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.

I’ve Torn My ACL, Now What?

A torn ACL is a diagnosis that no one wants to have. Studies estimate that between 100,000 and 200,00 people suffer the injury each year. A torn ACL can be particularly troublesome for athletes whose livelihoods often depend on their ability to play. Whether you’re an athlete or not, your priority is to get back in action after you’ve torn your ACL.

Before you get concerned about your recovery, it’s crucial to understand the nature of your injury, your treatment options, and how to have confidence in your knee stability.

How Is a Torn ACL Diagnosed?

If you’re in the midst of activity and you hear or feel a sudden ‘pop’ in your knee, it’s time to see the doctor. During your exam, your doctor will compare the differences in your knees and check swelling, tenderness, and range of motion. Your doctor may call for an x-ray, MRI, or ultrasound to officially confirm the diagnosis.

How a Torn ACL Can Happen

There are many ways to tear your ACL. Any sport or fitness activity that involves sudden stopping, starting, and cutting movements puts you at greater risk.

These include:

Soccer
Football
Basketball
Skiing

It can also happen if you take a direct hit to your knee, land awkwardly, or try to pivot if your foot is planted firmly in the ground.

Treating a Torn ACL

Recovering from an ACL tear can be done with or without surgery. However, it depends on the severity of your case and age.

If you want to take your time, you can opt for a conservative approach to your recovery. Non-surgical options involve wearing a brace and undergoing physical therapy to strengthen and stabilize your knee.

On the other hand, athletes may have to take more aggressive steps to get back in action as quickly as possible. Reconstructive surgery and physical therapy are primary tools in the recovery process.

The recovery time varies. Typical torn ACL recovery can last between 6 to 12 months, but it can take up to two years to get the knee back to full strength.

Trusting Your Knee Again

Surgery and physical therapy treat the tangible aspects of a torn ACL. However, regaining trust in the stability of your knee is a psychological battle and takes time to overcome.

Putting your knee to the test after injuring your ACL can be nerve-racking. Following your doctor’s advice and not pushing yourself too hard are a solid foundation for regaining trust in your knee.

Do you have questions about an ACL injury?

Schedule a consultation with us today by calling (508) 363-6363.