Adhesive Capsulitis (Frozen Shoulder)

13 min read

Adhesive capsulitis, commonly known as frozen shoulder, is a condition that causes pain and stiffness in the shoulder joint. It is a common condition that affects up to 5% of the population, and is more common in women than men. It is most common in people aged 40-60 years old.

Causes of Adhesive Capsulitis

The exact cause of adhesive capsulitis is unknown, but it is thought to be related to a combination of factors, including age, injury, and medical conditions such as diabetes. It is also thought to be related to a decrease in the production of synovial fluid, which lubricates the shoulder joint.

Diagnosis of Adhesive Capsulitis

Adhesive capsulitis is usually diagnosed based on a physical examination and a review of the patient’s medical history. X-rays and other imaging tests may be used to rule out other conditions.

Prognosis of Adhesive Capsulitis

Adhesive capsulitis is a self-limiting condition, meaning that it will usually resolve on its own over time. The length of time it takes to resolve can vary from person to person, but it is usually between 6-18 months.

Prevention of Adhesive Capsulitis

There is no sure way to prevent adhesive capsulitis, but there are some steps that can be taken to reduce the risk. These include avoiding activities that put excessive strain on the shoulder joint, maintaining good posture, and avoiding activities that involve repetitive motions.

Take the Adhesive Capsulitis (Frozen Shoulder) Assessment

Symptoms

Common Symptoms of Adhesive Capsulitis

  • Pain in the shoulder joint, which may be worse at night
  • Stiffness in the shoulder joint, which may limit range of motion
  • Difficulty performing everyday activities, such as reaching overhead or behind the back
  • Weakness in the shoulder joint
  • A grinding sensation when the shoulder is moved

Diagnosing Adhesive Capsulitis

If you are experiencing any of the above symptoms, it is important to see your doctor for a proper diagnosis. Your doctor will likely perform a physical exam and may order imaging tests, such as an X-ray or MRI, to confirm the diagnosis. Treatment for adhesive capsulitis typically includes physical therapy, medications, and in some cases, surgery.

Causes

Age

Frozen shoulder is more common in people between the ages of 40 and 60. It is also more common in people with diabetes, and those who have had a shoulder injury or surgery.

Immobility

Immobility of the shoulder joint can increase the risk of developing frozen shoulder. This can be due to a shoulder injury, or due to a medical condition such as stroke or arthritis. Immobility can also be caused by a lack of physical activity, or by wearing a sling or cast for an extended period of time.

Systemic Diseases

Certain systemic diseases, such as diabetes, thyroid disease, and Parkinson’s disease, can increase the risk of developing frozen shoulder. People with these conditions should be aware of the signs and symptoms of frozen shoulder, and seek medical attention if they experience any.

Hormone Changes

Hormonal changes, such as those that occur during menopause, can increase the risk of developing frozen shoulder. This is because hormones can affect the body’s ability to heal and repair itself.

Other Factors

Other factors that may increase the risk of developing frozen shoulder include smoking, certain medications, and certain occupations that require repetitive motions of the shoulder joint.

While the exact cause of frozen shoulder is not known, understanding the risk factors can help people take steps to reduce their risk of developing the condition. If you are experiencing shoulder pain or stiffness, it is important to seek medical attention to determine the cause and receive appropriate treatment.

Getting a Diagnosis

Physical Examination

During a physical examination, the doctor will check for pain and range of motion in the shoulder. The doctor may also check for tenderness in the shoulder joint and surrounding muscles. The doctor may also ask the patient to perform certain movements to assess the range of motion and strength of the shoulder.

Imaging Tests

Imaging tests such as X-rays, MRI, and CT scans may be used to rule out other conditions that may be causing the shoulder pain. These tests can also help the doctor determine the extent of the damage to the shoulder joint.

Blood Tests

Blood tests may be used to rule out other conditions that may be causing the shoulder pain. These tests can also help the doctor determine the extent of the damage to the shoulder joint.

Treatment

Treatment for frozen shoulder typically involves physical therapy, medications, and in some cases, surgery. Physical therapy can help to improve range of motion and reduce pain. Medications such as nonsteroidal anti-inflammatory drugs (NSAIDs) and corticosteroids may be used to reduce inflammation and pain. Surgery may be recommended in severe cases.

