Adhesive Capsulitis

Adhesive capsulitis, commonly referred to as frozen shoulder, is a common condition that causes pain and stiffness in the shoulder. This condition is the result of a tightening or thickening of the capsule of connective tissue that protects the structures of the shoulder. Although the exact cause of frozen shoulder is unknown, it often occurs after a shoulder injury or shoulder surgery, or as a complication of diabetes. Symptoms of frozen shoulder tend to worsen over time, however, even without treatment, symptoms may resolve on their own in about two years time.

Symptoms of Adhesive Capsulitis

Patients with frozen shoulder often initially experience pain in the shoulder. Pain is the most significant complaint and can be quite severe. Most patients do not recall any specific injury. As a result of the pain, they favor the shoulder and protect it, resulting in more stiffness. The stiffer the shoulder becomes, the more painful it is.

Once the painful phase has passed, the shoulder is stiff with loss of motion. This is usually most noticeable reaching over head, and behind the back.

Eventually, the shoulder may progress into a thawing phase, during which pain and stiffness subside and range of motion is slowly restored.

Diagnosis of Adhesive Capsulitis

Adhesive capsulitis may be diagnosed after a review of symptoms and a physical examination of the shoulder. The diagnosis is usually made from the history and physical examination alone. It is more common in patients with diabetes and thyroid disorders. Additional diagnostic tests that may be performed include X-rays or an MRI scan to rule out any other conditions that may be causing symptoms.

Treatment of Adhesive Capsulitis

Treatment for frozen shoulder usually focuses on managing pain, and retaining range of motion as the condition progresses. Treatment may include:

Anti-inflammatory medication
Corticosteroid injections
Physical therapy
Manipulation under Anesthesia
Arthroscopic Debridement

A doctor may also perform a shoulder manipulation procedure by moving the shoulder joint in different directions to help loosen the tightened tissue. If other treatment is unsuccessful, arthroscopic surgery may be performed to stretch or release the contracted joint capsule.

Biceps Strain Or Something More?

Pain in your biceps makes it challenging to go about your life. Persistent discomfort can leave you wondering if there is a deeper issue. If you’re wondering if the pain in your biceps is something to worry about, here are a few things to look for as you prepare for a trip to the doctor.

Characteristics of a Bicep Strain

A bicep strain can present itself in several ways, and all may come with varying degrees of pain. Bicep strains typically start in the upper arm, close to the shoulder, and often accompany a popping sound. The pain can be sudden and intense and described as a “burst of pain.”

Other signs of a bicep strain include

Weakness in the shoulder
Inability to rotate the arm
Bruising

Risk Factors for Bicep Strains

Activities or sports with repetitive arm motions, such as baseball, football, or tennis, can increase your risk of straining a bicep.

Poor circulation, previous injuries, and lack of stretching before activities can also put you at risk.

Bicep Strain Treatment and Recovery

After an exam, your doctor can help determine a treatment plan to address your symptoms. Common treatments for bicep strains include rest, ice, anti-inflammatory pain medications, or steroid injections.

Most bicep strain cases resolve after two weeks, and you may be relegated to modified activity levels as you recover.

Is My Bicep Torn?

A bicep tear works slightly differently than a strain as the injury is more severe. A torn bicep can occur from lifting heavy objects, overuse, repetitive motions, or previous injury.

Many patients can recognize a torn bicep from a tearing sensation in the arm at the time of the injury.

Bicep Tear Diagnosis and Treatment

Your doctor can determine if you have torn your biceps through a physical exam and tests such as an MRI.

Conservative methods, including rest, ice, and physical therapy, can help. Extensive injuries to the bicep may require surgery to correct the issue.

Your recovery depends on your injury’s nature and how well your body responds to treatment methods. If you’ve sustained an injury to your arm, don’t wait. Dr. Desio can help you get back to living your life to the fullest. Call 508-363-6363 to schedule an appointment in the Worcester office.