Frozen Shoulder

What is Frozen Shoulder?

Frozen shoulder (also known as adhesive capsulitis) is a three stage condition in which the shoulder becomes completely or partially unmovable. It is one of the most painful conditions that can affect the shoulder. While a frozen shoulder may present with symptoms similar to that of other conditions which affect the shoulder it has a particularly distinct set of symptoms which result in severe pain, loss of movement and eventually stiffness.

Symptoms of a frozen shoulder can include:

1. A dull or aching pain in the affected shoulder.
2. Stiffness around the  shoulder joint.
3. Restricted range of movement in the affected shoulder.
   
4. Difficulty performing daily activities such as washing, dressing (in particular when trying to put on a bra) and driving.

What causes it?

There is no definitive cause for the onset of frozen shoulder. Frozen shoulder occurs when there is thickening and swelling of the flexible tissue (capsule) surrounding your shoulder joint. This thickening and swelling causes a reduction of space for your upper arm bone in the joint which makes any movement stiff and painful. However, there are certain predisposing factors which lead to an increased chance of developing frozen shoulder.

1. People with diabetes have an increase risk of developing frozen shoulder.
2. Frozen shoulder has an increased likelihood of developing in people who have previously suffered a shoulder injury. This can partly be attributed to people keeping their shoulder still during their recovery which can lead to the shoulder tightening up due to inactivity.
3. Age and gender can be an influencing factor as women are twice as likely to develop frozen shoulder in comparison to men.
4. Individuals who develop inflammatory shoulder.
5. People with autoimmune diseases.

How can we help?

Physiotherapy is highly recommended in the management of frozen shoulder. Physiotherapy helps to maintain and increase the range of movement that is lost due to frozen shoulder. Treatment will vary dependent on the phase the affected shoulder is in. The physiotherapists here at Davenport House Clinic will work in coordination with the patient to devise an appropriate treatment plan  to help improve their condition.