Frozen shoulder also medically termed as adhesive capsulitis and peri arthritis of the shoulder is a common condition seen in adults especially in women. Other risk factors include age (>40 years), diabetes and recent trauma.
Frozen shoulder is generally characterized by pain and stiffness causing gradual restriction in the movement of the shoulder. It is commonly characterized into 2 subgroups mainly primary and secondary.
Primary idiopathic frozen shoulder which is more common usually occurs with no underlying etiology or any significant history of shoulder trauma. Secondary frozen shoulder usually is a result of a traumatic shoulder injury or due to post a period of immobilization. Pain due to the injury leads to guarding of the arm which in turn leads to reduction in the range of movement thus causing secondary frozen shoulder.
Frozen shoulder progresses in 3 phases namely:
▫ Gradual onset of diffuse pain
▫ More night pain
▫ Gradual restriction in shoulder movement
▫ Lasts commonly for 6-9 months
▫ Pain starts to reduce but the stiffness increases
▫ Restriction in the shoulder movement starts to limit daily functional activities like overhead movement, bathing, dressing etc.
▫ Lasts commonly for 4-2 months
▫ Gradual return of shoulder movement
▫ Usually takes 5-26 months to complete
Commonly frozen shoulder is conservatively managed which include – anti-inflammatory drugs, glucocorticoids and physiotherapy.
Physiotherapy management includes:
Most Common Frozen Shoulder ROM and Stretching exercises: