Clinically called “Adhesive Capsulitis,” a frozen shoulder is an extremely painful condition in which the shoulder is completely or partially unmovable. Adhesive Capsulitis may be caused by an underlying problem, such as a rotator cuff tear or bursitis, which may cause the body’s immune system to mistake a wound for a foreign body and attack the shoulder joint. However, researchers have yet to pinpoint an exact cause for the condition, and it may happen seemingly spontaneously. Resolution of the problem can take in excess of one year.
Symptoms
- Pain, especially while sleeping on the shoulder
- Little to no range of motion of shoulder joint
- Stopping point in range of motion in each direction of shoulder joint
Causes and Risk Factors
Causes
Trauma to shoulder joint
Diabetes
Immobilization for an extended period of time
UnknownRisk Factors
Trauma, surgery, diabetes and middle age. Women seem to be at a greater risk for this problem.
Treatment
See your doctor...
If: You notice a decrease in range of motion in your shoulder, often associated with an increase in pain.
To: get physical therapy, appropriate pain relief, and consider whether surgery is necessary.Procedures
A doctor may order an arthrogram to confirm suspicion of adhesive capsulitis. The doctor may also order X-rays and a physical exam, as well as arthroscopy to investigate any related condition. He or she may order manipulation or physical therapy, as well as corticosteroid injections, to treat the condition. In the event that the disease is in an advanced stage, surgical intervention may be necessary.Medications
Non-Steroidal Anti-Inflammatory Drugs (NSAIDs), cortisone injections, as deemed necessary by physician.Prevention
Largely unknown. However, since adhesive capsulitis may set in as a result of underuse or immobilization of the shoulder, it is important not to neglect a painful injury. If the shoulder injury does not seem to improve with time and over-the-counter medication, as well as rest and icing the injury, see a doctor immediately.
Last updated: 10-Oct-00
