Adhesive Capsulitis (=Frozen Shoulder)

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[edit] Adhesive Capsulitis (="Frozen Shoulder")

When the shoulder is immobilized for a certain period of time, the joint capsule of the acromiohumeral joint, which is the proper shoulder joint, shrinks. This leads to pain and a marked decreased range of motion in the shoulder joint due to an inflammatory process in the joint capsule.

Patients are severely distressed by this and tend to brace their arm along the chest cage and do not want to move it, which in turn makes the problem even worse. Frozen shoulder treatment consists of early physiotherapy treatment. Range of motion exercises and stretching of the shoulder muscles often allows the condition to subside gradually.

However, it often takes its course and the condition can take 1.5 and often up to 2 or 3 years to resolve.

It has different stages where the range of motion is getting worse for a few months, then it stays stable, but markedly restricted and with persistent slow stretching exercises and active exercises within the range of motion, considerable shoulder range of motion and shoulder strength can be regained. Perhaps 80% to 85% of poeple affected with this condition will regain all of the strength and range of motion. However, there are other cases where a certain disability remains (Ref. 3).

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References:

1. ABC of rheumatology, second edition, edited by Michael L. Snaith , M.D., BMJ Books, 1999.

2. The Merck Manual, 7^th edition, by M. H. Beers et al., Whitehouse Station, N.J., 1999.

3. Goldman: Cecil Textbook of Medicine, 21st ed.(©2000)W.B.Saunders

4. Ferri: Ferri's Clinical Advisor: Instant Diagnosis and Treatment, 2004 ed., Copyright © 2004 Mosby, Inc.

5. Rakel: Conn's Current Therapy 2004, 56th ed., Copyright © 2004 Elsevier

6. Wheeless' Textbook of Orthopaedics: http://www.wheelessonline.com/ Several topics can be found under this link by entering the term you search for.