Sunday, 15 January 2017

Frozen Shoulder And Physiotherapy Treatment :

What is frozen shoulder? : 

Frozen Shoulder

Frozen shoulder (adhesive capsulitis) is stiffness, pain, and restricted R.O.M (range of movement) in your shoulder . It may happen after an injury or overuse or from a disease such as diabetes or a stroke,Post Operative surgeory Near to shoulder joint. The tissues around the joint stiffen, scar tissue forms, and shoulder movements become restricted & painful. The condition usually comes on gradually, then recover slowly over the course of a year or more.

 Causes Of frozen shoulder :

Frozen shoulder can develop when you stop using the joint normally because of pain, injury, or a chronic health condition, such as diabetes or a stroke. Any shoulder problem can lead to frozen shoulder if you do not work to keep full range of motion.

Frozen shoulder main cause:

post operative surgery near to sholder.
After surgery or injury.
Most often in people 40 to 70 years old.
More often in women (especially in postmenopausal women) than in men.cover
Most often in people with chronic diseases.
chest pain and diabetes are often associated with.

Frozen shoulder diagnoses : 

Your doctor specially phsiotherapist may suspect frozen shoulder if a physical exam reveals restricted shoulder movement. An X-ray may be done to see whether symptoms are from another condition such as arthritis or a broken bone.

Shoulder Joint movement( R.O.M) :

Flextion : 0-180 degree
Extension : 0-60 degree
Abduction:  0-180 degree
Adduction : 0-45 degree
Int.Rotation : 0-90 degree
Ext. Rotation : 0-90 degree

Treatment Of Frozen Shoulder :

Treatment for frozen shoulder usually starts with Analgesic Drugs,Hot Pack, followed by gentle stretching.  And physical therapy can help increase your range of motion. A frozen shoulder can take a 2 month to  year or more to get better.

Exercise Of Frozen Shoulder

Back Stretch with towel

shoulder ladder exercise

assisted back stretch with opposite hand

shoulder wheel and ladder exercise

If treatment is not helping, surgery is sometimes done to loosen some of the tight tissues around the shoulder. Two surgeries are often done. In one surgery, called under anesthesia Release, you are put to anaesthesize shoulder and then your arm is moved into positions that stretch the tight tissue. The other surgery uses an arthroscope to cut through tight tissues and scar tissue. These surgeries can both be done at the same time.

prevention and care :

Gentle, progressive range-of-motion exercises, stretching, and using your shoulder in day to day activity more may help prevent frozen shoulder after surgery or an injury. Experts don't know what causes some cases of frozen shoulder, and it may not be possible to prevent these. But be patient and follow your doctor's advice. Frozen shoulder nearly always gets better over time.

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