Frozen shoulder

 Frozen shoulder means your shoulder is painful and stiff for weak ,months, sometimes years.Limited NROM and painful movement, it can be treated with some special shoulder exercises with painkillers.  

Also called: adhesive capsulitis of shoulder.

These condition occurs more commonly in people with diabetes and in people who've kept their arm immobilised for a long period of time.

Stage 1 – Freezing: A slow onset of pain that can last from six weeks to nine months. As the pain worsens, the shoulder loses motion.

Stage 2 – Frozen: Marked by a slow improvement in pain, but stiffness remains. ...

Stage 3 – Thawing: Shoulder motion slowly returns to normal over a five to 26 month period.

During stage one, often referred to as the “freezing” phase, your shoulder starts to ache and can become very painful, for example, when reaching out for things. The pain is often worse at night and when you lie on the affected side. This stage can last anywhere from 2-9 months.

Also known as adhesive capsulitis, frozen shoulder is usually caused by inflammation. The capsule of the shoulder joint has ligaments that hold the shoulder bones to each other. When the capsule becomes inflamed, the shoulder bones are unable to move freely in the joint.

Q.special test for frozen shoulder?

Answer: RC tendinopathy may present similarly to the first stage of frozen shoulder because there is limited loss of external rotation and strength tests may be normal. MRI and ultrasonography can be used to identify soft tissue abnormalities of the soft tissue and labrum.

Physiotherapy management of frozen shoulder?

Wand Exercise . 

Pandulum stretch.

Towel stretch.

Finger walk.

Cross body arm stretching armpit strech

with Shoulder Abduction and Adduction

 Standing upright, 

hold a stick with both hands, palms facing out. 

Let the stick rest against your thighs.

If you feel at night there are use a pillow into elbow at night.

Dr.dinesh kumar 

Chief consultant the royal physiotherapy clinic kota.