Questions for Your Doctor

Diagnosis

Your doctor will need to diagnose your condition before they can recommend a treatment plan. They will likely ask you questions about your symptoms and medical history, and may also perform a physical exam. They may also order imaging tests such as an X-ray or MRI to get a better look at the shoulder joint.

Treatment Options

Once your doctor has diagnosed your condition, they will discuss treatment options with you. These may include physical therapy, medications, or even surgery. Your doctor will help you decide which option is best for you based on your symptoms and medical history.

Lifestyle Changes

Your doctor may also recommend lifestyle changes to help manage your condition. These may include avoiding activities that cause pain or discomfort, using heat or cold therapy, and stretching or strengthening exercises. Your doctor can help you create a plan that works for you.

Follow-Up Appointments

Your doctor may also recommend follow-up appointments to monitor your progress. These appointments can help your doctor adjust your treatment plan if needed. They can also help you stay on track with your treatment and ensure that your condition is improving.

Questions to Ask Your Doctor

When discussing your condition with your doctor, it is important to ask questions. Here are some questions you may want to ask:

  • What is the best treatment option for me?
  • What lifestyle changes should I make?
  • How often should I have follow-up appointments?
  • What can I do to manage my pain?

Adhesive capsulitis can be a difficult condition to manage, but talking to your doctor can help. Be sure to discuss your symptoms and treatment options with your doctor to ensure that you get the best care possible.

Treatment

Physical Therapy

Physical therapy is one of the most common treatments for frozen shoulder. A physical therapist can help to reduce pain and stiffness in the shoulder joint by performing exercises that stretch and strengthen the muscles and ligaments around the joint. These exercises can help to improve range of motion and reduce pain. In addition, a physical therapist can provide manual therapy techniques such as massage and joint mobilization to help reduce pain and improve mobility.

Medications

Medications can be used to help manage the pain and inflammation associated with frozen shoulder. Non-steroidal anti-inflammatory drugs (NSAIDs) such as ibuprofen and naproxen can help to reduce pain and inflammation. In addition, corticosteroid injections can be used to reduce inflammation and provide relief from pain. However, these medications should only be used under the supervision of a doctor.

Heat and Cold Therapy

Heat and cold therapy can be used to help reduce pain and stiffness in the shoulder joint. Applying a heating pad or hot pack to the shoulder can help to reduce pain and stiffness. Cold therapy, such as applying an ice pack to the shoulder, can help to reduce inflammation and provide relief from pain. It is important to use heat and cold therapy under the supervision of a doctor or physical therapist.

Surgery

In some cases, surgery may be necessary to treat frozen shoulder. Surgery can help to reduce pain and improve range of motion in the shoulder joint. The type of surgery used will depend on the severity of the condition. In some cases, arthroscopic surgery may be used to release the tight capsule around the shoulder joint. In other cases, open surgery may be necessary to release the capsule and repair any damage to the joint.

Conclusion

Adhesive capsulitis, or frozen shoulder, is a condition that causes pain and stiffness in the shoulder joint. Fortunately, there are a number of treatments available to help manage the symptoms of frozen shoulder. These treatments include physical therapy, medications, heat and cold therapy, and in some cases, surgery. It is important to speak to a doctor or physical therapist to determine the best treatment for your condition.

Drugs & Medications

What Causes Adhesive Capsulitis (Frozen Shoulder)?

The exact cause of Adhesive Capsulitis is not known, but it is thought to be related to a number of factors, including age, injury, and medical conditions such as diabetes. It is also more common in women than men.

What Are the Symptoms of Adhesive Capsulitis (Frozen Shoulder)?

The most common symptom of Adhesive Capsulitis is pain and stiffness in the shoulder joint. This pain may be worse at night and can limit movement in the shoulder joint. Other symptoms may include a decrease in range of motion, difficulty sleeping, and a decrease in strength in the shoulder.

How Is Adhesive Capsulitis (Frozen Shoulder) Treated?

Adhesive Capsulitis is usually treated with a combination of physical therapy, medications, and lifestyle changes. Physical therapy can help to reduce pain and improve range of motion in the shoulder joint. Medications such as non-steroidal anti-inflammatory drugs (NSAIDs) and corticosteroids can help to reduce inflammation and pain. Lifestyle changes such as avoiding activities that cause pain and avoiding activities that require a lot of shoulder movement can also help.

What Drugs Are Used to Treat Adhesive Capsulitis (Frozen Shoulder)?

