Understanding Shoulder Adhesive Capsulitis ( Frozen Shoulder)

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  • Understanding Shoulder Adhesive Capsulitis ( Frozen Shoulder)

In Adhesive capsulitis the joint capsule becomes contracted, thickened, with lack of synovial fluid and chronic inflammation. It is most common shoulder pathology with incidence in general population being 2 %. 

Factors for its increased incidence are :

  • Female gender
  • Age more than 49 years
  • Diabetes mellitus ( five times more)
  • Cervical disc disease
  • Prolonged immobilization
  • Hyperthyroidism
  • Stroke or myocardial infarction
  • Autoimmune disease
  • Post Traumatic  
Complications of Untreated Shoulder Adhesive capsulitis

Treatment of Shoulder Adhesive capsulitis

Over the recent years, lot many advances are made in the treatment of Shoulder Adhesive capsulitis . The type of treatment offered depends on many factors and no single method is the best! Your Joint specialist who is trained in all modalities can guide you to choose the best possible treatment or you !

 

1. Medicines and Shoulder Physiotherapy

Partial and Grade 1 Adhesive capsulitis and no other labral, rotater cuff or biceps injuries can be treated conservatively with Nsaids and Shoulder physiotherapy.

2. Shoulder Hydrodilatation

This is a very advanced, innovative and non invasive treatment of Shoulder Adhesive capsulitis which involves C ARM guided injection into the shoulder joint which helps relax the shoulder joint capsule and the followup physiotherapy helps gain the capsule stretching and in turn improve Joint Range of motion and reduces the Shoulder pain

3. Arthroscopic Shoulder capsule release

in few patients despite of prolonged Physiotherapy and hydrodilatation therapy the shoulder symptoms doesn’t resolve and patient has to undergo Arthroscopic Shoulder capsule release using radiofrequency probe which helps improve shoulder rom in post operative period

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    FAQ’S

    Frequently Ask Questions

    Knee ligament injuries like ACL, PCL, MCL, and meniscus tears are commonly caused by sports injuries, road traffic accidents, falls from height, degenerative changes, or inflammatory conditions.

    Partial and stable tears can often be treated with medicines and physiotherapy. However, complete or unstable tears may require arthroscopic repair or reconstruction for proper stability and long-term joint protection.

    Arthroscopic surgery is a minimally invasive procedure performed using small incisions and a camera to repair or reconstruct damaged ligaments or tendons, allowing faster recovery and minimal scarring.

    Treatment depends on severity. Mild cases may improve with medicines and physiotherapy, while severe or chronic tears may require arthroscopic repair or advanced procedures like reconstruction or shoulder replacement.

    Frozen Shoulder (Adhesive Capsulitis) is a condition where the shoulder joint becomes stiff and painful due to capsule thickening and inflammation. Early stages can be treated with medicines and physiotherapy. In resistant cases, advanced treatments like hydrodilatation or arthroscopic capsule release may be required.