Frozen shoulder (Adhesive capsulitis), shoulder pain syndrome

Do you feel intense pain in your shoulder while moving and while resting? Does pain prevent you from sleeping? If mobility is restricted in all ways, but especially rotating the arm above shoulder level, you may suffer from frozen shoulder syndrome.

Do not postpone an appointment with your physician. Manage your health issues in time. Would you like to manage frozen shoulder now? You can utilize our health advisory centre.

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Picture Frozen shoulder (Adhesive capsulitis), shoulder pain syndrome

Characteristics of Frozen Shoulder and its causes

Shoulder pain syndrome is a disorder of the shoulder joint. Tendons and their attachments get damaged by reoccurring microtraumas (hard to notice injuries). Calcium deposits start forming in the affected area. Calcification of tendons and bursas (small sacks found around joints) are visible in x-ray images.

Shoulder pain syndrome is accompanied by severe pain. It makes full mobility of the shoulder impossible.

The so-called frozen shoulder is a form of shoulder pain syndrome. In cases of frozen shoulder syndrome, after the painful acute phase, the shoulder gradually stiffens or freezes.  This is a reaction of the fibrous capsule to the damage.

There is a wide range of causes of the frozen shoulder:

  • Injury to the shoulder, excess strain or chilling of the shoulder,
  • degenerative or inflammatory causes,
  • infectious and neurological causes.

There can be secondary metastases in the bone during lung, breast, thyroid, kidney or prostate cancer that lead to pain manifesting in the shoulder area.

Pain in the shoulder as a result of spondylosis in the cervical spine area is another common occurrence.

Frozen shoulder syndrome treatment – rid yourself of the pain

Frozen shoulder treatment is based on  solving the cause.

The main aim of the treatment is to prevent pain occurring during shoulder pain syndrome. Pharmacological tools are used in the form of analgesics, non-steroid anti-rheumatics and local corticoids.

Physiotherapy and exercise is an integral part of the treatment. We recommend some exercises from your physiotherapist. These will help you maintain or increase mobility in the shoulder. In serious cases, surgical intervention is required.

  • Analgesics – pain supressing drugs.
  • Local corticoids – corticoids (steroid hormones used for its anti-inflammatory effect) administered locally.
  • Microtrauma – small and most often unnoticed injury.
  • Non-steroid anti-rheumatics – non-steroid drug having analgesic, anti- inflammatory and antipyretic effects.
  • Spondylosis – degenerative disease of vertebrae.
  • Bursa – a small sack found near joints and tendons that decreases friction in places of great pressure and movement.
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