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Frozen shoulder treament

what is frozen shoulder
Treatment for frozen shoulder involves range-of-motion exercises and, sometimes, corticosteroids and numbing medications injected into the joint capsule. In a small percentage of cases, arthroscopic surgery may be indicated to loosen the joint capsule so that it can move more freely.

symptom
Freezing stage. Any movement of your shoulder causes pain, and your shoulder's range of motion starts to become limited.
Frozen stage. Pain may begin to diminish during this stage. However, your shoulder becomes stiffer, and using it becomes more difficult.
Thawing stage. The range of motion in your shoulder begins to improve.

causes
The bones, ligaments and tendons that make up your shoulder joint are encased in a capsule of connective tissue. Frozen shoulder occurs when this capsule thickens and tightens around the shoulder joint, restricting its movement.

Doctors aren't sure why this happens to some people, although it's more likely to occur in people who have diabetes or those who recently had to immobilize their shoulder for a long period, such as after surgery or an arm fracture.

Risk factor
Certain factors may increase your risk of developing frozen shoulder.

Age and s*x
People 40 and older, particularly women, are more likely to have frozen shoulder.

Immobility or reduced mobility
People who've had prolonged immobility or reduced mobility of the shoulder are at higher risk of developing frozen shoulder. Immobility may be the result of many factors, including:

Rotator cuff injury
Broken arm
Stroke
Recovery from surgery
Systemic diseases
People who have certain diseases appear more likely to develop frozen shoulder. Diseases that might increase risk include:

Diabetes
Overactive thyroid (hyperthyroidism)
Underactive thyroid (hypothyroidism)
Cardiovascular disease
Tuberculosis
Parkinson's disease
One of the most common causes of frozen shoulder is the immobility that may result during recovery from a shoulder injury, broken arm or a stroke. If you've had an injury that makes it difficult to move your shoulder, talk to your doctor about exercises you can do to maintain the range of motion in your shoulder joint.

Treatment
Illustration showing shoulder exercises
Shoulder exercisesOpen pop-up dialog box
Most frozen shoulder treatment involves controlling shoulder pain and preserving as much range of motion in the shoulder as possible.

Medications
Over-the-counter pain relievers, such as aspirin and ibuprofen (Advil, Motrin IB, others), can help reduce pain and inflammation associated with frozen shoulder. In some cases, your doctor may prescribe stronger pain-relieving and anti-inflammatory drugs.

Therapy
A physical therapist can teach you range-of-motion exercises to help recover as much mobility in your shoulder as possible. Your commitment to doing these exercises is important to optimize recovery of your mobility.

Surgical and other procedures
Most frozen shoulders get better on their own within 12 to 18 months. For persistent symptoms, your doctor may suggest:

Steroid injections. Injecting corticosteroids into your shoulder joint may help decrease pain and improve shoulder mobility, especially in the early stages of the process.
Joint distension. Injecting sterile water into the joint capsule can help stretch the tissue and make it easier to move the joint.
Shoulder manipulation. In this procedure, you receive a general anesthetic, so you'll be unconscious and feel no pain. Then the doctor moves your shoulder joint in different directions, to help loosen the tightened tissue.
Surgery. Surgery for frozen shoulder is rare, but if nothing else has helped, your doctor may recommend surgery to remove scar tissue and adhesions from inside your shoulder joint. Doctors usually perform this surgery with lighted, tubular instruments inserted through small incisions around your joint (arthroscopically).

Here patient perform wall push up exercise
The pushup is a simple exercise that can strengthen and tone many of the muscles of the upper body and core. There are many variations of pushup that suit a range of abilities and focus on different sets of muscles.
However, pushups require many other muscles in the body to work to keep the body in a rigid plank position. These muscles may include:

lower back muscles
abdominal, or core muscles
gluteus maximus and medius, which are the buttocks muscles
leg muscles, including the hamstrings, quadriceps, calf, and shin muscles
Stand in front of a wall, just over an arm’s length away. Feet should be shoulder-width apart.
Bring the hands to shoulder height. Lean forward, extend the arms, and place the hands flat on the wall. Hands should also be shoulder-width apart.
Inhale and bend the elbows, lowering the body toward the wall. During this movement, squeeze the core and buttocks to maintain a strong, straight position.
Pause for 1 second and then push off the wall with the arms, keeping the hands on the wall. The feet should remain flat on the floor. If the heels come up, move slightly closer to the wall.
Try to do 3 sets of 12 repetitions, reaching a total of 36 pushups. Take a short break between sets.

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