Shoulder Pain: Is It Frozen Shoulder or Something Else? - Orthopedics

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Shoulder pain can be a complex issue, and it’s essential to understand the underlying causes to determine the appropriate treatment. Based on your description, it sounds like your father may be experiencing symptoms consistent with a condition known as "frozen shoulder," or adhesive capsulitis. This condition is characterized by stiffness and pain in the shoulder joint, which can significantly limit the range of motion.

Frozen shoulder typically develops gradually and can be associated with several factors, including age, previous shoulder injuries, or certain medical conditions such as diabetes. The hallmark of frozen shoulder is the inability to lift the arm above shoulder level, often accompanied by pain that can worsen at night or with certain movements. The pain may also radiate down the arm, and individuals often find it challenging to perform daily activities that require shoulder mobility.

However, it’s important to note that other conditions could also cause similar symptoms. For instance, rotator cuff injuries, tendinitis, bursitis, or even arthritis can lead to pain and restricted movement in the shoulder. Given that your father is experiencing pain when trying to lift his arm, it’s crucial to differentiate between these conditions.

To accurately diagnose the issue, a thorough clinical evaluation is necessary. This typically includes a physical examination where the doctor assesses the range of motion, strength, and areas of tenderness in the shoulder. Imaging studies, such as X-rays or MRI, may also be recommended to rule out structural problems like tears in the rotator cuff or other injuries.

If it is indeed frozen shoulder, treatment options generally include:
1. Physical Therapy: A structured physical therapy program can help improve range of motion and reduce pain. Therapists often use specific exercises to gradually increase mobility and strength.

2. Medications: Nonsteroidal anti-inflammatory drugs (NSAIDs) can help manage pain and inflammation. In some cases, corticosteroid injections may be recommended to reduce inflammation in the shoulder joint.

3. Heat and Ice Therapy: Applying heat before exercises can help relax the muscles, while ice can reduce inflammation and pain after activity.

4. Activity Modification: Avoiding activities that exacerbate the pain can help manage symptoms. However, it’s important to maintain some level of activity to prevent stiffness.

5. Surgery: In rare cases where conservative treatments fail, surgical options such as arthroscopic capsular release may be considered to improve shoulder mobility.

It's essential for your father to consult with a healthcare professional who can provide a comprehensive evaluation and tailor a treatment plan based on his specific condition. Early intervention is crucial in managing shoulder pain effectively and preventing long-term complications.

In summary, while frozen shoulder is a possibility given the symptoms described, a definitive diagnosis can only be made through a thorough examination and possibly imaging studies. Prompt medical attention will help ensure that your father receives the appropriate care to alleviate his pain and restore function to his shoulder.