Adhesive capsulitis is a disorder in which the shoulder capsule and the connective tissue surrounding the joint becomes stiff and inflamed. Many patients are often frustrated because of the level of pain and the lengthiness of the recovery. This condition can last up to 24 months. Approximately 70% of frozen shoulder patients are women, although males with frozen shoulder seem to take longer to recover.
RISK FACTORS
Diabetes
Stroke
Accidents
Lung disease
Connective tissue disorders
Heart disease
SYMPTOMS
Shoulder pain, usually constant and may increase at night; painful activities include hair care and reaching for the seatbelt
Restricted mobility in shoulder
TREATMENTS FOR THE THREE PHASES
1. Freezing: Painful Phase
Goal: Reduce pain and maintain mobility in the shoulder
Techniques:
Ultrasound or iontophoresis to reduce inflammation
Passive range of motion (therapist moves the patient) to assist with mobility; effective way to prevent adhesions (tissues stuck together) and maintain current range of motion
2. Frozen: Stiff Phase/Pain Decreases
Goal: Increase mobility in the shoulder
Techniques:
Heat
Joint mobilization
Active and passive motion
3. Thawing: Less Painful Phase
Goal: Continue to improve mobility in the shoulder
Techniques:
Strengthening exercises
Manipulation by a doctor under anesthesia if mobility still restricted; can help break up adhesions and scar tissue