FROZEN SHOULDER
It is a condition in which the joint capsule, which contributes to the stability of the shoulder joint, narrows and restricts shoulder movements. It may not have any cause, but sometimes it may occur together with diabetes. It can last 12-18 months, is painful and causes movement restrictions. Generally, it starts with pain and then movement limitation is added. Treatment timing is very important. The patient's complaints may increase in early physical therapy.
Complaint
In cases of frozen shoulder that begin without trauma, gradually increasing pain and limitation of movement are the first complaints of patients. The shoulder is restricted in all directions, and the patient begins to be unable to lift his arm. Increasing night pains are common.
Examination
Examination findings may vary depending on frozen shoulder periods. In the first stage, the painful phase, there is pain that cannot be accurately located in shoulder movements. In the second stage, which is the limitation of movement, the arm cannot be fully extended or its internal and external rotations are hindered and painful. In the last period of movement limitation, the pain has decreased, but the shoulder is restricted in all directions.
Diagnosis
The diagnosis of frozen shoulder can usually be made by examination. If additional problems are suspected, x-rays and magnetic resonance may be ordered. Since x-rays show bone problems, generally no problems are seen on x-rays. Edema of the shoulder capsule is seen on magnetic resonance and is helpful in diagnosis.
Treatment
Frozen shoulder treatment is a long-term process that requires careful attention. Treatment selection is appropriate according to the stages of the disease, but the main thing is to relieve pain and inflammatory conditions. During painful periods, the arm is rested using painkillers and anti-edema medications. In case of complaints that do not go away, intra-shoulder injection and physical therapy can be tried. Excessive load on the shoulder during this period may increase complaints, and it is necessary to be careful in physical therapy applications. Arthroscopic surgery and release surgery may be required to solve chronic frozen shoulder cases. It is important to work together with physical therapy. Physical therapy should be emphasized when pain subsides and movement limitation is evident.