Frozen Shoulder: What is it and How Can It Be Treated?

Frozen Shoulder - Shoulder and Knee Clinic

Know-how: Frozen Shoulder

People also call this disease as adhesive capsulitis, which is usually the feeling of uneasiness and pain in the shoulder joint. This makes the shoulder joint painful. Proper physical therapy from a reliable physician should ease the issues within 3 years.

It has a complex anatomy which comprises of a ball and socket joint, including parts-

  • Humerus (Upper arm bone)
  • Clavicle (Collarbone)
  • Scapula (Shoulder blade)

Generally, people (especially women) who are prone to frozen shoulder are in the 40 – 60 age bracket. There can be multiple reasons behind the cause, but if it persists for a prolonged period, a medical consultation (from shoulder specialist) at the earliest is recommended.

Symptoms

Pain occurring from a frozen shoulder generally identifies itself as-

  • Generally aching or dullness
  • Gradually worsens in its initial days, especially when you try to move your shoulder
  • Normally affects the outer shoulder area and occasionally in the upper arm

So generally, it has three stages (in chronological order)-

  • Freezing – Where significant limitation to your shoulder movement happens with excruciating pain. Typically lasts from 7 weeks to 9 months.
  • Frozen – Pain increases and lasts up to 6 months. You will be barred from daily activities.
  • Thawing – Condition improves with time. Anywhere between 6 months – 2 years.

Causes

The sad news is- there is no clear statement as to the cause of a frozen shoulder. But you can prevent it by mitigating the trigger factors like-

  • Diabetes: Diabetic patients tend to catch frozen shoulder disease more than normal people. The suffering tenure is much more before it hits the “thawing” stage.
  • Some other groups are at risk such as those suffering from hyperthyroidism, cardiac diseases, etc
  • Sometimes after an injury, people tend to keep the shoulders immobile leading to a frozen shoulder. So, it is recommended to those patients- to work those shoulders as much as possible.

Home Care

You can tackle your frozen shoulder at home by-

  • Implementation of cold compresses or warm ones alternatively. For heat application try to utilize a damp towel from a microwave or a heating pad. Apply at most 20 mins, three times a day.

Try to avoid direct ice in terms of cold treatment. The frequency remains the same as the hot one.

  • Stretching helps a lot! Seek a professional physician who can guide you to do certain kinds of stretching at home. Sometimes this includes a rubber stretching band too and will discuss this in the later section of this blog.

Various forms of Shoulder Treatments

Earlier, some non-surgical shoulder treatments have already been discussed in the home care section. Apart from that there are a few injections-

  • Steroid: Some medics prescribe cortisone (anti-inflammatory medicine)
  • Hydrodilatation- where a sterile fluid is injected into the shoulder joint to stretch the shoulder joint capsule. 

In terms of surgical treatments, you should first consider consulting with an experienced arthroscopic surgeon from reliable platforms like- shoulderandkneeclinic.com. And it normally commences during the second stage i.e. “frozen”. Anesthetic measures are taken where the goal of the shoulder surgeon is to ease the stiffened joint capsule.

Stretches that are specific to frozen shoulder

  • One way to mitigate the pain is to stretch by leaning forward while keeping your arms at your respective sides. As you lean, you can keep one arm at a table for support and move the other in a circle around five times in one direction and five times in the other rotation.
  • With your hurt arm, try to lift the weight of your good hand, up to your chest level and hold it for around 10 seconds. Repeat at least 10 times a day.
  • You can go for a towel stretch and inward or outward rotations, but you should consult an experienced physician before going for these shoulder treatments.

Shoulder Pain – Symptoms, Causes, Home Care, and Treatment

Shoulder Pain - Shoulder and Knee Clinic

Know-how: Shoulder Pain

It is a condition where your shoulder hurt when you try to move them. There might be several reasons behind your shoulder problems as they are made up of a complex ball and socket joint structure. Sometimes it is caused due to a condition called arthritis or can even generate from other portions of your body.

