WHAT IS FROZEN SHOULDER
Frozen shoulder, medically known as adhesive capsulitis, is a condition characterised by pain & stiffness in your shoulder joint. There is a 3% chance of developing this condition in a lifetime.
WHAT ARE THE RISK FACTORS?
To understand how frozen shoulder occurs, it is important to first understand the anatomy of your shoulder joint.
HOW DOES IT OCCUR?
Your shoulder is made up of three bones which are your upper arm (humerus), shoulder blade (scapula) and collarbone (clavicle). Together they form a ball-and-socket joint which is surrounded by tissues that keep the joint stable at the same time allowing movement, this is called your shoulder capsule.
3 STAGES OF FROZEN SHOULDER
In frozen shoulder, the capsule becomes so thick and tight, hence, restricting movement which is felt as stiffness and causing inflammation which results in pain.
WHAT CAN BE DONE?
Sudden onset of pain is felt on your shoulder upon movement. Pain gradually worsens and it is worst at night. This stage can last from n6 to 9 months.
WILL I FULLY RECOVER?
Pain is reduced at this stage but stiffness is increased, further limiting your range of movement.
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Stiffness is reducing, range of movement is improving. This process usually takes about 6 months to 3 years.
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The management of frozen shoulder involves consistent rehabilitation over a long period. The goals of treatment are to reduce pain and inflammation and to preserve range of motion along your shoulder joint.
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Although frozen shoulder may take 1 to 3 years to resolve, it is important to note that personal motivation, compliance and commitment is a huge contributor to a fast recovery. 60% of cases do resolve within 2 years with 90 to 100% return of shoulder function.
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- Age above 40 years old
- Female gender
- Reduced mobility due to injury or post-surgery
- Sedentary lifestyle
- Systemic diseases such as diabetes (10-20%), thyroid conditions, tuberculosis, cardiovascular diseases or Parkinson’s disease
- Over-the-counter pain medications for temporary pain relief
- Aim at improving and preserving range of motion of your shoulder joint over time.
- Ice/heat pack
- Electrotherapy such as TENS, EMS or therapeutic ultrasound
- Shoulder mobilisation & manipulation
- Stretching & strengthening exercises
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