Frozen shoulder
Hello Dr.
Cheng, I have been unable to lift or extend my left arm backward for several months.
The doctor diagnosed it as frozen shoulder and advised me to undergo rehabilitation, but I haven't seen much improvement.
Is there a chance for recovery from frozen shoulder?
wong, 50~59 year old female. Ask Date: 2004/08/08
Dr. Zheng Shunping reply Rehabilitation
Hello: In response to your question, with appropriate treatment, the pain associated with frozen shoulder can improve, and joint mobility can progress, allowing daily activities to gradually return to normal.
Therefore, it is important to have confidence and actively participate in rehabilitation exercises, including pendulum exercises, rotational movements, finger ladder exercises, and stretching with a stick.
There is a good chance of recovery.
Reply Date: 2004/08/08
More Info
Frozen shoulder, also known as adhesive capsulitis, is a condition characterized by stiffness and pain in the shoulder joint. It typically progresses through three stages: the freezing stage, the frozen stage, and the thawing stage. Each stage can last for several months, and the entire process may take anywhere from one to three years to resolve completely.
In your case, it sounds like you have been experiencing significant limitations in your left shoulder movement for several months, which aligns with the symptoms of frozen shoulder. The fact that your doctor has diagnosed it as "fifty shoulder" (a colloquial term often used for frozen shoulder) suggests that they believe the condition is likely due to inflammation and thickening of the shoulder capsule.
The good news is that frozen shoulder can often be fully recovered, although the timeline can vary significantly from person to person. Here are some key points to consider regarding recovery from frozen shoulder:
1. Physical Therapy: Engaging in a structured physical therapy program is crucial. A physical therapist can guide you through specific exercises designed to improve your range of motion and reduce pain. It's essential to be consistent with these exercises, even if you don't see immediate results.
2. Pain Management: Managing pain is an important aspect of recovery. Over-the-counter nonsteroidal anti-inflammatory drugs (NSAIDs) can help alleviate pain and inflammation. If you have allergies to certain medications, discuss alternative pain management strategies with your healthcare provider.
3. Corticosteroid Injections: In some cases, corticosteroid injections may be recommended to reduce inflammation and pain, allowing for more effective participation in physical therapy.
4. Surgical Options: If conservative treatments do not yield satisfactory results after a significant period, surgical options such as arthroscopic capsular release may be considered. This procedure involves cutting the tight portions of the shoulder capsule to allow for increased movement.
5. Time and Patience: Recovery from frozen shoulder can be a slow process. It's important to remain patient and committed to your rehabilitation program. Many individuals experience gradual improvement over time, even if it feels frustrating in the moment.
6. Home Exercises: In addition to professional therapy, performing gentle stretching and strengthening exercises at home can be beneficial. Simple movements like pendulum swings, wall crawls, and towel stretches can help maintain mobility.
7. Avoiding Overexertion: While it's important to stay active, avoid pushing through severe pain, as this can lead to further inflammation and setbacks in your recovery.
In summary, while frozen shoulder can be a challenging condition, many individuals do achieve full recovery with the right combination of physical therapy, pain management, and time. If you feel that your current rehabilitation efforts are not effective, consider discussing your concerns with your healthcare provider. They may recommend a reassessment of your treatment plan or refer you to a specialist for further evaluation. Remember, every individual's recovery journey is unique, so stay positive and committed to your rehabilitation efforts.
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