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Frozen Shoulder Health Feed

Frozen Shoulder - Know Occupational Therapy For It!

Dr. Iram Parveen 92% (876 ratings)
Master of Occupational Therapy (MOT), Bachelor of Occupational Therapy (BOT)
Occupational Therapist, Delhi
Frozen Shoulder - Know Occupational Therapy For It!

Frozen shoulder, which is also known as adhesive capsulitis, refers to a condition that is characterized by stiffness and pain in one’s shoulder joint. The symptoms usually begin in a gradual manner and become worse over a period of time. As far as treatment for this problem is concerned, occupational therapy can be of great help. The therapists make use of different methods of treatment, which include gentle stretching exercises, moist heat, applying ice packs and certain home exercise programs. The treatment methods, which they adopt, are particularly designed to reduce the level of pain and increase one’s movements. Before we talk about the tips on different methods of occupational therapy treatments for frozen shoulder, let us briefly talk about the symptoms of this problem.

Symptoms of Frozen Shoulder

This problem of Frozen Shoulder usually develops in a slow manner and there are three stages. Those include:

- Freezing Stage: During this stage, even a slight movement of one’s shoulder leads to a lot of pain and the range of motion starts becoming very limited.

- Frozen Stage: In this stage, pain may start to get reduced, though the shoulder could get stiffer and thus using it becomes very difficult.

- Thawing Stage: In Thawing Stage, the range of motion in one’s shoulder starts to improve.

 Occupational Therapy Treatment for Frozen Shoulder

Occupational therapy treatments form a critical part of one’s recovery and also rehabilitation from this injury. Let us see the tips on exactly how can occupational therapists help treat this problem of frozen shoulder:

- The primary aim of an occupational therapist is to reduce pain and cause an interruption in the cycle of inflammation.

- Now, once that is done, next, the treatments are mainly directed towards getting the muscles to relax. This will help people to regain the motion and that would assist in the functioning of one's shoulder.

- In case, if one’s shoulder pain is too strong to start working on the movement of the shoulder, the Occupational Therapist might start off with treatments, which focus on controlling pain.

- The therapists who make patients undergo the treatment can make use of ultrasound, ice, heat and several other electrical modalities, which could be extremely useful at this particular stage.

- A therapist can also use massages along with little mobilizations, in order to ease out the discomfort caused by muscle spasm and pain.

- These therapists can also help people with a frozen shoulder to stretch their shoulders through the ranges of motion, which are available.

- He or she might also suggest patients do pendular exercises, where they would lean forward, let the arm hang totally clear from the chest and then look to initiate movement with one's trunk so that the dangling limb moves gently and in a passive manner.

1 person found this helpful

Frozen Shoulder - What Are Its Causes & Effective Treatment Methods?

Dr. Vimal Kumar Dakour 85% (10 ratings)
MBBS, Diploma In Orthopaedics (D. Ortho), DNB - Orthopedics/Orthopedic Surgery
Orthopedic Doctor, Delhi
Frozen Shoulder - What Are Its Causes & Effective Treatment Methods?

Adhesive capsulitis is the medical term for a frozen shoulder, which can be caused due to a variety of reasons. Scar tissues can grow in the shoulder joint when the said joint becomes thicker. This development keeps the shoulder from rotating in a normal manner, which can lead to a frozen shoulder. The most common symptoms of this condition include severe pain and stiffness as well as inflammation. Here are the causes and ways to treat this condition.

Causes: A frozen shoulder can be caused due to a sports injury as well as an accident. Also, a hormonal imbalance can cause this condition. A weak immune system may cause inflammation in various joints of the body, which makes motion difficult. Also, diabetes can give rise to a frozen shoulder as a side effect. If you have a sedentary lifestyle and do not exercise often enough, or have just been through surgery which has led to a prolonged period of inactivity, then you can be prone to this condition. Surgery will also leave your tissue and adhesions sensitive to inflammation. Scar tissue may end up forming in very extreme cases, over a period of at least nine months. This can limit your motion.

Risk Factors: Besides diabetes, hormonal changes and inactivity, people who have been through a stroke or surgery are most susceptible to this condition. Also, patients who are suffering from thyroid disorders can end up developing a frozen shoulder too.

