Frozen shoulder (adhesive capsulitis of shoulder)


Description

A loss of range of motion of the shoulder. The decreased motion is present both when the patient attempts to move the shoulder and when the doctor tries to move the shoulder passively. The decreased motion is caused by inflammation and scarring of the shoulder joint. It can occur after a shoulder injury or after prolonged immobilization of the shoulder.

Symptoms

Decreased range of motion and stiffness of the shoulder. Pain with reaching, lifting, and overhead activities. Tenderness may be experienced through the front, side and back of the shoulder. Pain is often worse at night while sleeping.

Tests

Common tests used for diagnosis and treatment

Workup:
A history and physical exam will be performed. X-ray or MRI may be needed.

Tests:
Magnetic resonance imaging (MRI), X-ray

Specialists:
Orthopedic Surgery, Sports Medicine, Pediatric Sports Medicine, Pediatric Orthopedic Surgery, Sports Medicine Surgery

Treatment

Therapy is aimed at relieving symptoms, reducing inflammation and improving function (range of motion) of the shoulder. Treatment option includes: cortisone injection, nonsteroidal anti-inflammatory medications/NSAIDs (ibuprofen/Motrin or Advil, naproxen/Naprosyn), acetaminophen (Tylenol), physical therapy, ultrasound, and/or surgery.
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