Best Frozen Shoulder Treatment Centre in Mumbai

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    Frozen Shoulder Treatment By The Best Shoulder Surgeon In Mumbai

    Dr. Aditya Sai

    MS, DNB (Orthopaedics)

    Why Choose Dr. Aditya Sai?

    Meet Our Doctor

    Consultant Orthopedic Surgeon

    Dr. Aditya Sai

    MS, DNB (Orthopaedics)

    Dr. Aditya Sai is a consultant in Orthopaedics specializing in Shoulder Surgery, Knee and Hip arthroscopy & Joint preservation Dr. Aditya has been trained in the best of the institutes in India as well as globally, with his MBBS from the Madras Medical College and MS in Orthopedics from Seth GS Medical College & KEM hospital, both amongst the top institutes in the country. He has undergone training in Hip arthroscopy and Joint preservation from the USA.

    Dr. Aditya Sai

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    Why Choose Us?

    Dr. Aditya Sai is a renowned surgical orthopedic doctor practising in Mumbai. He has 15+ years of experience, with 10+ years of specialization in Shoulder Surgery, Knee & Hip Arthroscopy And Joint Preservation.

    15,000+

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    15+ Years

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    3,000+

    Procedures Performed

    What is Frozen Shoulder?

    Frozen shoulder is also known as adhesive capsulitis. It is a condition in which there is pain and stiffness in the shoulder joint. The movement of the shoulder joint becomes limited in this condition.

    The symptoms of this condition begin slowly, usually get worse over time, and finally go away after some time. This may typically take anywhere between one to three years.

    The shoulder joint is made up of three bones to form a ball-and-socket type of joint. The bones that make up the shoulder joint are the humerus (upper arm bone), clavicle (collarbone), and scapula (shoulder blade). A tissue called the shoulder capsule is present around the shoulder joint and holds everything together.

    The shoulder capsule becomes thick, stiff, and inflamed in case of a frozen shoulder. This makes the movement of the shoulder joint difficult. There is a formation of bands of scar tissue and the liquid that keeps the joint lubricated, known as the synovial fluid, also becomes less. This limits the motion of the shoulder joint even further.

    Symptoms of Frozen Shoulder

    The main symptoms associated with a frozen shoulder are pain and stiffness in the shoulder joint making it difficult to move the shoulder joint.

    A person having a frozen shoulder may experience a dull or achy pain in the shoulder joint, the shoulder muscles that wrap around the top of the arm, and the upper arm region. This pain may become worse at night, making it hard for a person to sleep.

    A frozen shoulder is divided into three phases, each having its own unique set of symptoms. The three stages include:

    Freezing stage

    The symptoms of this stage are as follows:

    • Pain, which could sometimes be severe, on moving the shoulder
    • Pain that may get worse over time and may be more severe at night
    • This stage may last anywhere from two to nine months
    • Limited shoulder movement

    Frozen stage

    The symptoms of this stage are as follows:

    • The pain may get better, but the stiffness may get worse
    • Moving the shoulder becomes more difficult 
    • Getting through daily activities becomes harder
    • This stage lasts from four to twelve months

    Thawing stage

    The symptoms of this stage are as follows:

    • The range of motion of the shoulder joint starts going back to normal
    • This stage takes anywhere from six months to two years

    Causes of Frozen Shoulder

    A frozen shoulder develops when the flexible tissue surrounding the shoulder joint, known as the shoulder capsule, becomes thickened and inflamed. The exact cause of why this happens is not fully understood. This condition can develop in one or both the shoulders.

    A frozen shoulder may develop without any apparent cause. However, the risk of developing a frozen shoulder may increase in the following cases:

    • Immobilization of the shoulder due to a broken arm, recovery from surgery, rotator cuff injury, stroke
    • Diabetes 
    • Thyroid problems
    • Cardiovascular diseases 
    • Parkinson’s disease

    When Do You Need Frozen Shoulder Treatment?

    Many cases of frozen shoulders get better on their own, even without any treatment. However, certain cases of frozen shoulder will need treatment. These cases include the following:

    • Persistent shoulder pain
    • Shoulder stiffness that affects normal daily activities
    • Significant loss of range of motion of the shoulder joint
    • Conservative management techniques like the use of medications to relieve pain and physical therapy exercises have failed to improve the symptoms of frozen shoulder
    • Desire to regain the function and motion of the shoulder joint

    Stages of Frozen Shoulder Treatment

    The treatment of most frozen shoulder cases involves controlling the shoulder pain and preserving the range of motion in the shoulder joint as much as possible. The different stages of frozen shoulder treatment are:

    Medications for Frozen Shoulder Treatment

    Pain-relieving medications like ibuprofen and aspirin can help in reducing the pain and inflammation associated with a frozen shoulder. The doctor may sometimes recommend stronger anti-inflammatory and pain-relieving medications.

