“Defrosting” the Frozen Shoulder
Adhesive capsulitis, or frozen shoulder, is a troubling problem which seems to arise out of nowhere. It’s marked by gripping/aching pain in the shoulder, which typically runs half way down the outside of the upper arm. Within a few weeks stiffness accompanies the pain and one ends up with limited shoulder motion—especially when attempting to reach behind the back or overhead. Its “target audience” is women ages 40-70, though men can certainly develop this condition as well.
The name “adhesive capsulitis” describes the condition where the “folds” of the shoulder capsule—the pliable encasement which holds the two bones of the joint together—become inflamed (“-itis”) and adhere to itself, thus limiting its movement. And while the frozen shoulder syndrome most certainly can “come out of nowhere,” it can also result from direct trauma, immobilization, or an underlying medical issue such as diabetes, thyroid, or cardiovascular disease.
Here’s the typical progression of a frozen shoulder:
Painful Stage- One recognizes their shoulder (and soon their upper arm) is aching on a regular basis. The pain may wake the person up at night when they roll onto the affected shoulder.
Frozen Stage- Motion becomes progressively limited. First limitation noted may be behind the back reach as with putting on a coat, tucking in a shirt or fastening a bra, followed by inability to reach fully overhead.
Thawing Stage- The person experiences a gradual reduction in pain level and a freeing up of motions that were previously hindered.
The treatment for adhesive capsulitis has not changed much in the last three decades. Physicians typically prescribe anti-inflammatory medications to address the inflammation component and patients are directed to participate in regular physical therapy sessions to improve mobility. In severe cases, Orthopedists may inject the joint with anti-inflammatory medication.
The real troubling aspect of having a frozen shoulder, apart from the pain and stiffness, is that it can take up to 6-9 months to recover with treatment and up to 2 years without treatment! So, if you feel your shoulder is beginning to get a bit “frosty,” best head to your physician and begin physical therapy ASAP.
