The shoulder is a complex anatomic structure that allows movement in many planes. Patients often ignore the importance of the shoulder joint until its function becomes compromised. It then becomes obvious how crucial it is for many essential activities. The expression “If you don’t use it, you lose it” applies perfectly to diseases of the shoulder because any voluntary or involuntary guarding of the shoulder may result in loss of mobility.
Your shoulder is made up of three bones that form a ball-and-socket joint. There’s also tissue surrounding your shoulder joint that holds everything together. This is called the shoulder capsule.
The term “adhesive capsulitis” has been applied to conditions when the shoulder is working at less than its optimal range. Because the shoulder joint is so complex, it is important to determine the precise cause for loss of shoulder mobility. It is paramount that physicians use proper terminology so that they can communicate effectively and treat patients appropriately.
What is Adhesive Capsulitis?
Adhesive Capsulitis, also called Frozen Shoulder, is a painful condition in which the movement of the shoulder becomes limited.
Adhesive Capsulitis occurs when the strong connective tissue surrounding the shoulder joint (called the shoulder joint capsule) become thick, stiff, and inflamed. (The joint capsule contains the ligaments that attach the top of the upper arm bone [humeral head] to the shoulder socket [glenoid], firmly holding the joint in place. This is more commonly known as the “ball and socket” joint.)
The condition is called “frozen” or “Adhesive” shoulder as it becomes stiff, because the more pain that is felt, the less likely the shoulder will be used. Lack of use causes the shoulder capsule to thicken and becomes tight, making the shoulder even more difficult to move — it is “frozen” in its position.
Aetiology/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.
- Presently doctors being unclear for this condition. 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.
- The pathos-aetiology of adhesive capsulitis is, however, complex and multifactorial with both geneticand environmental factors playing an important role.
- However, there is a hypothesis based on arthroscopic and pathologic observations, that there is an inflammatory component within the axillary fold. This is followed by stiffness and adhesions, which results in fibrosis of the synovial lining, which is associated with the inflammation.
Hence there are two categories for the adhesive capsulitis/ Frozen Shoulder:
- Primary– Onset is generally idiopathic (it comes on for no attributable reason).
- Secondary– Results from a known cause, predisposing factor or surgical event. For example, post-surgery, post-stroke and post-injury, an arm fracture.
Where post-injury, there may be an altered movement patterns to protect the painful structures, which will in turn change the motor control of the shoulder, reducing the range of motion, and gradually stiffens up the joint.
Three subcategories of secondary frozen shoulder include:
- Systemic(diabetes mellitus and other metabolic conditions);
- Extrinsic factors(cardiopulmonary disease, cervical disc, CVA, humerus fractures, Parkinson’s disease);
- Intrinsic factors(rotator cuff pathologies, biceps tendinopathy, calcific tendinopathy, AC joint arthritis).
People 40 and older, particularly women, are more likely to have frozen shoulder.
Incidence:
Adhesive capsulitis has an incidence of 3–5% in the general population and up to 20% in those with diabetes. This disorder is one of the most common musculoskeletal problems seen in orthopaedics .Although some have described adhesive capsulitis as a self-limiting disorder that resolves in 1–3 years other studies report ranges of between 20 and 50% of patients with adhesive capsulitis which suffer long-term range of motion (ROM) deficits that may last up to 10 years .
The typical patient that develops adhesive capsulitis is a female in her 5th to 7th decade of life. Adhesive capsulitis is commonly associated with other systemic and no systemic conditions. By far the most common is the co-morbid condition of diabetes mellitus, with an incidence of 10–36% .
Other co-morbid conditions include hypoadrenalism, Parkinson’s disease, hyperthyroidism, pulmonary disease, hypothyroidism, cardiac disease, stroke, and even surgical procedures that do not affect the shoulder such as cardiac surgery, cardiac catheterization, neurosurgery, and radical neck dissection.
Symptoms:
Frozen shoulder typically develops slowly, and in three stages. Each stage can last a number of months.
- The “freezing” stage.Any movement of your shoulder causes pain, and your shoulder’s range of motion starts to become limited. In this stage, the shoulder becomes stiff and is painful to move. The pain slowly increases. It may worsen at night. Inability to move the shoulder increases. This stage lasts 6 weeks to 9 months.
