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Also known as Adhesive causalities and Periarthritis.
A stiff, painful shoulder with progressive limitation of movement. Sign and symptoms begin gradually, worsen over time.
Usually occurs on one side. Sometimes it can spread to the other shoulder. Some idiopathic facts for frozen shoulder-It happens mostly to people aged in 40’s,50’s and 60’s.
Women get their frozen shoulder much more commonly than men.
Causes-We can classify in two groups
1) Primary-No significant reason for pain and stiffness.
2) Secondary- may be due to synovitis, rupture of the capsule, subacromial bursitis or a lesion in the muscle complex round the joint particularly in the supraspinatus. There may be history of trauma, your arm in a sling for long time immobilized in a specific position for a prolonged period.
Other ailments are-Heart or lung problems can be linked to cause shoulder pain. Cardiac surgery has sometimes lead to
frozen shoulder. Lung problems like tuberculosis or tumor. Diabetes is a common associated condition with frozen shoulder
Symptoms-Symptoms are variable depending on the cause. Pain is the usual presenting feature and may be accompanied by muscle spasm and limitation of movement. The onset can be acute. When the condition is sub acute or chronic, pain and stiffness are most marked after a period of inactivity and may be eased by moderate exercise. Tender areas may be present. Pain often worst at night and when lying on the affected side. Patient has difficulty with normal daily tasks such as dressing, preparing food, carrying bags and working. Muscle wastage may be evident due to lack of use. According to ayuveda- frozen shoulder is known as Ababahuka. Ayurvedda described-80 Types of Vata nanatamaja roja (caused by vitiation of vata dosha). Ababahuka is also a vata nanatmaja roga. Vitiated vata dosha absorbs the fluid (kapha) of the joint cause to Ababahuka.
Treatment-It is essential to carry out a careful clinical examination as many diseases of diverse origin frequently present with musculoskeletal symptoms.
Injection of steroid into the joint to reduce inflammation
Nerve block a short term pain relief option
Surgery if the above fails
Ayurveda treatment- If frozen shoulder caused by secondary group than the other ailments- the Panchkarma and Kerala therapy is very effective. The aim of the Ayurveda treatment is to bring vitiated vata in equilibrium.
Most popular kerala therapy is pizhichil means squeezing of medicated oil with the help of cotton cloth all over the body with full concentration on shoulder along with different stroke of massage. It is a process of fomentation, highly effective for treating diseases caused by vitiation of vata dosha. Duration of treatment varies according to the severity of symptoms of the patient.
Elakizhi- Special herbal pack massage withPizhichil gives strength to the muscle and improves the mobility of shoulder joint.
Nasyam –popular panch karma therapy for all urdhvajatrugata roga, It is a powerful rejuvenating therapy.
Requirement of Therapy -7,14,21 days therapy course depending on the severity of symptoms along with oral medicines for 3-4months.
I am 50 yr old male. I sliped on road a 5yrs ago and had some bad injuries to my legs. Now I am quite fine but sometimes my ankle pains and swells even my nerves at that point ache, making me unable to walk. I consulted relevant doctors and showed my scaning reports, they aren't able to find any problem, but my ankle aches not frequently but for about in 3months interval. Can I get any suggetion regarding my problem?
My husband is suffering joint and back pain for LST 4 days It is very serious pain he had face What I do plzz rpy.
For spondylitis I have taken physiotherapy for 16 days even now there is pain on my shoulder area especially left cup shoulder area wrist. Is it arthritis.
I am 38 years female. Presently I suffered with right side leg pain as like foot inside and it will increased upto knee, thigh (past 8 years I used heels chappal only) I have taken sumo pain killer tablet 2 nos. But at that time pain decreased after that again started. What should I do?
I am ajay from haryana fatehabad and I am suffering from back pain and my height is also small how can I increase my height please tell me.
I am 21 years old male and I have back pain for more than a couple of years. Why do I get back pain at this early age? what should I do?
I have a pain in my knee and all joit place so please tell me what should I do so that will be healthy?
Im 25 year male , for the past few years im suffering from knee pain when I sit for a long time or when ever I fold my knee while sitting I hear a audible "tick sound" and in some time while walking I can just feel "tick" sound in my legs but while walking or sitting its not paining but when I sit for long time and while im getting up its paining a lot.
My Age 24 years Problem is 1 year back she got fibroid surgery and after that she is getting menses 1 month almost 30to35 days and next month 12to15 days this cycle is repeated month to month wat was the problem is there any chance to re appear fibroid. Uterus has not removed in last surgery.
Of late I have started getting pain in the knee joint - when I stand for more than 30 minutes. What should I do?
My mother is 58 years old and she is suffering from leg pain from past 5 years. She is been using prescription but there is no relief. Kindly provide medication for it.
When a blow or a fall causes an injury, where the top of your arm bone pops out from your shoulder socket, it’s called shoulder dislocation. It is a very painful condition and you need to get this relocated to its position immediately. The tissues and bone related to that particular joint get damaged.
If you ignore this situation or keep the shoulder like this, it will be more harmful and painful for you. There may appear a bump in front or at the back of your shoulder that hurts.
What can lead to a dislocated shoulder injury?
- Sharp or a very fast twist of your arm.
- Falling down on a hard surface.
- A sudden hurt or hit.
- It may also happen when you fall down and try to save yourself using your hand. The force of the hit indirectly gets into the shoulder and your shoulder joint may slip from its place.
In some of the outdoor games, there are high chances to get hurt in the shoulder. Hockey, football, rugby, rock climbing, volleyball etc. bring in high probabilities of injuring the shoulder, thereby resulting in a shoulder dislocation.
What is the treatment or therapy of a dislocated shoulder?
The dislocated shoulder should be very urgently treated. As this injury of the shoulder is very painful, you should go to a specialized orthopaedist as fast as possible to fix up the shoulder to its proper joint. As it is very painful and swollen, the faster the treatment, the better it is. When your doctor fixes your shoulder in its actual place or the bone of your arm comes back to the socket, most of your pain will go away and you get huge relief from pain. After the shoulder bone is relocated, you can use further conservative treatment to reduce the pain and swelling of that place. Dislocated shoulder may take 3 to 12 weeks to recover. But this is the approximate time and it depends on the seriousness of the injury.
After the treatment, when all the symptoms are gone, the doctor will suggest some exercises for better results and normal shoulder movement and to prevent future shoulder injury. Ones the shoulder is dislocated, the chances of dislocation in future is further increased as the tissue supporting the head of humerus into its socket is torn. Such patients may land up with recurrent dislocation of shoulder wherein shoulder dislocates easily on specific movement and patients are afraid to do over-head activities. The problem is best diagnosed by MRI Scan.
The best treatment for this is Arthroscopic (Key-Hole Surgery) Bankart's Repair. Following operation shoulder is kept at rest for 2 weeks then Physiotherapy is started. Day to day activities are started after 2 weeks and sports activity is started after 3 to 5 months.