Physical Therapy: One of the most recommended ways to deal with this condition is with physical therapy. This kind of therapy will help you in stretching your shoulder so that you get back some motion over a period of time. This process can take anywhere between a few weeks to a few months, depending on the severity of your condition. You must ask a doctor about other treatment options if this kind of therapy does not show results even after six months of intense and regular practice. Physical therapy can also be practiced at home, once you have learnt the technique from a physiotherapist.

Medication: One of the other ways to deal with a frozen shoulder is with the help of medication. Anti-inflammatory and pain relieving medicines can soothe the discomfort. These include aspirinibuprofen, as well as naproxen sodium. Also, if you are undergoing a lot of pain, the doctor can administer a steroid injection in the shoulder joint.

Surgery: If medication and physical therapy do not help in treating the condition effectively, then one can go in for an arthroscopic surgery to remove the scar tissue with a small incision and other kinds of surgery for breaking the adhesions as well.

Had left frozen shoulder - Dr. treated with manipulation under ga. Can I meet cripriano Dr. for further management of shoulder.

Dr. Vishwas Virmani 92% (27578 ratings)
MPT, BPT
Physiotherapist, Noida
Had left frozen shoulder - Dr. treated with manipulation under ga. Can I meet cripriano Dr. for further management of...
Chiropractic adjustment will help. Hot& cold pack.Gentle shoulder stretching. Core strengthing exercises.
1 person found this helpful
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I am suffering with right hands frozen shoulder. Please suggest some good physical exercise.

Dr. Julie Mercy J David 93% (30864 ratings)
Erasmus Mundus Master in Adapted Physical Activity, MPT, BPTh/BPT
Physiotherapist, Chennai
I am suffering with right hands frozen shoulder. Please suggest some good physical exercise.
Frozen shoulder is the common name for adhesive capsulitis, which is a shoulder condition that limits your range of motion. When the tissues in your shoulder joint become thicker and tighter, scar tissue develops over time. As a result, your shoulder joint doesn’t have enough space to rotate properly. Common symptoms include swelling, pain, and stiffness. You’re more likely to have the condition if you’re between the ages of 40 and 60 symptoms you become aware of a frozen shoulder when it begins to hurt. The pain then causes you to limit your movement. Moving the shoulder less and less increases its stiffness. Before long, you find that you can’t move your shoulder as you once did. Reaching for an item on a high shelf becomes difficult, if not impossible. When it’s severe, you might not be able to do everyday tasks that involve shoulder movement such as dressing. Shoulder exercises and stretches regular exercises and stretches can keep your shoulder strong and flexible. A few things to remember before swinging in to exercises: •stop any exercise if you have more shoulder pain. It may be too soon for you to try. •watch your form. Exercising incorrectly can also cause or worsen shoulder problems. •warm up, even before deep stretching. Light shoulder rolls, gentle movements, or even a warm shower are all ways to warm up your muscles before exercise and stretching. Pendulum stretch for range of motion•stand and bend at the waist. •let your arm on the injured side hang straight down. •keep your neck relaxed. •move your arm in a circle up to 20 times. •do once or more times in a day. Overhead shoulder stretch•sit or stand to do this shoulder stretch. •intertwine your fingers in front of you. •bend your elbows and raise your arms above your head. You can also place your hands on your head or behind it. •gently squeeze your shoulder blades together to move your elbows back. •continue for up to 20 repetitions. Repeat 5 to 10 times a day. Physical therapyphysical therapy is the most common treatment for a frozen shoulder. The goal is to stretch your shoulder joint and regain the lost motion. It can take anywhere from a few weeks to nine months to see progress. A home exercise program of gentle range of motion exercises is important. If you don't see progress after six months of intense, daily exercises, speak to your doctor about other options. Medicationsto treat the pain and reduce your joint inflammation, your doctor may recommend an anti- inflammatory medication like aspirin, ibuprofen, or naproxen sodium. A steroid injection you’re your shoulder joint may also help. Home careplacing an ice pack on your shoulder for 15 minutes at a time several times per day can help to decrease pain. If you’re working with a physical therapist, the exercises can be done at home. Your physical therapist will provide instructions on the types of exercises you must do, how often to do them, and when to push yourself harder. Most people with a frozen shoulder can improve their condition without surgery.
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Frozen Shoulder - Causes & Treatment Of It!

