Frozen shoulder, also called adhesive capsulitis is a condition characterized by pain and loss of motion in shoulder joint. It is more common in older adults aged between 40 and 60 years and is more common in women than men.
Frozen shoulder is caused by inflammation of the ligaments holding the shoulder bones to each other. The shoulder capsule becomes thick, tight, and the stiff bands of tissue called adhesions may develop. Individuals with shoulder injury, shoulder surgeries, shoulder immobilized for longer period of time, other disease conditions such as diabetes, hypothyroidism, hyperthyroidism, Parkinson’s disease and cardiac diseases are at risk of developing frozen shoulder.
Frozen shoulder may cause pain and stiffness and limit the movements of shoulder.
Frozen shoulder condition can be diagnosed by the presenting symptoms and radiological diagnostic procedures such as X-rays. MRI is typically not needed.
Conservative treatment options include:
Non-steroidal anti-inflammatory drugs and steroid injections for pain
Physical therapy to improve your range of motion
Dr. Patel has developed a minimally invasive non-surgical procedure to help resolve persistent frozen shoulder. With the use of an in-office needle camera, Dr. Patel, can distend the shoulder joint and stretch out the capsule relieving both the pain and recovering full motion. During this procedure, Dr. Patel also has a chance to inspect the inside of the shoulder joint and make sure there is no internal damage.
Dr. Patel may recommend shoulder arthroscopy when the conservative treatment does not work. During surgery, the scar tissue will be removed and tight ligaments, if any, will be released. Following surgery physical therapy will be advised to bring full range of motion and strengthen the muscles.