Frozen Shoulder
Relieve pain and regain mobility with Effective Frozen Shoulder Treatment in Bhopal
Adhesive capsulitis, or periarthritis of the shoulder, is when the shoulder joint becomes stiff and painful due to the thickening and tightening of the joint capsule. This condition makes it difficult to move the shoulder freely, especially during daily activities like combing hair, reaching into a back pocket, or getting dressed. It typically affects people between 40 and 60 years old, with the most common age being around 56. Women tend to experience it slightly more than men. In some cases, the other shoulder may also be affected within five years after the first one has healed, in about 6–17% of patients. Severe cases may require shoulder replacement surgery or procedures for associated conditions like rotator cuff tears or tendonitis. Treatment focuses on reducing pain and maintaining shoulder mobility.
Phases of Frozen Shoulder
Phase 1: The pain starts slowly and worsens with movement, especially at night. The muscles supporting the shoulder remain strong. This stage typically lasts for less than 3 months.
Phase 2: During the freezing phase, pain is persistent, even at rest, and becomes more severe. This limits movement in all directions, and even intraarticular injections into the joint do not improve the range of motion. This stage usually lasts for 3 to 9 months.
Phase 3: In the frozen stage, pain occurs only during movement, accompanied by significant adhesions and limited joint movement. Muscles like the deltoids, biceps, triceps, and rotator cuff may become weak. This stage generally lasts between 9 and 15 months.
Phase 4: In this stage, there’s little pain and no inflammation, but the joint capsule is significantly restricted. After about 12–24 months from the onset, the condition begins to improve spontaneously, following Stage 3. The average time from the start of frozen shoulder symptoms to the most significant improvement is around 30 months.
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The reasons for frozen shoulders
A frozen shoulder occurs when the tissue around the shoulder joint becomes thick and stiff, limiting its movement. This stiffness makes it difficult to move the shoulder and can cause varying levels of discomfort. If you experience any symptoms, it is important to consult Frozen Shoulder Specialist Dr. Kewal Gangrade in Bhopal as soon as possible.
The tight tissue capsule forms due to these factors:
Age: People over 40 are at a higher risk of experiencing stiffness in their shoulder joints.
Sex: Women get frozen shoulders more frequently than men do.
Diabetes: Uncontrolled blood sugar exacerbates the tight tissue condition.
Heart Conditions: Shoulder problems are more likely when heart risk factors are present.
Prior Injuries: Past issues with the arm or shoulder can exacerbate the tissue problem around the shoulder joint.
Symptoms and Prevention of Frozen Shoulders
Painful phase: In this stage, you’ll feel pain whenever you move your shoulder, and you’ll notice that your shoulder’s ability to move becomes increasingly restricted.
Frozen phase: The pain may begin to subside at this point. However, your shoulder will feel even stiffer, and you will notice a significant reduction in your ability to move it freely.
Stage of thawing: In the melting phase, you will begin to see improvements in the range of motion of your shoulder.
Some individuals experience more pain at night, which can sometimes disrupt their normal sleep.
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Factors
Your shoulder joint comprises bones, ligaments, and tendons enclosed within a connective tissue capsule. When this capsule thickens and tightens around the shoulder joint, it leads to a frozen shoulder by limiting its movement.
Doctors don’t fully understand why some people develop frozen shoulders while others don’t, but it’s more common in individuals who have recently undergone extended periods of shoulder immobilization, such as after shoulder replacement surgery or an arm fracture.
Frozen Shoulder Treatment in Bhopal by the Leading Surgeon, Dr. Kewal Gangrade
Manage pain, swelling, and muscle tension.
- Joints may be placed in a sling to rest and reduce pain.
- Intermittent sessions of passive or assisted joint movement within a comfortable range and gentle techniques to move the joint back and forth
- Gentle manipulation of soft tissues around the neck and shoulder muscles to enhance comfort and reduce muscle tension
- Thermal therapy, electrotherapy, acupuncture, dry needling, and kinesiology taping are also employed to alleviate pain.
To regain full shoulder movement, methods such as shoulder joint mobilization, stretching, muscle release techniques, and a combination of active and passive range of motion exercises are employed. As the range of motion improves, strengthening exercises are introduced to build control and sustain the restored movement range.
Additionally, alternative strategies to compensate for lost shoulder function are taught until the shoulder fully recovers.
Dr. Kewal Gangrade, a Highly Respected Specialist in Shoulder Treatment based in Bhopal, is revolutionizing the treatment of frozen shoulders. His approach blends traditional practices with state-of-the-art techniques, delivering long-lasting relief to patients. With his profound comprehension of the intricacies of frozen shoulder, Dr. Kewal Gangrade tailors treatment strategies to accommodate each patient’s individual requirements and daily routines, guaranteeing the best possible results.
FAQs
People with frozen shoulders are often advised to seek treatment from orthopedic specialists or sports medicine doctors.
The exact cause of a frozen shoulder is often unknown, but it can develop after prolonged immobilization of the shoulder joint due to injury, shoulder replacement surgery, or conditions like diabetes. Other factors, such as hormonal imbalances, autoimmune diseases, and certain medications, may also contribute to its development.
Although it is not possible to completely prevent shoulder stiffness, there are some steps you can take to reduce the risk, such as maintaining good posture, avoiding prolonged immobilization of the shoulder joint, and doing regular shoulder exercises. To do this, maintain flexibility and strength.
Treatment for frozen shoulders, particularly physical therapy and certain procedures like corticosteroid injections or joint manipulation, may cause some discomfort initially. However, the goal of treatment is to alleviate pain and improve mobility in the long run.
Complications from treatment of frozen shoulder are rare but may include infection at the injection site, temporary worsening of symptoms after certain procedures, or nerve injury during surgery. It is important to discuss any concerns or potential risks with Dr. Kewal Gangrade, an Orthopedic Surgeon in Bhopal, before undergoing treatment.