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Adhesive capsulitis - Frozen shoulder
Frozen shoulder, also known as adhesive capsulitis, is a condition characterized by stiffness and pain in your shoulder joint. In one stage of the disorder - the freezing stage - your shoulder's range of motion is notably reduced. Frozen shoulder usually affects one shoulder, although some people may develop it in both shoulders. The condition usually improves on its own. However, in some cases you may need help from your doctor. Most people eventually regain nearly full shoulder range of motion and strength once signs and symptoms improve Causes A frozen shoulder may arise after a fracture or other arm injury. It may also be related to a rototor cuff tear, degenerative arthritis or previous shoulder surgery. Many cases of frozen shoulder, however, do not have a known cause. These cases are called idiopathic or primary adhesive capsulitis. Despite not having a known cause, primary adhesive capsulitis can be associated with systemic disorders such as diabetes and cardiovascular disease. Diagnosis If there is loss of
both active (movement without assistance) and passive (movement with
assistance) on physical examination, the diagnosis of a frozen shoulder
can be made. The patient will also describe a pattern of pain that is a
times severe and at other times mild. The overall function of the
shoulder in the acute phase of a frozen shoulder is poor. Treatment
Frozen shoulders must be treated on an individual basis because there is significant variability in the clinical response to treatment. The details of any treatment are best discussed with your health care provider. Prevention Maintaining a strong and flexible shoulder may prevent some cases of frozen shoulder.
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