ValleyOrtho’s physicians treat a wide range of common shoulder injuries,
including adhesive capsulitis – a loss of motion in the shoulder.
About
Adhesive capsulitis is a term used to describe a significant loss of motion
in all directions in the shoulder joint, which also may be referred to
as “frozen shoulder.” This is a condition where the shoulder
capsule becomes contracted and thickened.
The loss of motion is apparent when attempting to move the shoulder, as
well as when someone else attempts to move the shoulder and the muscles
are relaxed. The cause of adhesive capsulitis can be unknown or related
to an injury.
Symptoms
Dull, achy pain that increases when attempting shoulder motion
Pain located in the shoulder area and/or upper arm
Restricted motion or stiffness
Diagnosis
In order to diagnose this condition, the medical providers at ValleyOrtho
will perform a physical exam consisting of shoulder movement and strength
testing. In addition, x-rays may be needed to assess the alignment and
cartilage spaces of the involved joint or to rule out other potential
bone abnormalities. Further imaging, such as an MRI, may be performed
if there is concern of injury to the tendons, ligaments and joint if initial
treatment does not improve symptoms.
Treatment Option: Conservative
Treatment will focus on pain control and restoration of motion. About 95
percent of patients notice significant improvement over time, even without
treatment. Although resolution may take up to two years, with appropriate
treatment this time frame can usually be reduced.
Treatment Option: Surgery
If conservative treatment, consisting of at least six to 12 months of consistent
rehabilitation, fails, then surgical interventions will be considered.
The surgery involves manipulation under anesthesia and shoulder arthroscopy.
The manipulation under anesthesia portion of the surgery involves putting
the patient to sleep and manipulating the shoulder to move causing the
capsule to stretch and tear to a normal length.
The second part of the surgery is the shoulder arthroscopy. It involves
several small incisions around the shoulder where instruments can be inserted
into the shoulder joint to release the tight shoulder capsule.
Following surgery, intense rehabilitation with a physical therapist, focuses
on maintaining motion.
With advanced training, a wealth of experience and the latest in equipment
and techniques, ValleyOrtho’s physicians work with the entire health
care team to help ensure a safe, complete recovery.
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