Tuesday 11 September 2012

FROZEN SHOULDER

Frozen shoulder, or adhesive capsulitis, is characterized by pain in the shoulder, sometimes leading into the upper arm and shoulder blade. This may cause a decrease in shoulder movement, stiffness of the shoulder joint. Frozen shoulder can be secondary to other medical problems such as thyroid illness, Parkinson disease, and cardiac disease and post-surgery. It may also be secondary to a fracture
 of the shoulder or arm, tendonitis, trauma or other condition requiring shoulder immobilization for a period of time. During this time, the capsule of the shoulder joint becomes inflamed and thickened, sometimes contracted.

Patients often complain of an intense pain, dull or aching, with difficulties sleeping and a very restricted range of motion. The decrease in the range of motion decrease usually shows a pattern; some movements are more affected than others. In time this condition leads to decreased strength and stability, as well as scapular stability, and therefore reduced arm function in different degrees.

The normal course of frozen shoulder has three stages: freezing, frozen and thawing, which can last up to 2 years. Frozen Shoulder is a self-limited condition. However, physiotherapy has been proven to shorten the healing process. After assessing the physical and functional restrictions and impairments, the physiotherapist will aim the treatment towards pain and inflammation reduction, and restoration of the motion.

Only 20% of people with frozen shoulder actually have to undergo surgery. The other 80% can significantly reduce their pain if not completely abolish their frozen shoulder with exercise.
If you have a well structured exercise program you can actually find relief in 1-3 months.

There are many different treatments that people have used to combat their adhesive capsulitis; however the 'best' treatment is to make sure the patient uses frozen shoulder exercises which take advantage of a multi-level protocol.

Using a multi-level treatment protocol means that the person is not focusing on one aspect only of dealing with the problems and symptoms, rather that they are dealing with all of the issues associated with their frozen shoulder. Treatments such as this will help cover all of the bases and allow proper motion, flexibility, strength and pain reduction, which will make certain that your shoulder pain will be treated and eliminated much faster than not.

To have true success is treating adhesive capsulitis, the patient must be sure to include a good, quality stretching protocol, as well as increasing strength, treating soft-tissue issues, and working on increasing range of motion in all directions.





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