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FROZEN SHOULDER: WHAT YOU SHOULD KNOW

FROZEN SHOULDER: WHAT YOU SHOULD KNOW

Frozen shoulder is the common term for a medical condition known as adhesive capsulitis. What does that even mean? Adhesive capsulitis is a condition in which the ligaments and the capsule of the shoulder become fibrotic (sticky). Although frozen shoulder has elements of pain and limited range of motion that does not mean that ALL cases of shoulder pain and stiffness are frozen shoulder. In fact, most are probably not!

HERE ARE THE FACTS:

  1. There are 2 types of frozen shoulder; primary and secondary.
    • Primary frozen shoulder is usually associated with diabetes or other conditions including thyroid disease and Parkinson’s.
    • Secondary frozen shoulder usually occurs after a shoulder injury (rotator cuff tear, impingement, tendonitis, etc.). Secondary can also occur after immobilization of the area.
  2. 2-5% of the population will get Frozen Shoulder
  3. Most commonly occurs between ages 40-60
  4. ⅔ of cases are women, ⅓ are men
  5. Can happen after an injury with immobilization
  6. Can follow trauma
  7. Can be spontaneous
  8. Common with diabetes or other diseases

FREEZING STAGE: 2-9 MONTHS

During this stage there is a gradual onset of diffuse and severe shoulder pain. This is often referred to as the painful stage and the pain is typically worse at night. During this stage there may be some loss in range of motion which is usually due to pain. 

FROZEN STAGE: 4-12 MONTHS

During this phase the pain reduces and there is a progressive loss in range of motion. Many will experience restricted movement in all directions which can significantly affect daily activities. 

THAWING STAGE: 5-26 MONTHS

During this phase there is a gradual return in range of motion that can resolve in 1-3 years. Many will get full resolution of symptoms while some may have mild pain that persists beyond 3 years. 

WHAT CAN YOU DO ABOUT IT?

If you are experiencing shoulder pain and decreased range of motion, it is important to get a full assessment. With all of the amazing information on the internet it is common for people to self-diagnose. This often delays the proper treatment and can prolong recovery. And remember, not all painful shoulder injuries lead to frozen shoulder! Our team can help determine the diagnosis of your pain and can provide treatment to reduce pain and improve your range of motion during daily activities.

Learn more here: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5917053/

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