How an Orthopedic Surgeon Can Help Relieve Frozen Shoulder Pain.

What is a frozen shoulder?

Frozen shoulder, also known as adhesive capsulitis, is a condition characterized by stiffness and pain in the shoulder joint. It typically develops gradually and can last for months or even years. The exact cause of frozen shoulder is not known, but it often occurs following an injury or trauma to the shoulder, such as a fracture or surgery. Other factors that may increase the risk of developing frozen shoulder include diabetes, thyroid disorders, and certain autoimmune diseases.

The condition affects the capsule surrounding the shoulder joint, causing it to become thickened and tight. This restricts the movement of the shoulder and leads to pain and stiffness. The symptoms of frozen shoulder typically progress through three stages – the freezing stage, the frozen stage, and the thawing stage. During the freezing stage, the shoulder gradually becomes more painful and stiff. In the frozen stage, the pain may improve, but the shoulder remains stiff and movement is severely limited. Finally, in the thawing stage, the shoulder gradually regains mobility.

Causes and symptoms of frozen shoulder

The exact cause of frozen shoulder is unknown. However, certain factors may increase the risk of developing the condition. These include age (40-60 years old), being female, having a previous shoulder injury or surgery, and having certain medical conditions such as diabetes, thyroid disorders, or autoimmune diseases.

The symptoms of frozen shoulder typically begin gradually and worsen over time. The primary symptom is pain, which is often described as a dull ache or throbbing sensation. The pain is usually felt deep within the shoulder and may radiate down the arm. In addition to pain, individuals with frozen shoulder experience stiffness and limited range of motion in the affected shoulder. This can make everyday activities such as reaching overhead or behind the back difficult or impossible.

Understanding the role of an orthopedic surgeon in treating frozen shoulder

Orthopedic surgeons play a crucial role in the treatment of frozen shoulder. They specialize in the diagnosis, treatment, and rehabilitation of musculoskeletal conditions, including those affecting the shoulder. When it comes to frozen shoulder, orthopedic surgeons have the expertise to accurately diagnose the condition and determine the most appropriate treatment approach based on the individual’s specific needs.

Orthopedic surgeons have a deep understanding of the anatomy and function of the shoulder joint, allowing them to identify any underlying issues that may be contributing to the frozen shoulder. They may utilize various diagnostic tests, such as X-rays or MRI scans, to assess the extent of the damage and rule out other potential causes of shoulder pain and stiffness.

Once a diagnosis is confirmed, the orthopedic surgeon works closely with the patient to develop a customized treatment plan. This may involve a combination of non-surgical and surgical interventions, depending on the severity of the frozen shoulder and the individual’s overall health.

Diagnostic tests for frozen shoulder

To accurately diagnose frozen shoulder, orthopedic surgeons may use a variety of diagnostic tests. These tests help assess the extent of the damage to the shoulder joint and rule out other potential causes of shoulder pain and stiffness.

X-rays are commonly used to evaluate the bones and joint spaces in the shoulder. They can help identify any abnormalities in the bone structure, such as fractures or arthritis, that may be contributing to the frozen shoulder.

MRI scans provide detailed images of the soft tissues in the shoulder, including the muscles, tendons, and ligaments. This can help identify any tears or inflammation that may be causing the symptoms of frozen shoulder.

In some cases, the orthopedic surgeon may recommend an arthroscopy This minimally invasive procedure involves inserting a small camera into the shoulder joint to visualize the structures and assess the extent of the damage. Arthroscopy can also be used to perform certain surgical treatments for frozen shoulder.

Non-surgical treatment options for frozen shoulder

In many cases, frozen shoulder can be effectively treated without surgery. Non-surgical treatment options aim to reduce pain, improve range of motion, and restore function to the shoulder joint.

Physical therapy plays a crucial role in the non-surgical management of frozen shoulder. A physical therapist will work with the individual to develop a personalized exercise program that focuses on stretching and strengthening the shoulder muscles. This helps to improve flexibility and increase the range of motion in the shoulder joint.

Pain medication, such as nonsteroidal anti-inflammatory drugs (NSAIDs), may be prescribed to help manage the pain associated with frozen shoulder. These medications can help reduce inflammation and alleviate discomfort.

In some cases, corticosteroid injections may be recommended to provide temporary relief from pain and inflammation. These injections are administered directly into the shoulder joint and can provide significant pain relief for several weeks or months

Surgical treatment options for frozen shoulder

In more severe cases of frozen shoulder, surgical intervention may be necessary to restore function to the shoulder joint. Orthopedic surgeons may recommend surgery if non-surgical treatments have been unsuccessful in relieving symptoms or if there is a significant loss of function in the shoulder.

One surgical treatment option for frozen shoulder is manipulation under anesthesia. This procedure involves manually manipulating the shoulder joint to break up the adhesions and scar tissue that are restricting movement. Following the manipulation, physical therapy is typically required to help regain range of motion and strengthen the shoulder muscles.

Another surgical option is arthroscopic capsular release. This procedure involves making small incisions in the shoulder and using a camera and specialized instruments to release the tight capsule and remove any scar tissue. The arthroscopic capsular release is less invasive than open surgery and often results in faster recovery times.

Rehabilitation and recovery after frozen shoulder treatment

Following any treatment for frozen shoulder, rehabilitation is a crucial part of the recovery process. Rehabilitation aims to restore strength, flexibility, and range of motion to the shoulder joint.

Physical therapy is typically recommended after both non-surgical and surgical treatments for frozen shoulder. A physical therapist will work with the individual to develop a personalized exercise program that focuses on gradually increasing range of motion and strengthening the shoulder muscles. This may involve a combination of stretching exercises, resistance training, and functional movements.

The duration of rehabilitation will vary depending on the severity of the frozen shoulder and the individual’s progress. It is important to follow the physical therapist’s instructions and attend all scheduled therapy sessions to ensure optimal recovery.

Tips for preventing frozen shoulder

While not all cases of frozen shoulder can be prevented, there are steps that can be taken to reduce the risk of developing the condition. Here are some tips for preventing frozen shoulder

• Maintain good posture: Poor posture can contribute to shoulder pain and stiffness. Be conscious of your posture throughout the day and make an effort to sit and stand up straight.
• Stay active: Regular exercise can help keep the shoulder joint mobile and prevent stiffness. Include exercises that target the shoulder muscles and promote flexibility.
• Avoid repetitive overhead activities: Activities that involve repetitive overhead movements, such as painting or throwing, can put strain on the shoulder joint. Take regular breaks and vary your movements to prevent overuse.
• Warm up before physical activity: Before engaging in any physical activity, warm up the muscles and joints with gentle stretching exercises. This helps increase blood flow to the shoulder and reduces the risk of injury.
• Manage underlying medical conditions: Certain medical conditions, such as diabetes or thyroid disorders, can increase the risk of developing frozen shoulder. Work with your healthcare provider to manage these conditions effectively.

Frozen shoulder can be a painful and debilitating condition, but with the help of an orthopedic surgeon, relief is possible. These specialists play a crucial role in accurately diagnosing frozen shoulder and determining the most appropriate treatment approach. Whether through non-surgical methods or surgical intervention, orthopedic surgeons have the expertise to restore function and alleviate pain in the shoulder joint. By following their guidance and engaging in rehabilitation, individuals can regain mobility and improve their quality of life. If you are experiencing shoulder pain and stiffness, don’t hesitate to consult Dr. Nawaid Ahmed, an orthopedic surgeon, provides the necessary care and treatment for a frozen shoulder.