CAUSES- Most often frozen shoulder occurs with no associated injury.Some patients develop frozen shoulder after a traumatic injury to the shoulder,bt this is not the usual cause.
Risk factors for developing the frozen shoulder are:
-commonly affects age between 40-60yrs,and twice in women than men.
-diabetic patients are at risk for developing frozen shoulder.
-other endocrinal abnormalities like thyroid problems can also lead to this condition.
-patients who sustain shoulder injury or undergo surgery at shoulder followed by prolonged immobilisation,the risk is at its highest.
DISCRIPTION- Normally shoulder joint allows more motion than any other joint in the body.When a patient develops frozen shoulder,the capsule that surrounds the shoulder joint becomes contracted.The patient form bands of scar tissue called adhesions.The contraction of the capsule and formation of adhesions cause the shoulder to become stiff and painful.
SYMPTOMS- Shoulder pain,usually a dull aching.
- Limited movement of the shoulder.
- Difficulty in overhead activites like putting on shirts,brushing hair etc..
-Pain when trying to sleep on affected side.
STAGES OF FROZEN SHOULDER-
PAINFUL/FREEZING STAGE- This is the most painful stage of the frozen shoulder.The motion is restricted but the joint is not stiff.The painful stage typically lasts 6-12 weeks.
FROZEN STAGE-During the frozen stage,the pain usually eases up but the stiffness worsens.The frozen stage can lasts 4-6months.
TREATMENT- Frozen shoulder treatment primarily consist of pain relief and physiotherapy. Most patients find relief with these simple steps,althogh the entire treatment process can take several months.
TREATMENT BY PHSIOTHERAPY-
FOR PAIN RELIEF- 1)Moist heat- Application of moist heat to the shoulder can help to loosen the joint and provide pain relief.Moist heat can be applied by using a hot soakd washcloth on the joint for atleat 15min.
2)STRETCHING- Streching can be done immediately after removing the moist heat from the joint.It will increase the range of the shoulder and decrease the pain.
NOTE- The whole process including moist heat and stretching should be done atleast 3 times in a day.
FOR STIFF SHOULDER- In these cases the pain is almost nil,but the main problem is stiffness to the shoulder.The protocol given below is the best way to increase the range of the shoulder joint if done regularly.
1)If there is pain than donot perform vigrous exercise on shoulder.A simple thing which can be done is pendular movement.Stand at the side of table,and place the good side on table for support,and let the affected side swing like a pendulam freely.
2)Moving forward to next exercise, which name is circumduction.In this,elevate the arm till 90degrees and make circle with whole arm moving clockwise and anticlockwise turn by turn.
3)Hold the affected side with normal side by the hand, elevate both the arms till the maximum a patient can do upto the severe pain.The point at which the patient feel maximum pain,hold at that point and move downwards slowly as much as you can.
4)Elevate the arm 90 degrees and fold the elbow,Now place the good hand on outer surface of the affected side elbow.Give an inward force to the elbow,so that the elbow comes closer to the good side shoulder and the affected side hand should be able to touch the back on good side.
5)FINGER LADDER- i)Facing to wall and place your first 2 fingers on wall.Now moving your fingers upwards like you climbing the ladder i.e step by step.When reaches the uppermost point,hold there for 3-4 secs and than by the same way move fingers down like climbing down from ladder.Keep your elbow straight while moving down and up(it is important not to fold elbow while doing this).
ii)Do the same movement,but stand at side of wall.
6)Rotation- It is same like when we clean our back after taking bath.
Use a towel or a cloth (same length of towel),affected side holding it from down and good hand holding overhead.Now pull the towel or cloth from the good side upwrds so dat the affectd side comes up from down.
REPEAT ALL THESE MOVEMENTS THRICE A DAY REGULARLY TO GET RELIEF FROM FROZEN SHOULDER.
ReplyDeleteHi
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