Frozen shoulder as it is commonly called, causes significant restriction and pain in the shoulder (Uppal, Evans and Smith, 2015).
Frozen shoulder goes through stages:
- acute/freezing/painful: may last from anywhere from 3-9months
- adhesive/frozen/stiffening phase: this phase may occur at around 4months
- resolution/thawing phase: spontaneous, progressive regain of movement anywhere from 1 to 3,5 years
The exact cause of adhesive capsulitis is not known. However, it tends to occur in the middle-aged or older individuals and is believed to result from some form of irritation to the shoulder joint and its surrounding capsule.Irritation to the shoulder joint capsule results in an inflammatory response. This inflammation of the shoulder joint capsule is referred to as ‘capsulitis’. Associated with the capsulitis is the formation of adhesions or small scars between folds within the capsule. Consequently, the condition is referred to as adhesive capsulitis.
Management involves Physiotherapy to regain movement and strength to the shoulder. Corticosteroid injections are commonly used as well as Hydrodilatation injections and occasionally surgery. Although being researched for over 100 years, no gold-standard regarding treatment has been found yet.
Uppal H.S., Evans J.P. and Smith C., 2015, Frozen shoulder: A systematic review of therapeutic options, World Journal of Orthopedics, 6(2), pp: 263-268