Complex Mechanics:

Your shoulder comprises of

(a) Humerus – upper arm bone

(b) Scapula (shoulder blade)

(c) Clavicle (collarbone)

So, it calls for a professional diagnostic and treatment, if home care fails in the long run.

Shoulder Injury Symptoms

To identify shoulder injury symptoms, run yourself through some queries like-

  • Are you able to do normal stuff (lifting/moving standard weights) with that shoulder?
  • Does that shoulder joint feel loosely placed?

Most shoulder injuries can be treated at home with crepe bandages and cold treatment (ice) for a few days. But some of them need professional interference. You should seek shoulder treatment from a shoulder specialist if-

  • You can’t move your shoulder at all.
  • The joint looks deformed.
  • The pain persists (2 -4 weeks) and increases by the day.
  • The pain couples with swelling, fever, or redness/discoloration.

Types of shoulder problems

The different types of shoulder problems are-

  • Posterior Instability: It is a condition in which the head of the humerus (upper arm bone) dislocates or subluxes posteriorly from the glenoid (socket portion of the shoulder) as a result of significant trauma.
  • Frozen Shoulder/Stiff Shoulder: It is a common condition in which the articular shoulder capsule (a sack of ligaments surrounding the joint) swells and stiffens, restricting its mobility. It typically affects only one shoulder, but one in five cases affect both.
  • SLAP (Superior Labrum Anterior To Posterior) Tears: It is a tear in the top part of the glenoid labrum in the shoulder that extends from the front to the back of the labrum.
  • Bicep Tendon Disorders: It is a condition that occurs when you have inflammation in your upper biceps tendon.
  • Fractures Around The Shoulder: It involves at least one of three bones in the shoulder: the scapula (shoulder blade), clavicle (collarbone), or humerus (upper arm bone).
  • Recurrent Dislocation Of The Shoulder: a condition where the shoulder dislocates multiple times, even after a previous dislocation or surgical repair.
  • Massive Rotator Cuff Tears And Superior Capsular Reconstruction: a full thickness tear of at least two of the four rotator cuff tendons, a full thickness tear greater than 5 centimetres in diameter, or both.
  • Acromioclavicular Joint Injuries/ Shoulder Separation: a damage to the ligaments that connect the collarbone to the shoulder blade.
  • Rotator Cuff Tears And Rotator Cuff Repair: a tear in the muscles and tendons of the shoulder that can cause pain, weakness, and limited range of motion:

Sometimes your shoulder may be a victim of referred pain- caused due to another issue in your body such as lungs or neck.

Home Care

For your shoulder treatment at your place of stay, you can-

  • Apply ice treatment on the shoulder area for around 10 mins and keep it off for the same timing. Continue doing this for around 4 days with a frequency of 3 times per day. Remember-never apply direct ice on your skin.
  • Try to return to regular activities, post treatment.
  • Medication to be taken in consultation with a doctor/physician.

In case of rotator cuff issues, your shoulder treatment at home should include proper stretching (yoga) with the help of an expert physician.

When to Seek a Professional Help?

Unexpected left shoulder pain might also be a cause of mild heart related issues. You must call an ambulance to your nearest hospital if the pain originates from your chest to the left jaw, neck, or arm followed by shortness of breath, sweating, or dizziness.

You must report to a hospital’s emergency ward if your shoulder shows signs of swelling, bleeding, or redness of the skin around the shoulder area even after self-treatment.

Shoulder Pain Treatments

The treatments depend on your type of shoulder injury-

  • For a dislocated shoulder, a closed reduction or manipulation is necessary by a doctor to put it in the socket properly.
  • For a separated shoulder- a sling treatment works best.
  • For shoulder fractures, a sling will help with surgery if needed.
  • In the case of rotator cuff tears- can be cured with a sling but sometimes doctors recommend NSAIDs and physical therapy.

So, your takeaway is that- in case of mild shoulder problems you can treat is at home but for prolonged issues you should consult a doctor from a reliable one in a metro city. A quick tip would be- you can try out shoulderandkneeclinic.com to get the most experienced Arthroscopic surgeons in Mumbai.