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Frozen Shoulder

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Frozen shoulder is a common diagnosis for shoulder pain. However, not every painful shoulder with limited movements is a frozen shoulder. Careful examination by an experienced Orthopaedic Surgeon is needed to rule out other causes. This video explains the frozen shoulder in Hindi language. you can get more details on this link.

Types

Many times the cause of a frozen shoulder may not be obvious. This is called idiopathic frozen shoulder. About half the patients have predisposing factors like diabetes, arthritis or may have had injury. Other relatively rare causes may include thyroid disorders, Parkinsonism, or heart conditions. They suffer from secondary frozen shoulder.

Pain can also arise from a variety of other causes like tendon tear, bursitis, or impingement. This can frequently get misdiagnosed as frozen shoulder.

Historically, three stages of frozen shoulder have been defined, although in reality, these are not distinct and overlap significantly:

Freezing (Painful) Stage

1st Stage Freezing

This is the acute inflammatory phase that is usually extremely painful. The symptoms in this stage that can last between 3-9 months.

Frozen (Stiff) Stage

2nd Stage Frozen

This is when the acute pain settles down, but patients are left with varying degree of stiffness. The frozen stage can last 12 – 24 months in total.

Thawing (Resolution/ Return of Mobility) Stage

3rd Stage Thawing

This is when tissues begin to loosen up, and movements begin to improve towards normal. Most patients however are left with slight deficit towards the end range. The stage can last another 12-18 months.

Overall, the natural cycle of frozen shoulder can last 2-4 years, there is considerable variation in individual presentation, and examination is important to establish the diagnosis.

A regional block with or without GA is used for the operation. The block is very useful for the first 24-48 hours when the pain is at its worst. Success rates after surgery vary between 80-95%.

Frozen Shoulder

Frozen Shoulder released via Key Hole Surgery

The above picture represents release of the capsule whilst taking care to preserve the important structures like tendons, and cartilage.

Here is a short video of the arthroscopic procedure. Please contact using the details on this website if you need a consultation.

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