Discuss the Frozen Shoulder Treatment Surgery and Syndrome|What should I do for a "frozen shoulder"?|Why does a frozen shoulder take so long to heal?
Discuss the Frozen Shoulder Treatment Surgery and Syndrome, There is a lot of treatment for frozen shoulder. Frozen shoulder has three main stages, and each of these main stages should have a different treatment strategy.
1. Acute Stage (Painful Stage)
The painful stage can usually last between two to nine months. The pain will begin to build up around the shoulder and would spread to your elbows or forearm. Sleeping can be a problem if you lie on a painful shoulder. The shoulder range of movement will begin to reduce and the pain become unbearable.
During this stage, the best treatment option is to reduce pain as much as possible while maintaining some movement. It is important that you don't aggravate the shoulder by performing sudden movements, lifting heavy objects, and reaching above your head. See your local health professional such as a physical therapist for gentle shoulder exercises (eg pendulum exercises) and the use of electrotherapy to give you pain relief. Use a heat pack or have hot showers to give you some relief and to increase blood circulation.
NSAID (Non-Steroidal Anti-Inflammatory Drugs) is an effective medicine for reducing your pain. Try alternative medicine such as acupuncture for frozen shoulder can help relieve your pain.
2. Stiff Phase
This phase can last between four to twelve months. The shoulder pain would gradually begin to subside but your joint will increasingly stiffen up. Sleeping wouldn't be much of a problem as before but reaching activities such as putting your bra on or reaching for things above your head will be difficult.
The best thing you can do during this stage is to do a range of motion exercises as much as possible. Your physical therapist will give you theraband (elastic band) exercises to perform at home. The physiotherapist would progress your strengthening and stretching exercises.
3. Recovery Phase
The Recovery phase usually lasts between five and twenty-six months. The pain would gradually wear away and your shoulder will feel less stiff. The goals of treatment are to improve coordination and increase muscle strength and range of motion. A full rehabilitation exercise program should be given by your physical therapist to ensure maximal recovery.
Overall, the entire shoulder recovery process should last between one to three years. If you still have significant stiffness after one year, you may require to have surgery. There are two types of surgeries: Manipulation Under Anesthesia (MUA) and shoulder arthroscopy. This surgery will greatly improve your range of movement and stretch the shoulder capsule itself.
Frozen Shoulder Physical Therapy
Frozen Shoulder Physical Therapy, Your shoulder is one of the most mobile joints within the body. Because it's very mobile, it is also very unstable. Most of the shoulder movement occurs between the ball (humerus) and socket (glenoid). This loose shoulder joint is supported by strong ligaments and muscles. If there is any dysfunction with any of these things, there will be problems with movement and strength.
The shoulder is frozen
The shoulder is frozen. There is no direct evidence of how frozen shoulder (adhesive capsulitis) is caused. It occurs more regularly in people who have a thyroid gland condition and diabetes. The way you can really test if you're suffering from a frozen shoulder is by performing a thorough physical examination. An x-ray image would show no bone changes in your shoulder joint.
A physical therapist can determine the best-frozen shoulder treatment for you. During your first physical therapy examination, the therapist will ask you to do certain shoulder movements.
The first movement will be the active movement (a movement that is performed with your own strength) and passive movement (the physiotherapist will move the joint for you).
If you raise your shoulder at less than 90-110 degrees and the passive movement of abduction (outward rotation of the shoulder) is 50% less than the unaffected side, you may have a frozen shoulder. In addition, passive and active internal rotation (moving your arms inwards) is more limited than your unaffected side.
Your physical therapist would then give you appropriate shoulder exercises for you. During the first stage of physical therapy, the goals of treatment are to reduce pain and maintain range of movement. In the middle and later stages of frozen shoulder treatment, the goals are to improve range of motion and improve muscle strength. A full exercise rehabilitation program should be set up for you so you will get the best possible outcome.
Frozen Shoulder Surgery
Frozen Shoulder Surgery, A frozen shoulder should get better normally after one to two years. However, if there is no sign of improvement during those years, then the last result would be frozen shoulder surgery.
It is important the patient exhaust his nonsurgical option because it may have severe complications on some occasions. The pain should be controlled with NSAID (Non-Steroidal Anti-Inflammatory Drugs) which could be applied topically or using pills. Physical therapy should also be performed to improve movement and strength.
If the pain is too much, corticosteroid injections should be used. Sometimes, it has no effect and the use of corticosteroids can weaken the muscles. Heat packs and heat liniments are a great way of reducing pain immediately.
Doing all the above will improve symptoms by up to 90%. There will be some stiffness that remains but it wouldn't prevent you from doing your daily activities.
When there is no improvement in pain after 10-12 months, surgical treatment is another option. There are risks with any surgery. There are two main types of surgery: MUA (Manipulation Under Anesthesia) and shoulder arthroscopy.
Shoulder arthroscopy is a surgical technique that involves the surgeon making several little incisions around the shoulder so a small camera and instruments can fit through it. These instruments are designed to burn, cut, and smooth the shoulder capsule. As a result, the shoulder joint is less inhibited and will improve the range of motion greatly.
The other option (manipulation under anesthesia) involves the patient being placed in deep sleep using anesthesia and the surgeon forcing and stretching the shoulder to move. Capsule tear and stretching are the results of the procedure.
To achieve optimal results, physical therapy exercises should be performed right after surgery. Maintaining range of motion should be the top priority with treatment.
Frozen Shoulder Syndrome
Frozen shoulder syndrome is a debilitating disease. It affects about two percent of the general population. There is a technical name for frozen shoulder adhesive capsulitis. It is a pathological disease that affects the shoulder capsule within the shoulder joint. The most often complaint that occurs in the shoulder is extreme pain, stiffness, and loss of range of motion.
In most cases, the condition is caused by a traumatic injury that initially begins with severe pain and over time the shoulder will stiffen up. The pattern of signs and symptoms is similar to rheumatic diseases where it starts with pain and eventually leads to limitation of movement of the joint. In other cases, the symptoms would spontaneously appear without any specific injury. This is called an idiopathic frozen shoulder.
This condition rarely affects people under forty years old and appears more commonly in women than in men. Specifically, approximately 70% of patients are women aged between forty and sixty years old.
If you have secondary complications such as diabetes, heart disease, stroke, lung disease and rheumatoid arthritis, the probability of getting frozen shoulder or shoulder adhesive capsulitis is much higher. Approximately, 10 to 30% of people who have diabetes will get frozen shoulder. The recovery period also extends for a longer period of time. Typically, it would take them one and a half to two years for the person to fully recover. The non-dominant shoulder is usually affected more than the dominant one. In x-rays, there will be no obvious bone abnormalities, calcium deposits, or rotator cuff injuries detected.
It takes approximately twelve months for the shoulder to fully recover. If you think you have a frozen shoulder, you should see a health practitioner as soon as possible. The majority of patients will recover without having surgery. However, it is common for a person to undergo surgery to reduce stiffness and pain.
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