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Frozen Shoulder is not a medical diagnosis, but a term that describes the immobilization of the shoulder. Pain that occurs for various reasons causes loss of movement in the shoulder and there is a limitation of movement in the shoulder over time. The arm cannot be raised to the above-head level, it cannot be moved to the back, and shoulder movements are painful.
Mechanism of Occurrence
Fractures around the shoulder, shoulder dislocation, general traumas, rotator cuff tear and prolonged immobility of the shoulder due to various reasons are the most common causes of "frozen shoulder". But apart from these, it can also develop for very different reasons. When examined at the cellular level, it is the thickening and hardening of the capsule surrounding the shoulder joint and the surrounding tissues losing their elasticity. Due to the decrease in mobility, hardening progresses over time and the shoulder joint becomes unable to move. It may also begin following simple injuries. This situation is not related to joint cartilage degeneration, but it can be seen more frequently in patients with diseases such as diabetes and hypothyroidism. Therefore, such diseases should be investigated in patients with frozen shoulder.
The disease consists of 3 periods. The first period is the beginning period, there is pain and slight limitation in movements. Movement limitation gradually increases. The pain is especially severe at night.
This period lasts 2 to 9 months. In the second period, the pain decreased relatively, although the movement was limited, they did not have much complaints. Patients who need to use their shoulders due to their daily life or profession have functional complaints. This period continues for 4 to 9 months. In the third period, there is a gradual improvement.
This period varies between 12 and 24 months. It is more common in women. (70% of women) It is more common in women between the ages of 40 and 65. X-ray findings are usually normal.
Treatment varies according to the period of the disease. The disease tends to recover spontaneously over time, treatment aims to shorten this process.
The aim of treatment is to relieve pain, reduce inflammation and increase movement. Physical therapy is particularly useful in regaining shoulder movements. If the disease does not improve despite long treatments, arthroscopic release surgery is recommended.