    Frozen Shoulder Treatment Using Hot and Cold Compresses 

    Hot and cold compresses may be recommended by the doctor to reduce the pain and swelling present due to a frozen shoulder.

    Physical Therapy to Treat a Frozen Shoulder

    The physiotherapist can help in performing certain exercises to help regain as much shoulder movement as possible.

    Transcutaneous Electrical Nerve Stimulation for Frozen Shoulder

    Transcutaneous electrical nerve stimulation (TENS) involves using a small battery-operated device to reduce shoulder pain by blocking nerve impulses

    Surgery and Other Procedures for Frozen Shoulder Treatment

    Most cases of a frozen shoulder improve on their own within twelve to eighteen months. In the case of severe cases or cases where the symptoms persist for a long time, other treatment methods may be necessary. These treatment methods include:

    • Corticosteroid injections: Injecting corticosteroids into the shoulder joint may help in reducing pain and improve the mobility of the shoulder joint.
    • Hydrodilatation: This procedure involves injecting sterile water into the shoulder joint capsule to allow the joint to move easily.
    • Shoulder manipulation: This procedure is done under general anesthesia, which means that the patient is made unconscious during the procedure and will feel no pain. The surgeon will then move the shoulder joint in different directions to help in loosening the tightened tissue.
    • Shoulder arthroscopic surgery: This procedure can help in removing the scar tissue from inside the shoulder joint. The shoulder surgeon first makes tiny incisions in the shoulder region and inserts a small camera (arthroscope) and tiny surgical instruments through these incisions to perform the procedure.

    Frozen Shoulder Treatment Procedure in Mumbai

    There are many well-equipped clinics in Mumbai to provide you with the best frozen shoulder treatment procedure options. These treatment options are considered only when conservative approaches like medications and physical therapy exercises fail to treat the condition. 

    The goal of different frozen shoulder treatment procedures is to reduce pain and improve the range of motion and strength of the shoulder joint. The different frozen shoulder treatments that can be performed in Mumbai include the following:

    • Corticosteroid injections: The doctor injects corticosteroids into the shoulder joint to reduce the pain and improve the mobility of the shoulder joint.
    • Hydrodilatation: Sterile water is injected into the shoulder joint capsule by the doctor to allow easy movement of the shoulder joint.
    • Shoulder manipulation: The surgeon performs this procedure under general anesthesia, where the patient is put to sleep during the procedure, and then forces the movement of the shoulder joint. This will lead the shoulder joint capsule to stretch or tear and loosen its tightness. This will help increase the range of motion of the shoulder joint.
    • Shoulder arthroscopic surgery: The surgeon will cut through the tight parts of the shoulder joint capsule, known as capsular release in this procedure. This procedure is performed by inserting tiny surgical instruments and a camera (arthroscope) through the small incisions around the shoulder region.

    How Many Days Does It Take to Recover Post Frozen Shoulder Treatment in Mumbai?

    Recovery following frozen shoulder treatment in Mumbai takes approximately six weeks to three months.

    The recovery timeline will, however, vary among different patients based on factors like the type of shoulder injury, the type of shoulder treatment performed, the age and health of the patient, the activity levels of the patient, and the adherence of the patient to post-treatment physiotherapy exercises and other instructions provided by the doctor.

    The long-term treatment results following frozen shoulder treatment in Mumbai are generally good. Most patients have minimal or no pain and an improved range of shoulder motion after treatment. However, in certain cases, like diabetes, the range of motion may not return to normal completely and some degree of shoulder stiffness may remain even after surgery.

    Although rare, a frozen shoulder may even recur in certain cases, such as a diabetic patient.

    It is important to follow certain post-treatment recovery guidelines in Mumbai to help in a quick and smooth recovery. These guidelines include the following:

    • Take all your prescribed pain-relieving medications.
    • Hot or cold compresses as recommended by the doctor to reduce pain and swelling associated with a frozen shoulder.
    • Perform all the physical therapy exercises as recommended by the doctor.