Dr. Ajinkya Desale 87% (10 ratings)
MBBS, MS - Orthopaedics, DNB - Orthopedics/Orthopedic Surgery, Fellowship in Sports Medicine and Joint Preservation Arthroscopy Surgery,
Orthopedist, Nashik
Frozen Shoulder - Causes & Treatment Of It!

Adhesive capsulitis is the medical term for a frozen shoulder, which can be caused due to a variety of reasons. Scar tissues can grow in the shoulder joint when the said joint becomes thicker. This development keeps the shoulder from rotating in a normal manner, which can lead to a frozen shoulder. The most common symptoms of this condition include severe pain and stiffness as well as inflammation. Here are the causes and ways to treat this condition.

Causes: A frozen shoulder can be caused due to a sports injury as well as an accident. Also, a hormonal imbalance can cause this condition. A weak immune system may cause inflammation in various joints of the body, which makes motion difficult. Also, diabetes can give rise to a frozen shoulder as a side effect. If you have a sedentary lifestyle and do not exercise often enough, or have just been through surgery which has led to a prolonged period of inactivity, then you can be prone to this condition. Surgery will also leave your tissue and adhesions sensitive to inflammation. Scar tissue may end up forming in very extreme cases, over a period of at least nine months. This can limit your motion.

Risk Factors: Besides diabetes, hormonal changes and inactivity, people who have been through a stroke or surgery are most susceptible to this condition. Also, patients who are suffering from thyroid disorders can end up developing a frozen shoulder too.

Physical Therapy: One of the most recommended ways to deal with this condition is with physical therapy. This kind of therapy will help you in stretching your shoulder so that you get back some motion over a period of time. This process can take anywhere between a few weeks to a few months, depending on the severity of your condition. You must ask your doctor about other treatment options if this kind of therapy does not show results even after six months of intense and regular practice. Physical therapy can also be practiced at home, once you have learnt the technique from a physiotherapist.

Medication: One of the other ways to deal with a frozen shoulder is with the help of medication. Anti-inflammatory and pain relieving medicines can soothe the discomfort. These include aspirin, ibuprofen, as well as naproxen sodium. Also, if you are undergoing a lot of pain, the doctor can administer a steroid injection in the shoulder joint.

Surgery: If medication and physical therapy do not help in treating the condition effectively, then one can go in for an arthroscopic surgery to remove the scar tissue with a small incision and other kinds of surgery for breaking the adhesions as well.

2363 people found this helpful

Rotator Cuff - FAQ's Answered!

Dr. Milind Tanwar 86% (113 ratings)
MS - Orthopaedics, Fellowship in Arthroscopy & Sports Injury, MBBS
Orthopedist, Gurgaon
Rotator Cuff - FAQ's Answered!

Why essential to know?
Rotator cuff pathologies are commonly misdiagnosed and overlooked as a frozen shoulder in elderly patients. It is essential to get to the diagnosis early on in patients presenting with shoulder pain and restriction of range of movements.

What are the symptoms of rotator cuff tears?
Most patients present with a typical painful restriction of active range of movements and relative pain-free passive movements. Typical complaints are loss of power due to pain and shoulder dyskinesis.
Neck pains with radiation down the affected arm are the first symptom. Typically these pains become of throbbing nature while the patient goes to lying down posture.

What is the difference between a frozen shoulder and rotator cuff tears?
Most of the symptoms overlap and it's imperative to get examined by a sports medicine/arthroscopy surgeon to exactly evaluate the diagnosis.
Loss of passive rotations is the first most important clinical finding in a frozen shoulder in comparison to a rotator cuff lesion. However, there is nothing absolute that can be said without clinical examination and detailed history. Frozen shoulder means inflammation in the capsule of the joint leading to restricted movements and pain. Whereas rotator cuff tears indicate a loss of muscle strength due to primary tear in muscle tendons.

What can be the reason for a rotator cuff tear?
Most cuff tears in the elderly are basically degenerative in nature. Simple words, we may attribute this to repeated activities causing minor swelling in these small muscles with time and poor quality of the muscle tissue due to lack of exercises.
Some tears may be associated with a significant trauma like a fall or a trivial trauma like a jerk.

