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Pain Management
Centre
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Frozen shoulder
 
Definition
 
Frozen shoulder is when the shoulder is painful and cannot move normally because of inflammation.
 
Alternative Names
 
Adhesive, capsulitis
 
Causes, Incidence, And Risk Factors
 
The joint capsule of the shoulder joint has ligaments that hold the shoulder bones to each other. When the capsule becomes inflamed, the shoulder bones are unable to move freely in the joint.
Most of the time there is no cause for the inflammation. However, inflammation may be caused by:
 
Cervical disk disease of the neck
 
Diabetes
 
Shoulder trauma
 
Shoulder surgery
 
Open Heart Surgery
 
Hyperthyroidism
 
Symptoms
 
The main symptoms are:
 
Decreased motion of the shoulder
 
Pain
 
Stiffness
 
Frozen shoulder without any known cause starts with pain. This pain prevents you from moving your arm. The lack of movement leads to stiffness and decreased motion. Eventually you cannot perform activities such as reaching over your head.
 
Treatment
 
Pain is treated with nonsteroidal anti-inflammatory medications (NSAIDs)
 
Intraarticular steroid injections with suprascapular nerve block.  injections along with physical therapy can significantly improve motion. It can take as long as 6 - 9 months to see improvement. The physical therapy is intense and needs to be done every day.
 
           Any risk factors for frozen shoulder may also need to be treated.
 
Manipulation under anaesthesia .
 
Arthroscopic surgery can be used to cut the tight ligaments and remove the scar tissue from the shoulder. Some surgeons may use repeated pain blocks after surgery so you can participate in physical therapy.