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Frozen shoulder is painful inflammatory condition associated with stiffness and loss of motion in shoulder. The pain gradually grows and becomes chronic leading to restricted movement. Due to inflammatory conditions the muscles surrounding the shoulder becomes stiff. Frozen shoulder has vague triggers, which usually surfaces as a complication commonly in people with diabetes, thyroid disorders, heart disease, and Parkinson's disease and people with chronic rheumatism or arthritis. The general approach towards frozen shoulder is prescription of painkillers, anti-inflammatory and physical therapy to restore the ROM.
What is the suffering
As the chronicity advances the movement of the shoulder is severely restricted, with progressive loss of both active and passive range of motion. The condition is sometimes caused by injury, leading to lack of use due to pain, but can also arise spontaneously with no obvious trigger (idiopathic frozen shoulder). Rheumatic disease progression and recent shoulder surgery can also cause a pattern of pain and limitation similar to frozen shoulder. Intermittent periods of use may cause inflammation.
In frozen shoulder, the synovial fluid becomes scarce resulting in diminished joint lubrication between the head of humerus (Upper arm bone) and the socket of the scapula. Due to friction as precipitating factor, the shoulder capsule swells, thickens and tightens due to stiffness of ligamentous bands of scar tissue. As a result, the joint movement becomes stiff.
How to know
First sign of a frozen shoulder is that the joint becomes so tight and stiff that it is nearly impossible to carry out simple movements, such as raising the arm. The movement that is most severely inhibited is abduction and external rotation of the shoulder. Lots of tests are done clinically to assess the frozen shoulder. One of the best test is “Scratch Test” and 2nd is the Lateral external rotation.
People complain that the stiffness and pain worsen at night or the pain is worse during morning. Pain due to frozen shoulder is usually dull or aching. It can be worsened with attempted motion. A therapist or practitioner may suspect the patient has a frozen shoulder if a physical examination reveals limited shoulder movement. XRay of rhe shoulder or an MRI scan may confirm the diagnosis, though its mostly diagnosed clinically.
The frozen shoulder, according to the chronicity is categorised into stages.
Stage one: "freezing" or painful stage, which may last from six weeks to nine months, and in which the patient has a slow onset of pain. As the pain worsens, the shoulder loses range of motion.
Stage two: "frozen" or adhesive stage is marked by a slow improvement in pain but the stiffness increases. This stage generally lasts from four to nine months.
Stage three: "thawing" or recovery, when shoulder motion slowly returns toward normal. This generally lasts from 5 to 26 months.
What to Do
Frozen shoulder makes the person so disable that he cannot work without pain. Management of the frozen shoulder is focused on restoring joint movement and reducing shoulder pain, involving medications, physical therapy and /or surgical intervention. Treatment may continue for months, there is no strong evidence to favour any particular approach. Medications frequently used include NSAIDs and corticosteroids. Alternative medicines like homeopathy, ayurveda also gives great results. Alternative measures like physical therapy, exercise therapy, yoga have good impact in increasing the range of motion.
I am 54 year old female. Height is 5 feet. I am suffering from leg pain and back pain since 5 months. Doctors did x-ray and told calcium deficiency and vitamin D is less. So advised me shelcal CT tablets. And ezact Mr. I'm consuming it since 1 month and also having veggies rich in calcium. So will shelcal CT add some calcium to my body or do I need to consume anything extra with these? Pls advise. Awaiting for your reply. Thanks.
Sir, Mujhe 2 month phele typhoid hua tha sir or muh per bharipan sa rahta hai or kal mhuje bar bar urin arhatha ab meri tango me dard ho rahi h sir yeah kamjori h ya kuch or?
Sports activities can lead to severe injuries, and the treatment administered differs, based on the severity of the injury. Muscle injuries are often healed using platelet-rich plasma. Called PRP in short, this therapy gained an immense popularity almost a decade back.
How does it work?
Blood is composed of cellular elements and plasma. PRP is the blood with concentrated platelets and is rich in bio-reactive proteins. This also contains factors that are vital to accelerating growth. PRP aids in faster tissue regeneration and repair. Bones, tendons, and ligaments are the connective tissues in the body, and they need to heal together, which is what this therapy promotes.
A regenerate therapy for faster healing
This therapy is performed by taking out a small amount of blood from the patient’s body. The platelet concentration is augmented by placing it in a centrifuge, and the growth factors are also promoted. Then this plasma is injected into the affected area. It is injected straight into the damaged area. This therapy suits all sorts of sports injuries, arthritis, inflammation, plantar fasciitis, knee ligament injuries, tennis elbow, patella tendinopathy, and Achilles tendinopathy. Joint pain that is caused by an acute injury, early partial tendon tears, and any chronic degenerative disease, too, can be cured with PRP.
Conditions that can be cured with PRP
When athletes are involved in sports activities, a few joints are constantly used. As a result, the tendons experience microscopic tear, and it takes a lot of time for these tendons to heal because the blood supply is not adequate here. When you get injected with the PRP, the nutrients and growth factors required are supplied and it helps in faster healing. Here are a few injuries that can benefit from PRP. It is often seen that celebrities suffering from the condition use this regenerative therapy.
- Rotator Cuff injuries: Sports injuries can occur commonly in the shoulder joints, where lots of actions can take place. With the arm motion more repetitive in sports such as baseball or basketball, this condition can be seen repetitively. Accidents, too, can result in rotator cuff injuries. When the rotator cuffs suffer from a partial tear of tendons or inflammation, PRP injections can offer the solace. However, if rotator cuffs experience severe damage, then only surgery can be helpful.
- Plantar Fasciitis: When the sports require a lot of footwork, an injury may result. Runners are often found suffering from a sports injury. People who stand on feet for long hours too can face this condition. This condition responds well to PRP injections. However, if not treated for long or left unattended, a surgery becomes the sole option for relief.
- Tennis Elbow: The forearms are often used in sports like tennis. The tendons, due to continuous usage, can tear. The repetitive stress on these tendons can also lead to inflammation. Not only sports people but even cooks, painters, carpenters, and assembly line workers can find this a trouble. PRP injections offer the required growth factors to heal the tendons and help to get back to normal life faster.
With hordes of regenerative therapies available, consult a professional to choose the best for you. Also, your physician should be the right person to decide if it is time for a surgery.