Frozen shoulder, also known as adhesive capsulitis, is a painful and restrictive condition that affects the shoulder joint. It is characterized by stiffness, limited range of motion, and persistent pain, making it difficult to perform routine activities such as lifting, reaching, or even getting dressed. The condition typically develops gradually and can last for months or even years if not properly managed. In Ahmedabad, Nexus Advanced Pain Management offers specialized treatment for frozen shoulder, helping patients regain mobility and reduce pain. In this blog, we will explore the causes, symptoms, and treatment options for frozen shoulder, and how our clinic can help you manage and recover from this condition.

What is Frozen Shoulder?

Frozen shoulder occurs when the connective tissues around the shoulder joint become inflamed, thickened, and stiff. The shoulder joint capsule, which normally allows for a wide range of motion, shrinks and tightens in frozen shoulder, leading to pain and restricted movement. The exact cause of frozen shoulder is not always clear, but it is often associated with injury, surgery, or other medical conditions such as diabetes, thyroid disorders, or heart disease.

The condition typically progresses through three stages:

  • Freezing Stage: During this stage, pain gradually increases, and the range of motion begins to decrease.
  • Frozen Stage: The pain may lessen, but stiffness persists, and the shoulder becomes significantly less mobile.
  • Thawing Stage: This is the recovery phase, where the shoulder begins to regain mobility, although the process can take several months.

Symptoms of Frozen Shoulder

The primary symptoms of frozen shoulder include:

  • Pain: Initially, the pain may be mild but gradually intensifies, especially when moving the shoulder or reaching overhead. The pain is often sharp and may be felt in the upper arm or outer shoulder.
  • Stiffness: Limited range of motion is one of the most characteristic symptoms. Activities such as raising the arm or reaching behind your back become difficult or impossible.
  • Pain at Rest: As the condition progresses, pain can occur even at rest, making it difficult to sleep or perform daily tasks comfortably.
  • Restricted Movements: The shoulder becomes “frozen,” with movements becoming progressively more difficult due to the tightness in the joint capsule.

If you are experiencing these symptoms, it is important to seek medical attention, as early diagnosis and treatment can help manage the condition more effectively.

Causes and Risk Factors for Frozen Shoulder

While the exact cause of frozen shoulder is not always known, several factors can increase the risk of developing this condition:

  • Injury or Surgery: Any shoulder injury or surgery, such as a rotator cuff tear or shoulder dislocation, can lead to frozen shoulder. Prolonged immobility after the injury or surgery can contribute to the development of this condition.
  • Medical Conditions: Certain health conditions, particularly diabetes, thyroid disease, heart disease, and Parkinson’s disease, are associated with a higher risk of developing frozen shoulder.
  • Age and Gender: Frozen shoulder is more common in individuals between the ages of 40 and 60, with women being more likely to experience the condition.
  • Prolonged Inactivity: Individuals who have a sedentary lifestyle or have had their arm immobilized for an extended period (due to surgery or injury) may be at a higher risk of developing frozen shoulder.

Understanding these risk factors can help in preventing the condition or in seeking early treatment.

Diagnosis of Frozen Shoulder

Diagnosing frozen shoulder typically involves a physical examination by a healthcare professional, who will assess your range of motion and the areas of pain. Additional diagnostic tests may include:

  • X-rays: These can rule out other causes of shoulder pain, such as arthritis or fractures.
  • MRI (Magnetic Resonance Imaging): An MRI can provide detailed images of the shoulder joint and surrounding tissues to confirm the diagnosis.
  • Arthrogram: This involves injecting a contrast dye into the shoulder joint and taking X-rays to examine the shoulder’s movement and any abnormalities in the joint capsule.

A proper diagnosis is crucial for determining the appropriate treatment plan.

Treatment Options for Frozen Shoulder

The treatment for frozen shoulder aims to reduce pain, improve mobility, and restore function to the shoulder joint. Various treatment options are available, ranging from conservative methods to more advanced interventions.

Conservative Treatments

  • Physical Therapy: The primary treatment for frozen shoulder is physical therapy. A skilled therapist will guide you through specific exercises to stretch the shoulder and improve range of motion. Stretching exercises are essential to breaking up the adhesions in the shoulder joint.
  • Medications: Nonsteroidal anti-inflammatory drugs (NSAIDs) such as ibuprofen can help reduce inflammation and relieve pain. Corticosteroid injections may also be used to reduce pain and swelling in the shoulder.
  • Heat and Cold Therapy: Applying heat or cold to the affected shoulder can help reduce pain and inflammation. Cold packs can numb the area and reduce swelling, while heat therapy can help relax tight muscles.
  • Home Exercises: In addition to physical therapy, specific at-home exercises can be performed to improve flexibility and strength in the shoulder.

Advanced Treatments

  • Hydrodilatation: In this procedure, a sterile fluid is injected into the shoulder joint to help stretch the capsule and improve mobility. This can provide significant relief for patients who do not respond to other treatments.
  • Shoulder Manipulation: In some cases, the doctor may manually manipulate the shoulder joint while you are under anesthesia to break up the adhesions in the joint capsule and improve the range of motion.
  • Surgery: If conservative treatments are ineffective, surgical intervention may be considered. The two main surgical options are:
    • Arthroscopic Surgery: A minimally invasive procedure where small incisions are made to remove the thickened tissue or adhesions in the shoulder joint.
    • Open Surgery: In rare cases, an open surgical procedure may be required to remove scar tissue and improve movement.

Why Choose Nexus Advanced Pain Management for Frozen Shoulder Treatment?

At Nexus Advanced Pain Management in Ahmedabad, we provide specialized frozen shoulder treatment with a focus on personalized care. Our team of pain specialists offers a comprehensive approach that includes physical therapy, advanced pain management techniques, and minimally invasive treatments. We understand that each patient’s condition is unique, and we tailor our treatment plans to meet your specific needs, helping you regain mobility and reduce pain.

Our clinic utilizes the latest diagnostic tools and treatment techniques to ensure the best outcomes for patients with frozen shoulder. Whether you’re in the early stages of the condition or dealing with long-term limitations, our multidisciplinary approach will help guide you on the path to recovery.

Conclusion

Frozen shoulder is a painful and restricting condition that can significantly impact your daily life. However, with the right treatment plan, it is possible to reduce pain, restore movement, and improve overall function. At Nexus Advanced Pain Management in Ahmedabad, we offer advanced treatment options, from physical therapy to minimally invasive procedures, ensuring that you receive the most effective care for your frozen shoulder. If you’re struggling with shoulder pain or stiffness, don’t hesitate to schedule a consultation with our specialists and take the first step toward recovery.