Frozen Shoulder, also known as Adhesive Capsulitis, is a disorder in which the shoulder capsule, the connective tissue surrounding the glenohumeral joint of the shoulder, becomes inflamed and stiff, and grows together with abnormal bands of tissue, called adhesions, greatly restricting motion and causing chronic pain.
• Movement of the shoulder is severely restricted
• Pain is usually constant, worse at night, and when the weather is colder
• Certain movements can cause sudden onset of tremendous pain and cramping that can last several minutes
Frozen shoulder is the result of inflammation, scarring, thickening, and shrinkage of the capsule that surrounds the normal shoulder joint. Any injury to the shoulder can lead to frozen shoulder, including tendinitis, bursitis, and rotator cuff injury. Frozen shoulders occur more frequently in patients with diabetes, chronic inflammatory arthritis of the shoulder, or after chest or breast surgery. Long-term immobility of the shoulder joint can put people at risk to develop a frozen shoulder.
Frozen shoulder is suggested during examination when the shoulder range of motion is significantly limited, with either the patient or the examiner attempting the movement. Underlying diseases involving the shoulder can be diagnosed with the history, examination, blood testing, and x-ray examination of the shoulder.
MRI, and Arthrography (X-ray contrast dye injected in shoulder) are other forms of diagostic tools used to diagnose this condition.
Nonsteroidal Anti-inflammatory Drugs (NSAID’s) such as Cortisone and Lidocaine