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Frozen Shoulder: Diagnosis, Treatment, and the Role of Physiotherapy
Frozen Shoulder
It is a degenerative condition of the glenohumeral joint. It is also known as adhesive capsulitis, which may result in severe pain and loss of movement after some time stiffness increases, limits the movement of the shoulder, and pain stays for a few months.
Cause of Adhesive Capsulitis:
- Acute Injury
- Inflammation
- Diabetes
- Shoulder Injury
- Stroke, etc
Freezing Stage: Shoulder pain in movement and slow loss of movement. This stage may last for 3–5 months.
Frozen Stage: Shoulder pain with restriction in movement; frozen stage stays for 6–9 months. During that time, the shoulder became stiffer and made daily activities very difficult.
Thawing Stage: This stage lasts for 6 months to 2 years; at this stage, the patient may lose overhead activities and feel discomfort. Over time, the shoulder slowly improves its motion and returns to the normal stage or close to normal strength and motion.
Diagnosing the frozen shoulder:
- X-ray
- CT-Scan
- MRI
- Musculoskeletal Ultrasound
Shoulder Special Test:
- Mozion’s maneuver
- Apley’s scratch test
- Painful arc test
- Lift off test
- Empty can test
Various manual tests may be performed by doctors or physiotherapists to detect the depth and stage of the disease and the required frozen shoulder physiotherapy.
Treatment of frozen shoulder:
Frozen shoulder is often treated by nonsurgical methods to improve mobility and pain. Various methods could be applied:
- Activity modification
- Pain medication
- Anti-inflammatory medication
- Hot or cold therapy
- Steroid injection
- Physiotherapy to improve shoulder pain
If adhesive capsulitis is not improving by nonsurgical methods, shoulder arthroscopy or shoulder manipulation by anesthesia can improve a frozen shoulder.
Exercise for frozen shoulder:
- Towel stretch
- Cross-body reach
- Shoulder rotation
- Armpit stretch
- Doorway stretch
- Stand facing a wall.
- Pendulum stretch
- Finger walk
- Inward rotation
- Outward rotation
Role of Physiotherapy:
Do you have a frozen shoulder? Not improving pain in the shoulder? Or the doctor has prescribed physiotherapy for a frozen shoulder. In improving pain and managing such diseases, physiotherapy plays a vital role.
If you are searching a physiotherapy clinic near me, a nearby physiotherapy clinic, an advanced physiotherapy clinic, or physiotherapy at home in Kolkata, Neuroncy Healthcare can help you find and book the best-experienced physiotherapist for your treatment as per your disease and preferred time slot.
Physiotherapy Management:
- Therapeutic Ultrasound (UST)
- Interferential Therapy(IFT)
- Stretching exercise
- Proprioceptive Neumascullat Facilitation (PNF)
- Slow & sustained stretching exercise
- Maitland mobilization of the shoulder is performed by the physiotherapist for early recovery.
From Neuroncy, you can book a physiotherapy clinic in Kolkata, a physiotherapy center in Kolkata, and avail the best physiotherapy treatment for you.