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.

More Information

You're Not Too Old to Get Fit!

Getting older comes with a unique set of challenges. Taking extra steps to care for your well-being is crucial to a high quality of life. Many seniors think their physical changes mean they have to stop being active. But, it’s more important than ever to stay in shape as you age.

With adjustments, there are ways for you to take care of your body and feel great.

Benefits of Staying in Shape

Exercise is an essential part of life. But, aging can make exercising a challenge. Staying active helps get the blood flowing through your body and carry oxygen to your organs.

Also, increased blood flow helps endorphins flood your brain. More endorphins help ease tension and stress.  Lowering your stress levels helps your self-esteem as negative emotions have been released.  

Staying active as you age can help you build and maintain your muscle structure. Our muscle tissue decreases as we age, but working out helps slow this down. Another benefit

of working out is it can help lower your blood pressure. Your blood pressure is crucial to your heart function. Staying fit ensures your heart performs at its best.

While you may think that you’re days of working out are over, you have plenty of reasons to keep going.

Exercises You Can Do

While you may not be able to lift 200 pounds over your head anymore, there are plenty of ways to keep your body strong.

As your body changes, you have to adapt how you work out. For example, jogging can be tough on the knees, back, and ankles. Instead, you can opt for low-impact activities like walking, which are easier to do. Low-impact movements put less strain on the joints but still do the job of keeping you moving.

Also, swimming is another way to ease the tension on your joints. The buoyancy of the water counters the effects of gravity on your body. Negating the pull of gravity allows for more range of motion and helps you complete more challenging movements.

Getting Help

Staying active is crucial to your health as you age.

But, it can be overwhelming to find a routine that works for you. But, you don’t have to do it alone. 

Dr. Desio is ready to help you find what works for you. Schedule an appointment in the Worcester office today by calling 508-363-6363.