What is Frozen Shoulder Syndrome? – Health news
It is believed to be inflammation of the joint capsule and subsequent fibrosis. There is thickening or shrinkage of the ligaments that form the capsule around the shoulder joint and the joint capsule.
What are the symptoms?
The complaints in the first stage of the disease often resemble the ‘impingement syndrome’. There is usually an insidious onset of pain. After the pain, restriction of movement begins in the shoulder. Nocturnal and rest pain is common in the early stages. Pain that does not go away even when resting, which interferes with and makes sleep at night difficult, shoulder pain during the day, limitation of shoulder movements, limitation of normal daily movements, inability to raise or rotate the arm from a certain point.
Who is it most common in?
While it usually affects women between the ages of 35 and 70, it can also be seen in men.
What are the triggering factors?
Although its etiology is not exactly known, it is associated with diabetes, autoimmune disorders, thyroid disorders, Parkinson’s disease, heart disease, stroke, chronic lung disease, Dupuytren’s contracture, shoulder calcification, and breast cancer, as well as trauma, surgery, and prolonged immobility.
How is the diagnosis made?
Diagnosis is made by medical history, clinical examination, radiologic imaging, and exclusion of other shoulder pathologies. Often there is an insidious onset of pain; After this pain, restriction of movement begins in the shoulder. Nocturnal and rest pain is common in the early stages. In a frozen shoulder, most movements of the scapulothoracic joint are also affected. There is no specific screening test for diagnosis. Magnetic resonance (MR) and ultrasound are used to detect other pathologies, such as rotator cuff tears. MR arthrography is used to show capsule thickness and joint volume reduction.
What is the treatment?
While there is a possibility that frozen shoulder syndrome will go away on its own, medical treatment is the surest solution. Physical therapy is primarily preferred in the treatment of frozen shoulder. The aim of the treatments is to loosen the joint capsule of the hard shoulder and to control the pain, one of the main complaints of the patient, and to regain the movement and strength of the joint. In the context of physiotherapy, methods such as manual therapy, prolotherapy, neural therapy, intra-articular injections, stem cell applications, cupping therapy, dry needling should be applied in addition to the classic physiotherapy. It has been argued that botulinum toxin injection lasts longer than steroids (cortisone) and has fewer side effects. Unconscious exertion can cause fractures of the humerus, shoulder dislocations, brachial plexus injury, and rupture of the rotator cuff muscles. Attention should be paid to this when applying surgical methods, since the axillary nerve passes under the inferior capsule during capsulotomy. Excessive relaxation can have negative consequences, such as axillary nerve palsy and shoulder dislocation. It is essential to continue the exercise to ensure continuity of joint movements after treatment.