What is Adhesive Capsulities?
Frozen shoulder is a disabling and painful condition of the shoulders. It is frustrating for the patients and caretakers owing to the long time taken for recovery. The condition is technically called adhesive capsulitis. The connective tissues surrounding the joints of shoulders swell and become stiff causing chronic pain.
The exact cause of the state is not known yet which researchers predicting that there can be an autoimmune facet to it. The constant pain can last any where between few months to three years, becoming worse at night times and in cold weather.
70 percent of the sufferers are women around the age group of 40-60 years. Risk factors for this condition are with injury due to accident, diabetes, lung disease, stroke, rheumatoid arthritis and heart disease.
Symptoms and Stages of Adhesive Capsulities:
- Tightness and stiffness of the shoulder joints
- Pain worse at night
- Dull or aching pain constantly
MRI scan and anthrogram are the diagnostic techniques for this condition. The painful condition has three stages to be mention. They are:
Stage I: Six weeks to nine months of the initial phase where the pain slowly onsets. With progression in the pain, shoulder movement becomes restricted.
Stage II: Four to nine months of an intermediary phase where the pain reduces in severity slowly but the stiffness remains.
Stage III: A period of five to 26 months involving slow recovery as the shoulder returns to its normalcy.
Prevention and Treatment of Adhesive Capsulities:
NSAIDs, gentle stretching exercises, seeking the help of physical therapists and application of heat can provide relief. Steroid injections are given as part of the treatment seeking the help of ultrasound and CT scan techniques to guide the needle of the injection accurately in the joints. If this painful and prolonged treatment fails, the doctor suggests for undergoing surgery.
Alternative techniques like water therapies, acupuncture, osteopathy, chiropractic and following good diet can be moderately effectiveness with minimal risks of side effects.