Frozen shoulder is a tightening of the shoulder joint. It results in a loss of movement and pain at the shoulder joint.
In frozen shoulder: Active range of motion is lost—You cannot move your shoulder well.Passive range of motion is lost—Someone trying to move your arm at the shoulder joint will find it stiff and difficult to move.
This condition may get worse over time. After a period of time, the shoulder may also improve spontaneously. This improvement is called thawing.
Frozen shoulder is caused by tightening of the soft tissues. This includes the capsule that surrounds the joint.
The cause of the tightening is usually not known.
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Factors that increase your risk for frozen shoulder include: DiabetesThyroid problemsDisc problems in your neckInjuries to the shoulderIllness or injury that forces you to keep the shoulder immobile for a period of timeHeart
and/or lung disease, during which time you do not move the shoulder normally
Symptoms include: Painful shoulderMuch reduced movement of the arm at the shoulder joint, either by yourself or by someone else
The doctor will ask about your symptoms and medical history and perform a physical exam. The doctor will test the range of motion in your shoulder.
Testing may include: X-raysMRI scanArthrogram
Treatment focuses on: Relieving painRestoring function and range of motion to the shoulder
Pain relievers (such as,
aspirin)—to help reduce inflammation and relieve pain
Muscle relaxants—to help relax arm and shoulder musclesPhysical therapy—to stretch muscles and restore motion and function to the shoulder. This is the foundation of treatment. It requires much home exerciseHeat and ice therapies—to help relieve pain and reduce swellingCorticosteroid injections—as prescribed and given by your doctor (rarely done for this condition)
surgery is a forceful movement of the arm at the shoulder joint. It is done to loosen the stiffness. The surgery is performed under anesthesia. The procedure is followed by intensive physical therapy. Be sure to follow your doctor's
arthroscopic surgery, a small incision is made in the shoulder. Special small instruments are inserted through the incision. The tightened tissues are released. The shoulder is manipulated. Physical therapy must be done after this procedure. Be sure to follow your doctor's
Capsular distension is often done as a combination of an arthrogram and corticosteroid injection. The doctor expands the shoulder joint by injecting salt water under pressure. The fluid may contain cortisone and may also contain a dye that allows the shape and character of the shoulder joint to be seen.
If you are diagnosed with a frozen shoulder, follow your doctor's
To help prevent frozen shoulder:
exercises. This will help maintain a strong and flexible shoulder joint.
Seek prompt treatment for a shoulder injury.Do activities that use your shoulder joint regularly.After injury to an upper extremity (such as, hand, wrist, elbow), always move the shoulder through a full range of motion several times a day. This is true even when lying in bed for an illness such as a lung infection.
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Last reviewed October 2012 by John C. Keel, MD
Please be aware that this information is provided to supplement the care provided by your physician. It is neither intended nor implied to be a substitute for professional medical advice. CALL YOUR HEALTHCARE PROVIDER IMMEDIATELY IF YOU THINK YOU MAY HAVE A MEDICAL EMERGENCY. Always seek the advice of your physician or other qualified health provider prior to starting any new treatment or with any questions you may have regarding a medical condition.
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