About frozen shoulder

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It is a condition that causes pain in the shoulder and progressive limitation of movement, negatively affecting the quality of life. This problem is sometimes called adhesive capsulitis (adhesive capsulitis). It is a common problem in the society, being more common in women between the ages of 40 and 60.

Although the cause is mostly unknown, it may occur due to previous traumas, inappropriate movements, osteoarthritis, muscle tears, post-operative reasons. Parkinson’s disease, tuberculosis, cardiovascular disease, diabetes, and thyroid-related problems are medical problems that can cause frozen shoulder.

It begins and progresses with pain and movement limitations, and begins to interfere with daily activities. Over time, there is pain that wakes up at night and severe loss of movement in the arm. The duration of the frozen shoulder complaint varies greatly. Some people may suffer from frozen shoulder for years, while others deal with this problem for only a few weeks.

Dull Shoulder Stages

Stage 1 – Painful Period: 2-9 months

Pain begins first, followed by gradual stiffness and restriction of movement. First, the rotation of the hand towards the back decreases.

Stage 2 – Detention Period: 4-12 months

The pain gradually decreases, but the stiffness and limitation of movement continue or even progress. It becomes difficult to rotate your arm outward.

Stage 3 – Dissolution Period: 1-3 years

This phase is the healing phase in which pain, stiffness and limitation of movement gradually decrease. In some patients, it is a process that can take up to 10 years.

After the frozen shoulder complaints begin, the duration of the disease may vary from person to person, and can last from 2 years to 10 years. If appropriate treatment is not performed in patients with limited mobility, losses in shoulder movements may become permanent in their future lives.

Frozen Shoulder Treatment

There are many methods such as physical therapy, drug therapy, injection into the shoulder joint and surgery to relieve stiffness and reduce pain caused by frozen shoulder.

Medication:

In most cases, medications can be sufficient to deal with the pain caused by frozen shoulder. Sometimes, however, a stronger pain reliever may be required.

Physiotherapy:

This treatment includes transcutaneous electrical nerve stimulation (TENS), acupuncture, massage, hot and cold compresses, stretching techniques for relaxation and exercises for frozen shoulder.

Steroid (Cortisone) injection:

Intra-articular corticosteroids can reduce inflammation and increase the mobility of the frozen shoulder.

Inflating the inside of the joint:

The shoulder tissue is very tight, so it can be loosened by injecting sterile water, making it possible to increase the range of motion.

Shoulder Manipulation

If you have a serious limitation of motion due to frozen shoulder, your doctor may manipulate your shoulder with general anesthesia to increase the range of motion and increase the range of motion.

Surgical intervention:

If there is severe loss of movement, surgery may be a good option to remove tight tissue or other adhesions in the joint, to repair muscle tears, if any, and to open scar tissue. The surgery is usually performed arthroscopically with the help of very small incisions and does not require a long recovery period. Physical therapy is started in the early postoperative period. You can return to daily life activities in a short time.

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