Anatomy & Background
Adhesive capsulitis, more commonly known as frozen shoulder, is an inflammatory condition of the shoulder accompanied by pain, loss of function and decreased shoulder mobility known as the characteristic “frozen” feeling. It typically presents most often in females aged 40 to 60 years old.
What happens when your shoulder “freezes?”
The joint capsule is a sleeve of connective tissue that supports and provides stability to the shoulder joint. When inflamed, the capsule constricts, causing painful tightness and limiting your range of motion. As the capsule shortens and range of motion decreases, other muscles connected to the area can shorten as well and atrophy compounding movement restrictions.
Causes
Adhesive capsulitis is often triggered by other inflammatory conditions such as bursitis, tendonitis or shoulder impingement. Other activities or conditions that put an individual at risk to the development of adhesive capsulitis includes:
- Participating in repetitive overhead athletic activities like swimming, tennis, softball, or baseball.
- Repetitive strain, stemming from overuse on the job.
- Sudden trauma to the shoulder.
- Very infrequently, frozen shoulder may develop during post surgical shoulder rehabilitation (including open and arthroscopic procedures and shoulder joint replacements) if the patient does not adhere to the rehabilitation schedule.
- Patients with a history of diabetes or uncontrolled blood sugar levels may develop a special type of frozen shoulder called “Diabetic Shoulder”.
Signs and Symptoms of Frozen Shoulder
- Shoulder pain and muscle weakness that radiate to the upper arm.
- Moderate to severe loss of shoulder motion, especially the ability to reach overhead and behind the back.
- Difficulty dressing and performing activities of daily living (ADL’s).
- Pain when sleeping followed by discomfort and tightness upon waking.
Medicine Intervenes
Pain management and injury doctor in NJ Dr. Freeman may recommend the following listed below in addition to physical therapy.
- The use of NSAIDs (Non-Steroidal Anti-Inflammatory Drugs).
- Steroidal injections to reduce inflammation.
- A pain management program, including medication, designed to reduce discomfort so the patient may be able perform recommended exercises.
- Manipulation or passive movement of the restricted shoulder joint under anesthesia to improve motion, break up scar tissue, adhesions and restore function. Use of this treatment is rare, but occasionally is necessary, depending on the severity of the condition.
- Surgery to correct underlying pathology or the cause of the frozen shoulder.
Prognosis
Under a comprehensive physical therapy rehabilitation program in our sports injury clinic in NJ, many individuals are able to limit the effects of connective tissue dysfunction and will likely see a decrease in symptoms over a period of time ranging between two weeks and six months. For patients with more advanced cases or if results are not realized after a significant time period, surgical intervention may be considered.
Our pain management centers are among the best in the region. Our doctors are affiliated with the top rated hospitals in New Jersey including RWJ Barnabas and Morristown Medical Center. Physicians working at Redefine Healthcare are contributors to many prominent media outlets and are the best NJ injury doctors.
Dr. Eric D. Freeman, a highly regarded pain specialist in New Jersey, is board-certified and fellowship-trained in Interventional Spine and Pain Management and Physical Medicine and Rehabilitation. He is an expert in minimally invasive spinal procedures and non-surgical orthopedic care.
Dr. Freeman is a member of the American Academy of Physical Medicine and Rehabilitation and the Interventional Pain Practice Society. In addition, he serves as the Immediate Past President of the New Jersey Society of Interventional Pain Physicians. Dr. Freeman is well-known in the field of pain management as a leading pain management doctor, having been named one of "America's Top Physicians."
