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Frozen Shoulder
(Adhesive capsulitis) is stiffness, pain, and limited range of movement in your shoulder It may happen after an injury or overuse or from a disease such as diabetes or a stroke. The tissues around the joint stiffen, scar tissue forms, and shoulder movements become difficult and painful. The condition usually comes on slowly, then goes away slowly over the course of a year or more.

1.Acute/freezing/painful phase:


gradual onset of shoulder pain at rest with sharp pain at extremes of motion, and pain at night with sleep interruption which may last anywhere from 3-9 months.

2.Adhesive/frozen/stiffening phase:

Pain starts to subside, progressive loss of glenohumeral motion in capsular pattern. Pain is apparent only at extremes of movement. This phase may occur at around 4 months and last til about 12 months.

3.Resolution/thawing phase:

Spontaneous, progressive improvement in functional range of motion which can last anywhere from 1 to 3.5 years.
What causes frozen shoulder?

Frozen shoulder can develop when you stop using the joint normally because of pain, injury, or a chronic health condition, such as diabetes or a stroke. Any shoulder problem can lead to frozen shoulder if you do not work to keep full range of motion.

Frozen shoulder occurs:

1.After surgery or injury.
2.Most often in people 40 to 70 years old.
3.More often in women (especially in postmenopausal women) than in men.
4.Most often in people with chronic diseases.

How is frozen shoulder diagnosed?

if a physical exam reveals limited shoulder movement. An X-ray or MRI may be done to see whether symptoms are from another condition such as arthritis or a broken bone.

Physical examination.....

Special Tests for Shoulder Pain

1.Neer's Test.
2.Speed's Test for Biceps Tendonitis.
3.The Apprehension and Relocation Test for Shoulder Labrum Tear.
4.The Sulcus Test.
5.AC Joint Compression Test.
6.Hawkin's Kennedy Test.
7.Drop Arm Test.
8.Empty Can Test.

How is it treated?

Treatment for frozen shoulder usually starts with nonsteroidal anti-inflammatory drugs (NSAIDs) and application of heat to the affected area, followed by gentle stretching. Ice and medicines (including corticosteroid injections) may also be used to reduce pain and swelling. And physical therapy can help increase your range of motion. A frozen shoulder can take a year or more to get better. bohemian wedding apparels in vintage style

If treatment is not helping, surgery is sometimes done to loosen some of the tight tissues around the shoulder.

7 stretching & strengthening exercises for a frozen shoulder

1. Pendulum stretch
2. Towel stretch
3. Finger walk
4. Cross-body reach
5. Armpit stretch
6. Outward rotation
7. Inward rotation

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