Frozen Shoulder Treatment
What is a Frozen Shoulder?
Frozen shoulder is a condition characterized by limitation of shoulder joint movements and pain. Frozen shoulder, whose medical term is "adhesive capsulitis", occurs as a result of thickening and hardening of the joint capsule in the shoulder joint. In this case, the joint capsule narrows over time and joint movements are limited.
Frozen shoulder usually follows a course of three stages:
Stage 1 “Freezing” stage: At this stage, gradual limitation of shoulder movements and pain are felt. Shoulder joint capsule thickens and hardens, restricting joint movements. The most severe pain period of frozen shoulder is usually experienced at this stage.
Stage 2 “Dull” stage: At this stage, the shoulder joint becomes more limited and movements become more difficult. The pain usually decreases slightly, but the limitation of shoulder movements continues.
Stage 3 “Thaw” stage: At this stage, shoulder joint movements gradually return and the limitation decreases. The joint capsule regains its flexibility and shoulder movements return to normal. The pain also gradually decreases.
The exact cause of frozen shoulder is not known. However, certain factors can increase the risk of frozen shoulder. These may include hormonal changes, thyroid problems, diabetes, heart disease, shoulder injuries, immobilization, stress or trauma.
Frozen shoulder treatment usually includes conservative methods. Physical therapy, exercises to increase shoulder movements, drugs used to relieve pain, and sometimes corticosteroid injections are among these treatment options. In rare cases, surgical intervention may be required to treat frozen shoulder.
It is important to see a healthcare professional for the diagnosis and treatment of frozen shoulder. Your doctor will assess your symptoms and assist you with the appropriate treatment plan.
What Causes Frozen Shoulder Syndrome?
The causes of frozen shoulder syndrome are not fully known. However, some factors are thought to contribute to frozen shoulder syndrome. Here are the possible causes of frozen shoulder syndrome:
1. Immobilization: If the shoulder joint is subjected to prolonged immobilization (immobilization), this can lead to frozen shoulder syndrome. For example, immobilization with a cast, after shoulder surgery, or after prolonged bed rest, the shoulder joint may be limited and frozen shoulder may develop.
2. Shoulder injuries: Injuries, trauma or surgical interventions in the shoulder area can contribute to the development of frozen shoulder syndrome. For example, frozen shoulder syndrome can occur as a result of inflammation or rupture of the shoulder capsule.
3. Diabetes: It is known that frozen shoulder syndrome is more common in diabetic patients. Diabetes can cause structural changes in the tissues of the shoulder joint and increase the risk of frozen shoulder syndrome.
4. Rheumatological diseases: Some rheumatological diseases, especially autoimmune diseases such as rheumatoid arthritis or lupus, can cause joint inflammation and stiffness. This increases the risk of frozen shoulder syndrome.
5. Hormonal factors: It is thought that some hormonal changes may lead to frozen shoulder syndrome, especially in menopausal women. It has been suggested that hormonal changes may cause inflammation and hardening of the joint capsule.
Although frozen shoulder syndrome has a complex cause, it is thought that these factors may contribute to frozen shoulder syndrome. However, a clear cause may not always be found. It is important for people experiencing symptoms of frozen shoulder syndrome to see a healthcare professional. You should consult your doctor to determine the appropriate diagnosis and treatment plan.
How to Treat Frozen Shoulder?
Treatment of frozen shoulder syndrome usually involves conservative methods. Here are the frozen shoulder syndrome treatment options:
1. Physical therapy: Physical therapy is a basic method in the treatment of frozen shoulder syndrome. Physiotherapists apply special exercises and mobilization techniques to increase shoulder movement, restore joint flexibility and relieve pain. The physical therapy program is often tailored to individual needs.
2. Pain-relieving drugs: To reduce pain and control inflammation, your doctor may recommend prescription or over-the-counter pain relievers or anti-inflammatory drugs. However, it is important to consult your doctor before using these drugs.
3. Corticosteroid injections: In severe pain, your doctor may recommend a corticosteroid injection. These injections relieve pain by reducing inflammation in the joint. However, this treatment option is usually applied in limited numbers and at certain intervals.
4. Shoulder joint manipulation: In some cases, your doctor may recommend shoulder joint manipulation (manual therapy). In this method, the expert increases the range of motion by manipulating the shoulder joint movements with their hands without restricting them.
5. Home exercise program: It is important to regularly do the exercises recommended by the physiotherapist at home. These exercises increase shoulder movements, strengthen muscles and restore flexibility. It is important to do it regularly and correctly.
6. Cold and hot application: Cold compresses or hot compresses can be applied to relieve pain. A cold compress reduces inflammation, while a warm compress helps relax the muscles. It can be applied to the relevant area for 15-20 minutes.
It is important to follow your doctor's recommendations during the treatment process. Before starting any exercise or treatment method, you should consult your doctor and follow their directions. The treatment process may vary according to the needs and condition of the person, so your doctor will determine the appropriate treatment plan for you.
