Frozen Shoulder

12 min read

Frozen shoulder, also known as adhesive capsulitis, is a condition that causes pain and stiffness in the shoulder joint. It is a common condition that affects up to 20% of the population. The condition is characterized by a gradual onset of pain and stiffness in the shoulder joint, which can last for several months or even years. The exact cause of frozen shoulder is unknown, but it is believed to be related to a decrease in the production of synovial fluid, which lubricates the shoulder joint.

Risk Factors for Frozen Shoulder

Frozen shoulder is more common in people over the age of 40, and is more common in women than men. People with diabetes, thyroid disease, or cardiovascular disease are also at an increased risk of developing frozen shoulder. In addition, people who have had a shoulder injury or surgery are more likely to develop the condition.

Diagnosis of Frozen Shoulder

Frozen shoulder is typically diagnosed through a physical examination and a review of the patient's medical history. X-rays may also be used to rule out other conditions that may be causing the shoulder pain and stiffness. In some cases, an MRI may be used to confirm the diagnosis.

Complications of Frozen Shoulder

Frozen shoulder can cause significant pain and stiffness in the shoulder joint, which can limit a person's range of motion and ability to perform everyday activities. In some cases, the condition can lead to chronic pain and disability. In addition, frozen shoulder can increase the risk of developing other shoulder conditions, such as rotator cuff tears and shoulder impingement.

Take the Frozen Shoulder Assessment

Symptoms

Common Symptoms of Frozen Shoulder

  • Pain in the shoulder, especially when moving the arm
  • Stiffness in the shoulder, making it difficult to move the arm
  • Decreased range of motion in the shoulder
  • Pain that worsens at night
  • Pain that radiates down the arm
  • Weakness in the shoulder

When to See a Doctor

If you are experiencing any of the symptoms of frozen shoulder, it is important to see a doctor as soon as possible. Your doctor can diagnose the condition and recommend a treatment plan that is right for you. Treatment may include physical therapy, medications, or even surgery in some cases.

Conclusion

Frozen shoulder can be a very painful and debilitating condition. If you think you may have frozen shoulder, it is important to understand the symptoms so you can seek treatment as soon as possible. Your doctor can diagnose the condition and recommend a treatment plan that is right for you.

Causes

Age

Age is one of the most common causes of frozen shoulder. It is most common in people between the ages of 40 and 60, and it is more common in women than men. This is likely due to the fact that women tend to have less muscle mass in their shoulders than men, making them more prone to injury.

Inactivity

Inactivity is another common cause of frozen shoulder. If you have a shoulder injury or if you are not using your shoulder regularly, the joint can become stiff and painful. This is because the muscles and ligaments in the shoulder become weak and tight, leading to a decrease in range of motion.

Diabetes

Diabetes is another risk factor for frozen shoulder. People with diabetes are more likely to develop frozen shoulder than those without the condition. This is because diabetes can cause nerve damage, which can lead to decreased blood flow to the shoulder joint and cause it to become stiff and painful.

Surgery

Surgery is another potential cause of frozen shoulder. If you have had surgery on your shoulder, it can cause the joint to become stiff and painful. This is because the surgery can cause scar tissue to form in the joint, which can limit your range of motion.

Other Causes

Other causes of frozen shoulder include stroke, heart attack, and thyroid disease. It can also be caused by an injury or overuse of the shoulder joint. If you have any of these conditions, it is important to talk to your doctor about the best treatment options.

Getting a Diagnosis

Physical Exam

Your doctor will start by performing a physical exam. They will check your range of motion and look for signs of pain or tenderness. They may also ask you to perform certain movements to see if they cause pain or difficulty. This can help them determine if you have frozen shoulder.

Imaging Tests

Your doctor may also order imaging tests such as an X-ray or MRI. These tests can help them see if there is any damage to the shoulder joint or surrounding tissues. They can also help rule out other conditions that may be causing your symptoms.

Blood Tests

Your doctor may also order blood tests to rule out other conditions. These tests can help them determine if there is an underlying medical condition that is causing your symptoms.

Treatment

Once your doctor has diagnosed you with frozen shoulder, they will recommend a treatment plan. This may include physical therapy, medications, or even surgery. Your doctor will work with you to find the best treatment plan for your individual needs.

Questions for Your Doctor

Pain Management

Pain is a common symptom of frozen shoulder, and it can range from mild to severe. Your doctor can help you find ways to manage your pain, such as medications, physical therapy, or other treatments. Be sure to discuss any medications you are taking and any side effects you may be experiencing.

Range of Motion Exercises

Range of motion exercises can help improve your shoulder mobility and reduce pain. Your doctor can recommend specific exercises that are tailored to your condition. Be sure to discuss any difficulty you may be having with the exercises and any pain you may be experiencing.

Surgery

In some cases, surgery may be recommended to treat frozen shoulder. Your doctor can discuss the risks and benefits of surgery and help you decide if it is the right option for you. Be sure to ask any questions you may have about the procedure and recovery.

Follow-Up Care

Your doctor can help you create a plan for follow-up care. This may include regular check-ups, physical therapy, or other treatments. Be sure to discuss any changes in your symptoms and any concerns you may have.

Frozen shoulder can be a difficult condition to manage, but talking to your doctor can help you find the best treatment plan for your needs. Be sure to discuss your symptoms, pain management, range of motion exercises, surgery, and follow-up care with your doctor.