- The “frozen” stage:Pain may begin to diminish during this stage. However, your shoulder becomes stiffer, and using it becomes more difficult. During frozen stage pain may lessen, but the shoulder remains stiff. This makes it more difficult to complete daily tasks and activities. This stage lasts 2 to 6 months.
- The “thawing” (recovery) stage: The range of motion in your shoulder begins to improve. In this stage, pain lessens, and ability to move the shoulder slowly improves. Full or near full recovery occurs as normal strength and motion return. The stage lasts 6 months to 2 years.
Prevention:
- 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.
However Adhesive capsulitis is a musculoskeletal condition that has a disabling capability. The early diagnosis can be cured with non-operative treatments. But if the condition is ignored for the long time it can be turned into serious one which has to go under operative management for recovery.
55 comments to “Adhesive Capsulitis: A Sticky Issue”
Great blog here! Also your site loads up very fast!
What web host are you using? Can I get your affiliate link to
your host? I wish my web site loaded up as fast as yours lol
I was recommended this web site by my cousin. I am not sure whether this post is written by
him as nobody else know such detailed about my trouble.
You are incredible! Thanks!
Thank you for another great article. Where else may anyone get that kind of information in such an ideal approach of writing?
I’ve a presentation next week, and I’m on the look for such
information.
whoah this weblog is fantastic i love reading your posts.
Stay up the great work! You already know,
a lot of persons are looking around for this information, you could help them greatly.
I’m not sure why but this weblog is loading very slow for me.
Is anyone else having this problem or is it a issue on my end?
I’ll check back later and see if the problem still exists.
You are so awesome! I don’t think I have read something like that before.
So wonderful to find somebody with original thoughts on this subject.
Really.. thank you for starting this up. This website
is one thing that is required on the web, someone with a little originality!
I believe this is among the such a lot important info for me.
And i’m glad studying your article. But wanna statement on few normal issues, The website style
is wonderful, the articles is in reality excellent : D.
Excellent process, cheers
I’m truly enjoying the design and layout of your blog.
It’s a very easy on the eyes which makes it much more enjoyable for me
to come here and visit more often. Did you hire
out a designer to create your theme? Superb work!
Attractive section of content. I just stumbled upon your blog and in accession capital to assert that
I acquire in fact enjoyed account your blog posts.
Anyway I will be subscribing to your feeds and even I achievement you access consistently rapidly.
Wonderful beat ! I would like to apprentice while you
amend your website, how could i subscribe for a
blog web site? The account aided me a acceptable deal.
I had been tiny bit acquainted of this your broadcast provided bright clear idea
It’s remarkable to visit this web site and reading the views of all colleagues regarding this article, while I am also zealous
of getting experience.
Oh my goodness! Awesome article dude! Thank you
so much, However I am encountering troubles with your RSS.
I don’t understand why I cannot subscribe to it.
Is there anybody else getting identical RSS problems?
Anybody who knows the answer can you kindly respond?
Thanks!!
Hi there very cool web site!! Guy .. Beautiful .. Amazing ..
I will bookmark your web site and take the feeds also?
I am happy to search out a lot of useful info here in the publish, we need develop extra strategies in this regard,
thanks for sharing. . . . . .
I was curious if you ever thought of changing the structure of
your website? Its very well written; I love what youve got to
say. But maybe you could a little more in the way of content
so people could connect with it better. Youve got an awful lot of
text for only having one or two images. Maybe you could space
it out better?
I’ll immediately grasp your rss feed as I can’t to find your email subscription hyperlink or newsletter service.
Do you’ve any? Kindly permit me know so that I could subscribe.
Thanks.
Thanks for finally writing about > Adhesive Capsulitis: A Sticky Issue – Agile Ortho < Loved it!
Hi! Do you use Twitter? I’d like to follow you if that
would be okay. I’m undoubtedly enjoying your blog and
look forward to new updates.
Excellent article. I absolutely appreciate this site.
Continue the good work!
Great beat ! I would like to apprentice while you amend your website, how can i subscribe for a blog website?
