Frozen Shoulder
Frozen shoulder, also known as adhesive capsulitis, is a condition that causes stiffness, pain, and limited range of motion in the shoulder joint. It typically develops gradually over time and can be quite debilitating. The exact cause of a frozen shoulder is not well understood, but it is believed to involve inflammation and thickening of the joint capsule, which surrounds and encloses the shoulder joint.
There are three stages of a frozen shoulder:
Freezing stage: This stage is characterized by a gradual onset of pain and increasing stiffness. Shoulder movement becomes limited, and pain may worsen at night.
Frozen stage: In this stage, the stiffness in the shoulder becomes more pronounced, and there is a significant loss of range of motion. Daily activities become difficult, and pain may decrease or remain constant.
Thawing stage: During this stage, there is a gradual improvement in shoulder motion and a decrease in pain. Range of motion may gradually return to normal, although it can take several months to years to fully recover.
Treatment for frozen shoulder aims to relieve pain, restore range of motion, and improve function. It usually involves a combination of non-surgical and, in some cases, surgical approaches. These can include:
Pain management: Over-the-counter pain relievers, such as nonsteroidal anti-inflammatory drugs (NSAIDs), may help reduce pain and inflammation. In more severe cases, corticosteroid injections into the shoulder joint can provide short-term pain relief.
Physical therapy: Gentle stretching and range of motion exercises prescribed by a physical therapist can help improve shoulder mobility and prevent further stiffness. Physical therapy may include heat or cold therapy, ultrasound, electrical stimulation, and other techniques.
Home exercises: Performing prescribed exercises at home is crucial for maintaining and improving shoulder mobility. Regular, gentle stretching and strengthening exercises can aid in the recovery process.
Manual therapy: Techniques such as joint mobilization or manipulation performed by a skilled therapist or chiropractor may help improve shoulder mobility.
Surgical intervention: In severe cases where conservative measures have failed, arthroscopic surgery may be considered. This involves releasing the tight capsule and removing scar tissue to improve shoulder mobility.
It's important to note that the recovery time for a frozen shoulder can vary from person to person. It can take several months to years for a full recovery, and patience and consistent treatment are often necessary. It is recommended to consult with a healthcare professional, such as a doctor or physical therapist, to determine the best treatment approach for your specific situation. The underlying cause may include medication, physical therapy, or surgery. In some cases, the symptoms may improve on their own over time.
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DHA, State LIfe Society, Lahore.