE

Clinical condition wherein the patient has restricted active and passive glenohumeral (Shoulder) motion for which no other cause can be identified ( X ray to be normal). Exact cause is not known. Multiple causes has been identified :

  1. Chronic Inflammation
  2. Perivascular Infiltration
  3. Subacromial Bursitis
  4. Autoimmune

- Usually seen in age group 40 -70
- Common in Diabetic patients.
- More common in women
- It takes often a year to improve depending upon the severity and other comorbidities

Various Stages of Frozen Shoulder

  • Stage 1 : lasts between 2 to 9 months. Symptoms of pain, worsen at night and on lying of bed. Shoulder start getting stiff.
  • Stage 2 : can last between 4 to 12 months. Pain decreases. Stiffness may worsen.
  • Stage 3 : lasts between 1 to 3 years . Shoulder slowly loosens and become easier to move. Normal range may not be fully achieved.

Treatment

- Keep using your arm as normally as possible
- Improve your posture of sitting and Standing
- Apply Gentle Heat
- Antiinflammtory or pain killer as per prescribed
- Sugar Control

  1. Physiotherapy :mobilisation exercises, modalities. Etc as per evaluation by therapist
  2. Intra Articular Steroid Injection :to relieve pain
  3. Surgery :If not improving with conservative Treatment or if it affecting activities of daily living, surgery can be offered as line of treatment- Arthroscopic Release of tighten capsule - to hasten recovery and gain early range of movement.