“Frozen” shoulder has nothing to do with ice, but is so named because of the gradual limitation of mobility that leads to “freezing” of the joint, i.e. stiffness up to ankylosis. The medical term is “symbiotic folliculitis”.
What are the symptoms of “frozen” shoulder?
When we suffer from “frozen” shoulder, we gradually lose active and passive movement of the shoulder. We cannot move our shoulder for daily tasks, as a result of which the quality of our daily life is significantly reduced. The pain is due to inflammation in the joint, which leads to fibrosis and symphysis of the synovial pocket of the shoulder and ends in complete ankylosis, experts from the 2nd Orthopedic Clinic of Metropolitan General.
The three stages of the condition
The “frozen” shoulder is characterized by three stages:
1. Inflammatory stage: Pain and gradual limitation of movement
2. “Freezing” stage: Pain reduction but severe stiffness
3. Recovery stage: Gradual return of movement, without ensuring full recovery
The duration of each stage varies from weeks to months, making the “frozen” shoulder a real enemy of everyday life.
When and how does treatment begin?
Initially, the use of anti-inflammatory drugs and physical therapy is recommended. But if the pain and stiffness lasts more than 3-6 months, you may need more drastic solutions.
What to do if there is no improvement?
When conservative treatment (medications, intra-articular cortisone injections, exercises, physical therapy) does not work after 3 to 6 months, arthroscopic surgical repair is the next option.
How is the surgery done?
The surgery is performed arthroscopically with small incisions, through which a camera and specialized tools are inserted that release the fibrosis and adhesions.
Effectiveness of arthroscopy
Arthroscopic reconstruction offers immediate and excellent results, allowing the patient to return home the same day and quickly regain full shoulder movement.
Costs and benefits of surgical reconstruction
Arthroscopic surgery is affordable and often more cost-effective than prolonged treatment with drugs and physical therapy that may not work.
“Frozen” shoulder: Did you know that…
1. “Frozen” shoulder can be associated with diabetes mellitus and thyroid disease.
2. The presence of rheumatoid arthritis can increase the likelihood of a “frozen” shoulder.
3. It is more common in women aged 40-60.
4. Ankylosis can occur without injury.
5. The condition can last up to two years if no treatment is followed.
6. People with uncontrolled diabetes are at higher risk.
7. Diagnosis is based on clinical examination and radiographs to rule out other diseases.
8. Diagnostic ultrasound can detect the condition in its early stages.
Source :Skai
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