| Version | Summary | Created by | Modification | Content Size | Created at | Operation |
|---|---|---|---|---|---|---|
| 1 | Camila Xu | -- | 1853 | 2022-11-02 01:37:49 |
Adhesive capsulitis, also known as a frozen shoulder, is a painful and disabling disorder of unclear cause in which the shoulder capsule, the connective tissue surrounding the glenohumeral joint of the shoulder, becomes inflamed and stiff, greatly restricting motion and causing pain. Pain is usually constant, worse at night, and with cold weather. Certain movements or bumps can provoke episodes of increased pain. People who have adhesive capsulitis usually experience pain and sleep deprivation for prolonged periods due to pain that gets worse when lying still and restricted movement. The condition can lead to depression, problems in the neck and back, and weight loss due to long-term lack of deep sleep. People who have adhesive capsulitis may have difficulty concentrating, working, or performing daily life activities for extended periods of time. The condition tends to be self-limiting and usually resolves over time without surgery. Most people regain about 90% of shoulder motion over time. The condition is thought to be caused by injury or trauma to the area and may have an autoimmune component. Risk factors for frozen shoulder include tonic seizures, diabetes mellitus, stroke, accidents, lung disease, connective tissue diseases, thyroid disease, and heart disease. It is more prevalent in people 40–65 years of age, and in females. Treatment may be painful and taxing and consists of physical therapy, occupational therapy, medication, massage therapy, hydrodilatation or surgery. A physician may also perform manipulation under anesthesia, which breaks up the adhesions and scar tissue in the joint to help restore some range of motion. Alternative treatments exist such as the Trigenics OAT Procedure, ART, and the OTZ method. But these can vary in efficacy depending on the type and severity of the frozen shoulder. Pain and inflammation can be controlled with pain medications such as NSAIDs. Steroid injection alone is only of short term benefit in improving pain.