What is the role of radiology in detecting these tears?
Xrays, dynamic ultrasound and MRI have a substantial role in confirming:

  • Size nature and morphology of the tear
  • Quality of muscles that need repair
  • Need of implant (which anchor/ how many anchors)
  • Assessment of repairability
  • Defining the nature of the surgery required
  • Prognosis of surgical results.
  • Various surgeons may have a different experience with different radiological modalities and may find one more important than the other. These modalities help surgeons to confirm the plan of further action.


What is the approximate cost of the surgery?
Cost straight forward y depends on the nature and number of implant used in the surgery. Implants may vary from titanium anchors to bioabsorbable anchors which have a difference in prices. All implants more or less have similar results with no gross postoperative difference. Also, hospital cost and insurance coverage make a major difference in the final cost.

Which is the best implant for me?
As mentioned above, almost all implants have similar postoperative results as per the literature. Special circumstances may lead to a preference of one type of implant over the other in various surgeons. It's not hard and fast until a patient specifically chooses one variety of implant over the other.

What is the procedure like basically?
The procedure is performed under general anesthesia and makes use of small holes made over skin to insert the camera and instruments into the joint. Usually, 4 to 5 stitches are usual which are removed at two weeks time. The procedure usually takes about 1 hour to complete and an hour in getting patient into and out of anesthesia.
The anchors are basically drilled in the bone from where the muscles have torn. The threads from the screw head are passed from the torn tissue and a knot is tied. As the knot tightens the torn tissue comes and sits on the inserted anchors. The repair is considered complete with a watertight closure achieved.
Your doctor will counsel and guidance regarding the procedure using illustrative images.

When can I be discharged?
The surgical patient can be discharged the next day of surgery after a change of dressing. We advise a 5-week shoulder immobilizer in all patients.

What is the rehabilitation protocol?
Post any surgery, most important is rest for a specific time for the tissues to heal up. This time duration is taken roughly as 5 to 6 weeks after which the shoulder immobilizer will be removed and the range of movements will be established. This goes for a period of 6 weeks to establish a painless passive/assisted range. After a total period of 3 months, strength training exercises are initiated and this is followed by joint sense training. Patients can do everything by the end of 6 months with good rehabilitation.

What are the risks associated with the surgery?
There are absolutely no risks as far as the surgical procedure is concerned. Anesthesia-related complications may be seen in rare cases though. 

What is frozen shoulder? Please make me understand. What precautions to be taken?

Dr. Julie Mercy J David 93% (30864 ratings)
Erasmus Mundus Master in Adapted Physical Activity, MPT, BPTh/BPT
Physiotherapist, Chennai
What is frozen shoulder? Please make me understand. What precautions to be taken?
Frozen shoulder is the common name for adhesive capsulitis, which is a shoulder condition that limits your range of motion. When the tissues in your shoulder joint become thicker and tighter, scar tissue develops over time. As a result, your shoulder joint doesn’t have enough space to rotate properly. Common symptoms include swelling, pain, and stiffness. You’re more likely to have the condition if you’re between the ages of 40 and 60. Symptoms you become aware of a frozen shoulder when it begins to hurt. The pain then causes you to limit your movement. Moving the shoulder less and less increases its stiffness. Before long, you find that you can’t move your shoulder as you once did. Reaching for an item on a high shelf becomes difficult, if not impossible. When it’s severe, you might not be able to do everyday tasks that involve shoulder movement such as dressing. Physical therapyphysical therapy is the most common treatment for a frozen shoulder. The goal is to stretch your shoulder joint and regain the lost motion. It can take anywhere from a few weeks to nine months to see progress. A home exercise program of gentle range of motion exercises is important. If you don't see progress after six months of intense, daily exercises, speak to your doctor about other options. Medicationsto treat the pain and reduce your joint inflammation, your doctor may recommend an anti- inflammatory medication like aspirin, ibuprofen, or naproxen sodium. A steroid injection you’re your shoulder joint may also help. Home careplacing an ice pack on your shoulder for 15 minutes at a time several times per day can help to decrease pain. If you’re working with a physical therapist, the exercises can be done at home. Your physical therapist will provide instructions on the types of exercises you must do, how often to do them, and when to push yourself harder. Most people with a frozen shoulder can improve their condition without surgery. Shoulder exercises and stretchesregular exercises and stretches can keep your shoulder strong and flexible. A few things to remember before swinging in to exercises: •stop any exercise if you have more shoulder pain. It may be too soon for you to try. •watch your form. Exercising incorrectly can also cause or worsen shoulder problems. •warm up, even before deep stretching. Light shoulder rolls, gentle movements, or even a warm shower are all ways to warm up your muscles before exercise and stretching. Pendulum stretch for range of motion•stand and bend at the waist. •let your arm on the injured side hang straight down. •keep your neck relaxed. •move your arm in a circle up to 20 times. •do once or more times in a day. Overhead shoulder stretch•sit or stand to do this shoulder stretch. •intertwine your fingers in front of you. •bend your elbows and raise your arms above your head. You can also place your hands on your head or behind it. •gently squeeze your shoulder blades together to move your elbows back. •continue for up to 20 repetitions. Repeat 5 to 10 times a day.
1 person found this helpful
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My father is 56 years old. Suffering from frozen soldier. Please suggest what is the remedies?

