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.

My Shoulders Are Letting Me Down

We rely on our shoulders for countless tasks. It can be problematic when they don’t function at our best and can make ordinary tasks a challenge. Finding a cause behind unstable shoulders can help bring pain relief and peace of mind. Here are some reasons behind your shoulder pain and what you can do to treat it.

What Causes Shoulder Instability?

Your shoulders play a pivotal role in how you go about your daily life. Unstable shoulders can frequently come out of place, making everyday activities difficult.

One cause of shoulder instability is severe trauma to the shoulder. An injury such as a dislocation causes the head of your shoulder to dislocate from the socket. The initial shoulder dislocation can result in repeated dislocations and further instability.

Genetics may be another cause of shoulder instability. Some people are born with naturally loose shoulder ligaments. Excessively loose shoulder ligaments called Hyperlaxity can cause shoulder instability. This can occur without prior dislocations or a history of strains. Hyperlaxity can increase the chances of dislocating your shoulder or weakening the joint.

Symptoms of Shoulder Instability

Several symptoms characterize shoulder instability. Shoulder instability symptoms include

A loose feeling in the shoulder
The shoulder giving out
Repeated shoulder dislocations
Pain

How is Shoulder Instability Diagnosed?

Professional examination is how shoulder instability is diagnosed.

If you’re having shoulder trouble, your doctor can order imaging tests to find the cause. One tool to find the cause of your shoulder pain is an x-ray. The x-ray helps doctors to take a thorough look at the bones around your shoulder joint and examine them for signs of injury. Your doctor may also order an MRI for further examination. An MRI provides a detailed image of the tissues around your shoulder and helps find damage to the ligaments and tendons in the joint.

How Are Unstable Shoulders Treated?

Your treatment plan depends on the nature and severity of your symptoms. First, you may need to avoid activities that worsen your symptoms. If you can’t stay away from pain-inducing activities, modifying your movements may help give you some relief. Also, anti-inflammatory pain medications and physical therapy can help.

If your shoulder problems need more aggressive treatment, our office can help. Schedule a consultation by calling (508) 363-6363.