    Risk Factors of Frozen Shoulder

    Some factors may increase the risk of developing a frozen shoulder. These factors include the following:
    • Age: A frozen shoulder is more common in people between 40 and 60 years of age.
    • Gender: Women are more likely to develop a frozen shoulder compared to men.
    • Immobile shoulder: Restricted shoulder movement may lead to decreased mobility or immobility of the shoulder. This may lead to a frozen shoulder. This could be a result of the following conditions:
      • Rotator cuff or shoulder injury
      • Recovery following a shoulder surgery
      • Broken or fractured arm
      • Stroke
    • Medical conditions: The presence of certain medical diseases can increase the risk of developing a frozen shoulder. These medical conditions include the following:
      • Cardiovascular disease
      • Parkinson’s disease
      • Diabetes
      • Thyroid conditions like hypothyroidism or hyperthyroidism

    How Much Does Frozen Shoulder Treatment Cost in Mumbai?

    The cost of frozen shoulder treatment in Mumbai varies from INR 3,000 to INR 1,10,000. This cost varies among different patients depending on the following factors:

    • Type of treatment performed: The cost of frozen shoulder treatment will vary considerably depending on the type of treatment done. Treatment by physical therapy will cost considerably less than shoulder manipulation under general anesthesia, and the cost of shoulder arthroscopy will be much higher compared to other treatment options.
    • The severity of the condition present: The severity of the frozen shoulder will determine the type of treatment the patient needs to undergo, which in turn will affect the cost of treatment.
    • Patient’s general health, age, and gender: These factors will determine the choice of treatment for a particular patient, the treatment outcomes, as well as the risk of developing complications after treatment. This will affect the overall cost of frozen shoulder treatment in Mumbai.
    • Surgeon’s experience: The cost of consultation and treatment will be higher for an experienced shoulder surgeon compared to an inexperienced shoulder surgeon.
    • Hospital or clinic chosen: The cost of frozen shoulder treatment will be higher in a well-equipped, reputed clinic or private hospital in a good locality.
    • Diagnostic tests: The doctor may recommend undergoing a few diagnostic tests before the procedure. The cost of these preparatory tests is added to the total cost of treatment.
    • Cost of anesthesia: Anesthesia will be used in case of treatment using shoulder manipulation or shoulder arthroscopy. The cost of anesthesia and the anesthesiologist will be added to the total cost of frozen shoulder treatment.
    • Cost of medicines: Certain pain-relieving anti-inflammatory medications may be recommended for frozen shoulder treatment. The cost of these medications is added to the total cost of treatment.
    • Physiotherapy sessions: The cost of physiotherapy sessions performed to treat a frozen shoulder is added to the total cost of frozen shoulder treatment.
    • Follow-up appointments: Regular follow-up appointments with the doctor are recommended after treating a frozen shoulder. The cost of these appointments is added to the total cost of frozen shoulder treatment.
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    • How to Choose the Best Clinic for Frozen Shoulder Treatment in Mumbai

      The choice of the right clinic for frozen shoulder treatment plays an important role in determining the long-term success of the treatment. A few factors need to be considered to choose the best clinic for frozen shoulder treatment in Mumbai, which includes the following:

      • Inquire about the clinic: The patient should thoroughly research about the clinic before undergoing treatment. A clinic with good healthcare professionals and facilities will offer better treatment outcomes.
      • Referrals: The patient can take referrals or recommendations from their primary healthcare provider, family, or friends before choosing the right clinic for treatment.
      • Check the credentials of the shoulder surgeon: Inquire about the credentials of the shoulder surgeon practicing at the chosen clinic. A board-certified surgeon with good experience in dealing with frozen shoulder cases and no history of malpractice claims is preferred for treatment.
      • Check patient testimonials: Patient reviews and testimonials should be checked online before opting to undergo treatment at a particular clinic.
      • Consultation appointment: The patient should schedule a consultation appointment at the chosen clinic. The patient can get all his/her queries resolved during this appointment and can also get comfortable with the clinic and doctor before starting with the treatment.
      • Insurance coverage: It is important to choose a clinic that takes part in the insurance plan for the patient to reduce the direct costs borne by the patient towards treatment.

      The Shoulder and Knee Clinic in Mumbai is regarded as the best clinic in Mumbai for undergoing frozen shoulder treatment. Dr. Aditya Sai is an experienced orthopedic surgeon and has handled multiple frozen shoulder cases in the past.

    Frequently Asked Questions

    Frozen shoulder, also known as Adhesive Capsulitis, is a common disorder causing stiffness, pain, and loss of normal movement in the shoulder. The condition can result in a severe disability. Early recognition and treatment of this condition are vital as it can worsen with time. Frozen shoulder is generally prevalent among people of the age group 40 or older.