Dr. Sajeev Kumar 93% (38314 ratings)
C.S.C, D.C.H, M.B.B.S
General Physician, Alappuzha
My father is 56 years old.
Suffering from frozen soldier. Please suggest what is the remedies?
The frozen shoulder condition occurs more commonly in people with diabetes and in people who've kept their arm immobilised for a long period of time. Symptoms may start gradually and resolve within one or two years. Treatment involves stretching and sometimes injecting corticosteroids and numbing medication into the joint capsule. In some cases, surgery is used to loosen the joint capsule.
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What Can Trigger Pain In Shoulder?

Dr. Shekhar Srivastav 85% (18 ratings)
MBBS Bachelor of Medicine and Bachelor of Surgery, MS - Orthopaedics, AO Fellowship
Orthopedic Doctor, Delhi
What Can Trigger Pain In Shoulder?

The shoulder is one of the most important joints in the body that uses a ball and socket to join the arm to the rest of the body. Any pain can make it difficult to carry out motion in a comfortable manner. The shoulder consists of the long arm bone called the humerus, the collar bone or the clavicle, as well as the shoulder blade called the scapula. A layer of cartilage provides essential padding to the bones in this area and its two main joints. There are a number of issues that can cause shoulder pain. Let us get to know the six most common ones. 


*  Rotator Cuff Injury: This is the most common cause of shoulder pain and it occurs when the four muscles or the tendons are injured. These muscles and tendons usually control the movement of the arm. This injury can involve strains and tears which may also be caused by constant lifting of heavy objects. 

*  Rotator Cuff Tendinitis: This condition affects the tendons and muscles that help in moving the arm freely. This usually happens due to inflammation in the tendons. It is commonly experienced by patients who are actively involved in sports and other heavy physical pursuits in their line of work. 

*  Frozen Shoulder: This is a debilitating condition that restricts the free movement of the arm and is also known as adhesive capsulitis. When the shoulder tissues become too thick, it leads to the growth of scar tissue that hinders proper movement and causes pain. 

*  Osteoarthritis: Osteoarthritis is a condition that comes as part of aging bones that also become hollow and brittle over the passage of time, which leads to joint and bone pains in various parts of the body. It is a degenerative disease that is caused due to prolonged wear and tear as well as other factors including family history and sports injury.

*  Bursitis: This condition is known to affect the fluid filled sacs that lie in between the joints. These are known as bursae. When the bursae suffers from swelling, the effect usually shows up as pain in the joints. 

*  Tendon Sheath Inflammation: The fibrous tissue that connects the bones and the muscles is called a tendon. The presence of the tendon makes it possible to pursue activities like running, jumping, lifting, gripping and more. It is protected by a sheath known as synovium, which also lubricates the same. Any injury or tear to this sheath can cause shoulder pain.
Acute and persistent pain that does not abate and gets even worse should be treated with immediate medical intervention.
 

1210 people found this helpful

Frozen Shoulder - How Can Physiotherapy Help?

Dr. Praveen Kumar 87% (28 ratings)
BPTh/BPT
Physiotherapist, Hyderabad
Frozen Shoulder - How Can Physiotherapy Help?
An armpit stretch is done to improve the strength of the affected shoulder. True or False. Take this quiz to know now!
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