14/04/2021
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๐๐๐๐๐ ๐๐๐๐๐๐๐๐
โFrozen Shoulderโ the name itself suggests being stuck.
Clinically it is known as Adhesive Capsulitis.
๐๐๐ข๐งโฆ๐๐ง๐๐๐ญ๐ข๐ฏ๐ข๐ญ๐ฒโฆ๐๐ญ๐ข๐๐๐ง๐๐ฌ๐ฌโฆ๐๐๐๐ฎ๐๐๐ ๐ฆ๐จ๐ฏ๐๐ฆ๐๐ง๐ญ๐ฌ
This is usually the chronology seen in frozen shoulder. An individual starts feeling pain due to which shoulder movement is restricted. This leads to inactivity and further restriction of movement.
Soon one realizes reaching over top shelf or performing daily activity has become difficult & now everybody tells youโฆOh!! You have developed FROZEN SHOULDER.
๐๐๐๐ฉ ๐๐๐ฉ๐ช๐๐ก๐ก๐ฎ ๐๐๐ฅ๐ฅ๐๐ฃ๐จ ๐๐ฃ ๐๐ง๐ค๐ฏ๐๐ฃ ๐๐๐ค๐ช๐ก๐๐๐ง?
Your shoulder joint is enclosed in a capsule made up of connective tissue. When this capsule thickens and tightens around the shoulder joint, the shoulder movements are restricted.
The exact cause is unknown. But people having diabetes, systemic conditions, or who had to recently immobilize the shoulder are at high risk of developing frozen shoulder.
๐๐ง๐๐๐ฉ๐ข๐๐ฃ๐ฉ?
๐๐๐๐ข๐๐๐ญ๐ข๐จ๐ง๐ฌ: To reduce pain and inflammation
๐๐ก๐ฒ๐ฌ๐ข๐๐๐ฅ ๐๐ก๐๐ซ๐๐ฉ๐ฒ: To restore mobility, strength as much as possible
๐๐ฎ๐ซ๐ ๐๐ซ๐ฒ: Most frozen shoulders get better within 12-18 months. For persistent symptoms, your doctor might suggest surgical options
๐๐๐ฎ ๐๐จ ๐๐๐ฎ๐จ๐๐ค๐ฉ๐๐๐ง๐๐ฅ๐ฎ ๐๐ข๐ฅ๐ค๐ง๐ฉ๐๐ฃ๐ฉ?
Physiotherapy includes exercise therapy and electrical modalities for pain management. Studies have shown when NSAIDs and exercises are used together, the recovery rate is better.
Due to inactivity, deconditioning of shoulder and scapular muscles are commonly seen. Therefore strengthening remains an important part of physical therapy treatment.
Without the inclusion of physiotherapy recovery of movement is prolonged, imbalanced postures are developed, muscle deconditioning is seen.
๐๐๐ฅ๐จ ๐ฉ๐ค ๐๐ค๐ข๐๐๐ฉ ๐๐ง๐ค๐ฏ๐๐ฃ ๐๐๐ค๐ช๐ก๐๐๐ง
โข Exercises should be gradually added taking into consideration stages of frozen shoulder.
โข Aggressive approach in earlier stages may aggravate the synovitis and inflammation. Similarly, an easy approach in later stages may hinder the recovery process. Use a graded and guided approach.
โข Blood sugar levels should be monitored and managed regularly. Any systemic conditions to be taken regular follow-ups with their doctors
โข Patient education essential to reduce frustration and encourage compliance. Appropriate home program to be given which is easy to comply with as daily exercise is critical in relieving symptoms.
๐๐จ ๐ ๐๐ญ ๐ฒ๐จ๐ฎ๐ซ ๐๐๐๐๐๐ ๐๐จ๐ง๐ฌ๐ฎ๐ฅ๐ญ๐๐ญ๐ข๐จ๐ง ๐ฌ๐จ๐จ๐ง ๐๐ง๐ ๐ฆ๐๐ง๐๐ ๐ ๐ฒ๐จ๐ฎ๐ซ ๐
๐ซ๐จ๐ณ๐๐ง ๐๐ก๐จ๐ฎ๐ฅ๐๐๐ซ ๐ข๐ง ๐ ๐๐๐ญ๐ญ๐๐ซ ๐๐ง๐ ๐ฌ๐ฆ๐๐ซ๐ญ๐๐ซ ๐ฐ๐๐ฒ.
๐๐จ๐ง๐ญ๐๐๐ญ ๐ฎ๐ฌ ๐๐จ๐ซ ๐๐ง๐ฒ ๐๐ฎ๐ซ๐ญ๐ก๐๐ซ ๐ช๐ฎ๐๐ซ๐ข๐๐ฌ ๐จ๐ซ ๐๐จ๐ง๐ฌ๐ฎ๐ฅ๐ญ๐๐ญ๐ข๐จ๐ง๐ฌ.
๐๐๐ฉ๐ฉ๐ฒ ๐ญ๐จ ๐ก๐๐ฅ๐ฉ, ๐ ๐ฎ๐ข๐๐ ๐๐ง๐ ๐ญ๐ซ๐๐๐ญ !
