Frozen Shoulder and Physiotherapy

In frozen shoulder, which is more common between the ages of 40 and 60, the joint capsule thickens and hardens. Thick and tight bands form in the shoulder joint. Synovial fluid, which facilitates the movement of the joint and nourishes the intra-articular structures, is greatly reduced.

It develops more frequently in diabetics

Diabetes: Frozen shoulder occurs in diabetics. It is known to develop more frequently. The reason for this has not been resolved yet. It is thought that it may be caused by the metabolic effects of diabetes. In diabetics who develop frozen shoulder, shoulder movements are more restricted, the resolution phase takes longer, and shoulder movements remain limited for a long time in the resolution phase.

Other diseases: Thyroid-related diseases, heart diseases. Frozen shoulder frequently develops in Parkinson's disease after surgery. The relationship between these diseases and frozen shoulder is unknown.

Casting applications, situations where movement is restricted/prohibited after surgery: Frozen shoulder can also occur after situations where movement is restricted or prohibited, such as fracture, injury or surgery. can develop.

Frozen shoulder develops in three stages

Stage 1 / Starting to freeze, inflammatory stage: This is the stage where the pain gradually increases and becomes unbearable. When the pain becomes unbearable, shoulder movement gradually becomes restricted. This phase may last from 6 weeks to 9 months, depending on the patient's comorbidities.

Stage 2 / Freezing: Pain begins to gradually decrease, but movement limitation continues. In fact, whatever movements were restricted in the first stage, those movements remain restricted in this stage as well. The shoulder is hard. Daily activities become restricted and difficult. The duration of the second phase may continue for 4 to 6 months.

Phase 3 / Unwind: Shoulder movement Things begin to slowly dissolve. It may take 6 months to 2 years to gain normal or near-normal shoulder movement and shoulder muscle strength.

Pay attention to these symptoms

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In the early stages, the pain felt when the arm is lifted up is severe. In advanced stages, pain decreases and movement limitation increases. The pain is localized in the shoulder joint. Sometimes the pain can also hit the arm.

It is not a preventable disease

Frosting when diagnosed at an early stage. Appropriate physiotherapy methods can be applied to enter the phase with minimal restrictions. Even if it is not treated at all, the limitation of movement in the shoulder will disappear within 2 or 3 years. But you will appreciate that during this period, the muscles weaken, the ligaments harden, and the structures within the joint lose their former properties. Therefore, going through this process without treatment, thinking that it will open up anyway, will lead to irreversible loss of strength, flexibility and function in the shoulder. Frozen shoulder may recur after treatment. Although it often occurs on the dominant shoulder, the other shoulder may also be affected.

Anti-inflammatory medications and intra-articular cortisone injections may be useful for pain control. If the shoulder cannot be opened within 6 months with all these methods, an attempt is made to open it with a method called manipulation under anesthesia. After complete muscle relaxation is achieved during the manipulation, your doctor loosens the capsule with various maneuvers and opens the shoulder movements. The gap achieved after manipulation must be maintained with physiotherapy and the muscles must be strengthened. If shoulder movements cannot be regained with manipulation, shoulder movements can be regained with one of the different surgical methods.

No matter what stage it is, physiotherapy is important in the treatment of frozen shoulder to restore the shoulder joint and the soft tissue and muscles around it. . In frozen shoulder, not only the shoulder joint is affected, but the movement of the shoulder blade, which plays an important role in shoulder movement, is also restricted. Physiotherapy methods that respect the soft tissue and restore the shoulder to its former state and function without causing pain to the patient are applied in clinics that follow current treatment methods. The shoulder joint is the main point of our overhead movements. Combing hair, taking something off the shelf, waving If shoulder movements like llama are restricted, our life will be restricted. Frozen shoulder treatment cannot be neglected; the underlying triggering disease must be examined and its treatment must be included in the process.

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