Frozen Shoulder also called Adhesive Capsulitis of shoulder joint is painful stiffness limiting range of motion of shoulder joint caused due to inflammation related pathophysiology in capsule of shoulder joint.
CAUSES AND RISK FACTORS OF FROZEN SHOULDER
CAUSE OF FROZEN SHOULDER
Exact cause of Frozen Shoulder remains unclear but there are many factors that increases the risk and lead to frozen shoulder
RISK FACTORS FOR FROZEN SHOULDER
Frozen shoulder is more common in females than in males
Person above 40yrs of age are more prone to this condition
- Injury to shoulder joint involving any of its companent especially gleno-humeral joint capsule or rotator cuff.
- Sports persons typically develop calcifications of tendons around shoulder joint and also in joint structures due to repeated injury and result of prolonged inflamation such persons are at high risk of developing frozen shoulder
- Injuries to arm and neck may indirectly affect shoulder joint due lack of motion in general of that region as a whole and changed parrten of gait and movements of that region due to injury.
- Imobility or reduced mobility post surger with general debility and delayed recovery
- Immobility post stroke
- Certain congenital structural anomaly of Musculoskeletal framework which has influence on movement, gait and weight distrubution pattern on shoulder joint in abnormal pattern may put the person at risk of develooing Frozen Shoulder.
- Kyphosis or Scoliosis or other congenital or acquired spinal anomaly especially above thoracic spinal level may increase risk of frozen shoulder.
- Patients with cervical spondylosis are at risk of developing frozen shoulder.
- Rheumatoid Arthritis
- Systemic Lupus Erythematosus
- Ankylosing Spondylosis
OTHER SYSTEMIC DISEASES
- Diabetes Mellitus
- Cardiovascular disorders
- Tonic Seizures in epileptic patients or in Parkinsonism
- Thyroid Disorders like Hyper or Hypothyroidism
SYMPTOMS OF FROZEN SHOULDER
- Pain in affected shoulder aggravates on movement
- Loss of rang in motion of affected shoulder joint
Frozen Shoulder is divided into 3 stages
1) Freezing Stage
In Freezing Stage there is pain in joint which aggravates on motion and he range of motion gradually starts decreasing.
2) Frozen Stage
In Frozen Stage the pain is not much as compared to freezing stage but the range of motion is completely diminished so much so that patient can barely move the joint or cant move at all.
3) Thawing Stage
In Thawing Stage pain subsides and range of motion gradually starts improving and complete recovery is established in few weeks.
If it is acted upon quickly in freezing stage with intervention of physiotherapy and proper medication the progress of the disease is arrested and soon resolves completely.
DIAGNOSIS OF FROZEN SHOULDER
On clinical presentation of symptoms of the patient frozen shoulder can be diagnosed and radiological tests like X-rays, CT scan and MRI may be suggested inrequired cases to find out extent, severity of pathological condition within and also to rule out any other pathological condition within or around shoulder joint.
If along with shoulder joint if there are other joints involved simultaneously or frequently different joints in past then it becomes necessary to rule out other underlying systemic conditions like Rheumatoid Arthritis, Gout, Ankylosing Spondylosis, Systemic Lupus Erythematosus etc and for that your doctor may suggest blood tests like RA factor, ESR, CRP, ANA, S.uric acid and HLA B27 (where there is severe spinal involvement along with shoulder). Vitamin D should also be checked wether its in optimal range for better recovery.
TREATMENT OF FROZEN SHOULDER
Treatment of frozen shoulder is based on combination of both Physiotherapy and Medicines.
Physiotherapy plays a major role in cases of frozen shoulder. Physiotherapist takes support of certain modalities, recomends certain exercises and manual physical intervention where in he may exert mild force or pressure along and within the axis of movement of shoulder joint and try to open up the freezed shoulder and gradually retain its laxity and mobility.
Pain may temporarily increase during and after physical intenvention but with regular recomended exercise and medicines it finally subsides and joint regains its complete range of axis of movement subsequently.
HOMEOPATHIC MEDICINES FOR FROZEN SHOULDER
If the frozen shoulder is without any underlying condition specific medicines will work well but if it is secondary to some underlying condition like autoimmune diseases or metabolic disorders or Infections or some other systemic or acute or chronic complaints then constitutional trearment along with initial acute specific remedy may be required.
List of Common Homeopathic Remedies Used in Frozen shoulder
- Calcarea Flourica
- Calcarea Phosphorica
- Rhus Toxicodendron
- Bryonia Alba
- Arnica Montana
- Plantago Major
- Ledum Palusture