    Though the real cause of the disorder is still unknown, an inflammatory process is linked to it to some extent. The immobility of shoulders for a long time, either because of surgery, injury or illness, can also lead to frozen shoulders. You can unfreeze the shoulder through lots of self-help, but the complete recovery process takes time. To undergo frozen shoulder treatment in Mumbai, you may consider making an appointment with Dr Aditya Sai.

    Stiffness and pain come out to be the main symptoms of a frozen shoulder, restricting the shoulder's mobility. A dull or achy pain persists in the shoulder of individuals with frozen shoulders. You might also notice acute pain in the shoulder muscles that wrap around the top of your arm. The same sensation might also be observed in the upper arm. The pain generally worsens at night, making it difficult to sleep.

    The frozen shoulder consists of three phases. Each phase has its unique timeline and symptoms.

    Freezing Stage:

    • Severe pain might be noticed in the shoulders when you try to move them.
    • The pain worsens with time and tends to increase at night.
    • The pain can typically last for about 6 to 9 months.
    • It will limit your shoulder movement.

    Frozen Stage:

    • The stiffness in the shoulder increases with a reduction in the pain.
    • Your shoulder becomes immobile, even creating difficulties to carry out the daily activities.
    • The particular stage can last for about 4 to 12 months.

    Thawing Stage:

    • Your hand movement starts getting back to normal.
    • The stage lasts for about six months to 2 years.

    Determining the phase of your disorder is essential to get the right treatment. For more details or frozen shoulder treatment in Mumbai, you may visit Dr Aditya Sai.

    The primary causes of the frozen shoulder include:

    The tendons, ligaments, and bones forming your shoulder are clasped in the capsule of connective tissue. Frozen shoulder results from the thickening and tightening of this capsule, restricting the movements.

    The actual cause is still unknown. But it is commonly found in people with diabetes or if the shoulder had been immobilized for a longer duration due to illness, injury, or surgery.

    The significant risk factors of frozen shoulders include:

    • Age and Sex: It generally tends to affect people 40 years of age and older, and it is more common in women.
    • Immobility or reduced mobility: Individuals who had immobilized their shoulders for a longer duration are at much higher risk of developing this disorder. The stiffness may result from:
      • Broken arm
      • Rotator cuff injury
      • Recovery from surgery
      • Stroke

    People with specific disease mentioned below tend to be at higher risk of developing frozen shoulder:

    • Overactive Thyroid
    • Underactive Thyroid
    • Diabetes
    • Tuberculosis
    • Cardiovascular disease
    • Parkinson's disease

    If you have any of these diseases and notice any of the risk factors of frozen shoulder, consulting a doctor would help. You can consult with Dr Aditya Sai, one of the best doctors for frozen shoulders in Mumbai.

    The pain and stiffness of the shoulder can remain up to three years if the frozen shoulder is not treated. The following techniques can speed up the overall recovery:

    • Physical Therapy: It is the most common treatment procedure for a frozen shoulder. Physical therapy tends to stretch your shoulder joint, helps in regaining the immobility. Obtaining actual progress from physical therapy can take somewhere between a few weeks to 9 months. Exercise should be made a part of the daily routine, but make sure the activity is not rigorous.
    • Medications: Your doctor may prescribe inflammatory medicines to reduce joint inflammation and pain. Steroid injection might also help.
    • Home Care: An ice pack must be placed on your shoulder for 15 minutes, several times a day, to get relief from the pain. You can perform little exercises at home. You can follow your physical therapist's guidance on the type of exercise to be done and the duration of the exercise. Surgery also tends to improve the condition, so it can be kept as a second option.
    • Surgery: If your condition doesn't show any improvement with physical therapy, you might opt for surgery. Surgery generally manipulates the shoulder to break any adhesions and give a full range of motion. Arthroscopic surgery is another option that uses a camera called an arthroscope. A small cut is made in the shoulder area during this surgery, and the scar tissues are removed. The shoulder regains its lost motion after this surgery. If your frozen shoulder results from an injury, the surgery must be performed within a few weeks to obtain maximum benefit.

    The stitches of this surgery are generally removed after ten days and usually requires some postoperative physical therapy. It generally shows a high success rate, and the patients typically regain their full range of motion within three months. Some pain or stiffness might remain even after the surgery. Surgeries generally accompany risk, so you must consult your doctor before opting for it. If you are looking for the best doctor for frozen shoulders in Mumbai, you might consult Dr Aditya Sai.

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