View source for Adhesive capsulitis of shoulder (Patient information)

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{{Adhesive capsulitis of shoulder (Patient information)}}
'''For the WikiDoc page for this topic, click [[Adhesive capsulitis of shoulder |here]]'''

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==Overview==
Frozen shoulder is when the shoulder is painful and loses motion because of inflammation.

==What are the symptoms of Adhesive capsulitis of shoulder?==
The main symptoms are:

* Decreased motion of the shoulder
* Pain
* Stiffness
* Frozen shoulder without any known cause starts with pain. This pain prevents you from moving your arm. Lack of movement leads to stiffness and then even less motion. Over time, you become unable to do movements such as reaching over your head or behind you.
==What causes Adhesive capsulitis of shoulder?==
The capsule of the shoulder joint has ligaments that hold the shoulder bones to each other. When the capsule becomes inflamed, the shoulder bones are unable to move freely in the joint.

Most of the time there is no cause for frozen shoulder. Risk factors include:

* Cervical disk disease of the neck
* [[Diabetes]]
* [[Shoulder injury]]
* Shoulder surgery
* [[Open heart surgery]]
* Thyroid problems

==Diagnosis==
The health care provider will ask about your symptoms and an examine your shoulder. A diagnosis is often made when you are not able to rotate your shoulder.

You may have x-rays of the shoulder. This is to make sure there is no other problem, such as [[arthritis]]. Sometimes an MRI exam shows [[inflammation]]. But imaging tests do not show specific signs to diagnose frozen shoulder.

==When to seek urgent medical care?==

If you have shoulder pain and [[stiffness]] and think you have a frozen shoulder, contact your health care provider for referral and treatment.

==Treatment options==
Pain is treated with nonsteroidal anti-inflammatory medications ([[NSAID]]s) and steroid injections. [[Steroid]] injections plus [[physical therapy]] can improve your motion.

It can take a few weeks to see progress. It may take as long as 6 - 9 months for complete recovery. Physical therapy is intense and needs to be done every day.

Left untreated, the condition often gets better by itself within 2 years with little loss of motion.

Risk factors for frozen shoulder, such as [[diabete]]s or [[thyroid problem]]s, should also be treated.

Surgery is recommended if nonsurgical treatment is not effective. This procedure ([[shoulder arthroscopy]]) is done under anesthesia. During surgery the scar tissue is released by bringing the [[shoulder]] through a full range of motion. Arthroscopic surgery can also be used to cut the tight [[ligament]]s and remove the [[scar tissue]] from the [[shoulder]]. After surgery, you may receive pain blocks so you can participate in physical therapy.

==Where to find medical care for Adhesive capsulitis of shoulder?==
[http://maps.google.com/maps?q={{urlencode:{{#if:{{{1|}}}|{{{1}}}|map+top+hospital+Condition}}}}&oe=utf-8&rls=org.mozilla:en-US:official&client=firefox-a&um=1&ie=UTF-8&sa=N&hl=en&tab=wlDirections to Hospitals Treating Adhesive capsulitis of shoulder]
==Prevention==
The best way to prevent frozen shoulder is to contact your health care provider if you develop shoulder pain that limits your range of motion for an extended period. Early treatment and helps prevent [[stiffness]].
People who have [[diabetes]] will be less likely to get frozen shoulder if they keep their condition under control.

==What to expect (Outlook/Prognosis)?==
Treatment with [[physical therapy]] and [[NSAID]]s will usually restore motion and function of the [[shoulder]] within a year. Even untreated, the shoulder can get better by itself in 24 months.

After surgery restores motion, you must continue physical therapy for several weeks or months to prevent the frozen shoulder from returning. Treatment may fail if you cannot keep up with physical therapy.

==Possible complications==
* [[Stiffness]] and pain continue even with therapy
* The arm can break if the shoulder is moved forcefully during [[surgery]]

==Sources==
http://www.nlm.nih.gov/medlineplus/ency/article/000455.


[[Category:Patient information]]

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