Frozen shoulder
Frozen shoulder is characterized by the development of adhesions, capsular restrictions and capsular thickning in the shoulder joint..
Frozen shoulder is also called as Periarthritis or Adhesive capsulitis..
It is a condition where two or more then two movements are restricted
Types
1.Primary frozen shoulder
2. Secondary frozen shoulder
Primary frozen shoulder
It is a condition where shoulder joint is involved
Secondary frozen shoulder
It is a condition in which there is no involvement of shoulder joint
There is some other cause to develop frozen shoulder
Causes
- Primary causes
Immoblity
Aging
Sedentary lifestyle
Disuse atrophy
- Secondary causes
Trauma
Fracture in hand
Rib fracture
Heart surgery
Lung surgery
Stages
1 Pre adhesive stage
2 freezing stage
3 frozen stage
4 Thawing stage
Pre adhesive stage
Movements are slightly restricted
Pain increase with movement
Duration- less then 3 months
Freezing stage
Due to sedentary lifestyles the adhesions are formed and movements restricted
Due to lack of synovial fluid movements are restricted
Duration- 6 to 9 months
Frozen stage
Shortness of surrounding musculature
Further development of adhesions
Duration – 9-15 months
Thawing stage
It is a resolving stage where fibrosis resolving occurs slowly
ROM occurs to improve
Duration- 1 to 2 years
Sign and symptoms
. Pain
. Restricted ROM
. Discomfort
. ADL hampered
. Pain increasing in night
Dignosis
X-ray– finding
Decreasement of gap in shoulder joint
MRI
Shows arthritis or torn rotator cuff muscles
Physiotherapy treatment
Electrotherautic modalities
Ultrasound+TENS
Hotpack
Exercises
. Pendular exercises
. Finger ladder in abduction
. Finger ladder in flexion
. Shoulder wheel
. Shoulder pulley
. Capsular stretch
. Isometrics of shoulder
. Mobilization glides of all joint
. Resisted exercises
. Myofacial release
. Strengthening exercises
Advance technique
. MET
(Muscle energy technique)
