Frozen Shoulder




Frozen shoulder or Adhesive capsulitis starts without any known cause with the onset of pain. This pain prevents you from moving your arm. The lack of movement leads to stiffness and then even less motion. Over time, the person becomes unable to perform activities (ADL) active daily life actions. Its a painful and disabling condition that often causes great frustration for patients due to slow recovery. Movement of the shoulder is severely restricted. Pain is usually constant, worse at night, and when the weather is colder; and along with the restricted movement can make even small tasks impossible. Certain movements or emotional bursts can cause sudden onset of tremendous pain and cramping that can last several minutes. This condition, for which an exact cause is unknown, is thought in some cases to be caused by injury or trauma to the area. It is believed that it may have an autoimmune component, with the body attacking healthy tissue in the capsule. There is also a lack of fluid in the joint, further restricting movement. In addition to difficulty with everyday tasks, people who suffer from adhesive capsulitis usually experience problems sleeping due to pain that is worse at night and restricted movement/positions.


The condition also can lead to depression, pain, and problems in the neck and back and can even cause headaches and eye strain. Frozen shoulder is connected with diabetes, thyroid imbalance, stroke, accidents, lung disease, connective tissue disorders, and heart disease and sometimes post surgery. In frozen shoulder, there is a lack of synovial fluid, which normally helps the shoulder joint, a ball and socket joint, move by lubricating the gap between the humerus (upper arm bone) and the socket in the scapula (shoulder blade). The shoulder capsule thickens, swells, and tightens due to bands of scar tissue (adhesions) that have formed inside the capsule. As a result, there is less room in the joint for the humerus, making movement of the shoulder stiff and painful. Pain discourages movement, further development of adhesions that restrict movement will occur unless the joint continues to move full range in all directions (adduction, abduction, flexion, rotation, and extension). Adhesive capsulitis has been indicated as a possible adverse effect of some forms of highly active antiretroviral therapy (HAART).Some cases have also been reported after breast and lung surgery. The manifestation of this problem is almost same for all sufferers but everybody have unique complex causative factors that need to be addressed.

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