The most common drugs used to treat Adhesive Capsulitis are non-steroidal anti-inflammatory drugs (NSAIDs) and corticosteroids. NSAIDs such as ibuprofen and naproxen can help to reduce inflammation and pain. Corticosteroids such as prednisone can also help to reduce inflammation and pain. Other medications such as muscle relaxants and opioids may also be used to treat Adhesive Capsulitis.

Diet

Foods to Eat

Eating a healthy, balanced diet is important for overall health and can help reduce inflammation and improve joint health. The following foods are recommended for people with adhesive capsulitis:

  • Fruits and vegetables: Fruits and vegetables are rich in antioxidants, which can help reduce inflammation. Aim to eat a variety of colorful fruits and vegetables each day.
  • Whole grains: Whole grains are a great source of fiber and other important nutrients. Choose whole grain breads, pastas, and cereals over refined grains.
  • Fatty fish: Fatty fish, such as salmon, mackerel, and sardines, are rich in omega-3 fatty acids, which can help reduce inflammation. Aim to eat fatty fish at least twice a week.
  • Nuts and seeds: Nuts and seeds are a great source of healthy fats, fiber, and other important nutrients. Choose unsalted nuts and seeds for the best health benefits.
  • Extra-virgin olive oil: Extra-virgin olive oil is a great source of healthy fats and antioxidants. Use it in place of other oils when cooking or as a salad dressing.

Foods to Avoid

Certain foods can increase inflammation and worsen symptoms of adhesive capsulitis. The following foods should be avoided:

  • Processed foods: Processed foods are often high in sugar, salt, and unhealthy fats, which can increase inflammation. Avoid processed foods as much as possible.
  • Refined grains: Refined grains, such as white bread and white rice, are low in fiber and other important nutrients. Choose whole grains instead.
  • Sugary drinks: Sugary drinks, such as soda and fruit juice, are high in sugar and can increase inflammation. Choose water or unsweetened tea instead.
  • Red meat: Red meat is high in saturated fat, which can increase inflammation. Choose leaner proteins, such as poultry, fish, and beans, instead.
  • Trans fats: Trans fats are found in processed foods and can increase inflammation. Avoid processed foods and check food labels for trans fat content.

Conclusion

Adhesive capsulitis, or frozen shoulder, is a condition that causes pain and stiffness in the shoulder joint. While there is no specific diet that can treat or prevent frozen shoulder, certain foods may help reduce inflammation and improve overall joint health. Eating a variety of fruits and vegetables, whole grains, fatty fish, nuts and seeds, and extra-virgin olive oil can help reduce inflammation. Avoiding processed foods, refined grains, sugary drinks, red meat, and trans fats can also help reduce inflammation and improve joint health.

Lifestyle

Exercise

Exercise is one of the most important lifestyle tips for managing adhesive capsulitis. Gentle stretching and range of motion exercises can help improve flexibility and reduce pain. It is important to start slowly and gradually increase the intensity of the exercises. It is also important to avoid any exercises that cause pain or discomfort.

Heat and Cold Therapy

Heat and cold therapy can be used to reduce pain and stiffness associated with adhesive capsulitis. Heat therapy can be used to relax the muscles and increase blood flow to the area. Cold therapy can be used to reduce inflammation and numb the area. It is important to use the correct type of heat or cold therapy for the best results.

Rest

Rest is an important part of managing adhesive capsulitis. It is important to give the shoulder joint time to heal and rest from any activities that may cause pain or discomfort. It is also important to avoid any activities that require repetitive motions or heavy lifting.

Posture

Maintaining good posture is important for managing adhesive capsulitis. Poor posture can cause the shoulder joint to become stiff and painful. It is important to keep the shoulders back and the chest open to reduce strain on the shoulder joint.

Medication

Medication can be used to reduce pain and inflammation associated with adhesive capsulitis. Non-steroidal anti-inflammatory drugs (NSAIDs) can be used to reduce inflammation and pain. Corticosteroid injections can also be used to reduce inflammation and pain. It is important to talk to a doctor before taking any medication.

Conclusion

Adhesive capsulitis can be a debilitating condition, but there are lifestyle tips that can help manage the symptoms and improve quality of life. Exercise, heat and cold therapy, rest, posture, and medication can all be used to reduce pain and stiffness associated with adhesive capsulitis. It is important to talk to a doctor before starting any new treatment.