Treatment

Physical Therapy

Physical therapy is one of the most common treatments for frozen shoulder. A physical therapist can help you stretch and strengthen the muscles around the shoulder joint, as well as teach you exercises to improve range of motion. They may also use heat or cold therapy, massage, and ultrasound to help reduce pain and stiffness.

Medication

Your doctor may prescribe medications to help manage the pain and inflammation associated with frozen shoulder. Nonsteroidal anti-inflammatory drugs (NSAIDs) such as ibuprofen or naproxen can help reduce pain and inflammation. Your doctor may also prescribe a corticosteroid injection to help reduce inflammation.

Surgery

In some cases, surgery may be necessary to treat frozen shoulder. Surgery is usually only recommended if other treatments have failed to provide relief. The most common type of surgery for frozen shoulder is called arthroscopic capsular release. During this procedure, the surgeon will make small incisions in the shoulder and use a camera to view the joint. They will then cut the tight tissue that is causing the shoulder to be stiff.

Alternative Treatments

There are also some alternative treatments that may help manage the symptoms of frozen shoulder. Acupuncture is one such treatment that may help reduce pain and improve range of motion. Other treatments such as chiropractic care, massage therapy, and yoga may also be beneficial.

If you are suffering from frozen shoulder, it is important to talk to your doctor about the best treatment options for you. With the right treatment, you can manage your symptoms and get back to living your life.

Drugs & Medications

Nonsteroidal Anti-Inflammatory Drugs (NSAIDs)

Nonsteroidal anti-inflammatory drugs (NSAIDs) are a type of medication that can help reduce inflammation and pain. Common NSAIDs used to treat frozen shoulder include ibuprofen, naproxen, and aspirin. These medications can be taken orally or applied topically to the affected area.

Corticosteroids

Corticosteroids are a type of medication that can help reduce inflammation and pain. They are usually injected directly into the shoulder joint to provide relief. Common corticosteroids used to treat frozen shoulder include prednisone, methylprednisolone, and triamcinolone.

Muscle Relaxants

Muscle relaxants are medications that can help reduce muscle spasms and pain. Common muscle relaxants used to treat frozen shoulder include cyclobenzaprine, carisoprodol, and tizanidine. These medications can be taken orally or applied topically to the affected area.

Oral Analgesics

Oral analgesics are medications that can help reduce pain. Common oral analgesics used to treat frozen shoulder include acetaminophen, codeine, and tramadol. These medications can be taken orally or applied topically to the affected area.

Conclusion

Frozen shoulder can be a difficult condition to treat, but there are a few medications that may help reduce the symptoms. Nonsteroidal anti-inflammatory drugs (NSAIDs), corticosteroids, muscle relaxants, and oral analgesics are all medications that may be used to treat frozen shoulder. It is important to talk to your doctor before taking any of these medications to make sure they are right for you.

Diet

What to Eat

When it comes to diet and frozen shoulder, the goal is to reduce inflammation and improve overall health. Eating a diet that is rich in anti-inflammatory foods can help to reduce pain and stiffness. Some of the best foods to include in your diet are:

  • Fruits and vegetables, especially dark leafy greens, berries, and citrus fruits
  • Whole grains, such as oats, quinoa, and brown rice
  • Healthy fats, such as olive oil, avocados, and nuts
  • Lean proteins, such as fish, chicken, and beans
  • Herbs and spices, such as turmeric, ginger, and garlic

What to Avoid

In addition to eating anti-inflammatory foods, it is also important to avoid foods that can increase inflammation. Some of the foods to avoid include:

  • Processed and refined foods, such as white bread, chips, and cookies
  • Sugary drinks, such as soda and juice
  • Red meat and processed meats, such as bacon and sausage
  • Fried foods, such as french fries and fried chicken
  • Trans fats, such as margarine and shortening

Eating a healthy diet can help to reduce inflammation and improve overall health. It is important to talk to your doctor or dietitian about the best diet for your individual needs.

Lifestyle

1. Stay Active

Staying active is one of the best ways to manage frozen shoulder. Low-impact activities such as walking, swimming, and yoga can help to keep the shoulder joint flexible and reduce pain. It is important to start slowly and gradually increase the intensity of the activity as the shoulder becomes more comfortable.

2. Use Heat and Cold Therapy

Heat and cold therapy can be used to reduce pain and stiffness in the shoulder joint. Heat therapy can be used to relax the muscles and increase blood flow to the area, while 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.

3. Stretch Regularly

Stretching is an important part of managing frozen shoulder. Stretching can help to keep the shoulder joint flexible and reduce pain. It is important to start slowly and gradually increase the intensity of the stretches as the shoulder becomes more comfortable. It is also important to stretch both the affected shoulder and the opposite shoulder to maintain balance.

4. Use Pain Medication

Pain medications such as ibuprofen and acetaminophen can be used to reduce pain and inflammation in the shoulder joint. It is important to follow the instructions on the medication and not take more than the recommended dose. It is also important to talk to a doctor before taking any medication.

5. Get Professional Help

If lifestyle changes and home remedies are not enough to manage the pain and stiffness of frozen shoulder, it is important to seek professional help. A doctor or physical therapist can provide treatments such as ultrasound, massage, and joint mobilization to help reduce pain and improve range of motion. They can also provide advice on how to manage the condition and prevent it from getting worse.

Frozen shoulder can be a difficult condition to manage, but with the right lifestyle tips and professional help, it is possible to reduce pain and improve range of motion. It is important to stay active, use heat and cold therapy, stretch regularly, use pain medication, and get professional help when needed.