The account aided me a acceptable deal. I had been a little bit acquainted
of this your broadcast provided bright clear concept
Good day! This post couldn’t be written any better!
Reading this post reminds me of my previous room mate!
He always kept chatting about this. I will forward this post to him.
Pretty sure he will have a good read. Thanks for sharing!
Wonderful blog! I found it while searching on Yahoo News.
Do you have any suggestions on how to get listed
in Yahoo News? I’ve been trying for a while but I never
seem to get there! Many thanks
It has a massive variety of slots, the best table games, and
HD reside dealer games.
precursor was “twenty-one,” a game of unknown origin, but references to this game have been initially
An outstanding share! I have just forwarded this onto a coworker who had been doing a little research on this. And he in fact bought me breakfast because I discovered it for him… lol. So allow me to reword this…. Thanks for the meal!! But yeah, thanks for spending some time to talk about this issue here on your blog.
Have you ever considered publishing an e-book or guest authoring on other websites?
I have a blog centered on the same subjects you discuss and
would love to have you share some stories/information. I
know my subscribers would appreciate your work. If you are even remotely interested, feel free
to shoot me an e mail.
Howdy very cool website!! Guy .. Excellent .. Wonderful ..
I will bookmark your blog and take the feeds additionally?
I’m satisfied to find so many useful information right here within the publish,
we want work out more strategies on this regard, thank you for
sharing. . . . . .
you are actually a good webmaster. The website loading velocity is amazing.
It kind of feels that you’re doing any distinctive
trick. Also, The contents are masterpiece. you’ve performed a excellent task in this subject!
I used to be recommended this blog via my cousin. I am not positive whether this submit is written via him as no one else understand
such certain approximately my problem. You are amazing!
Thank you!
Hi there just wanted to give you a quick heads up.
The text in your article seem to be running off the screen in Opera.
I’m not sure if this is a format issue or something to do with browser compatibility
but I figured I’d post to let you know. The design and style look great though!
Hope you get the issue resolved soon. Thanks
You actually make it seem so easy with your presentation but I
find this topic to be actually something which I think I would never understand.
It seems too complicated and extremely broad for me. I am looking forward for
your next post, I will try to get the hang of it!
I every time emailed this website post page to all my associates, as if
like to read it next my links will too.
Hi! Would you mind if I share your blog with my facebook
group? There’s a lot of folks that I think would really
enjoy your content. Please let me know. Cheers
Hello! I could have sworn I’ve been to this site before but after checking through some of the post I realized it’s new to me.
Nonetheless, I’m definitely glad I found it and I’ll be
book-marking and checking back frequently!
whoah this blog is wonderful i really like reading your articles.
Keep up the good work! You realize, lots of individuals are hunting round for this information, you could help them greatly.
I think the admin of this website is really working hard in favor of
hiss web site, as here evey material is quality basrd material.
Here is my page: Learn here
The following sections are about several popular match bonus promotions.
My webpage; Learn here
Thanks for finally talking about > Adhesive Capsulitis:
A Sticky Issue – Agile Ortho < Liked it!
Apart from all this, earlier than hiring any marriage ceremony music band you
must take suggestion from your associate. The band was comprised of
her household and she was the lead singer. However, her
parents needed her to be part of the band and she
had no choice. For many who grew up in the 90s, pop-punk was the
sound of the time and was a significant a part of our reminiscences for
many years to come. The pair, who lived and worked in Victorian London, produced 14 light operas collectively.
These embrace “The Pirates of Penzance,” “The Mikado” and “H.M.S. Pinafore,” all of which are still produced and enthusiastically attended immediately.
Karaoke recordsdata are quite a lot of songs out there by the
use of music recordsdata that you receive to your computer.
What have been your favourite songs? When you consider the
’80s, this may be certainly one of the first songs to return to thoughts.
For building an attention-grabbing and highly responsive application, it’s good to develop two completely different modules: one for drivers
and one for passengers.
BetOnline has operated for over 25 years and is a properly-established brand.
There is a no-deposit bonus of 25 Absolutely free Spins if
you register for a absolutely free account.
I’d like to find out more? I’d love to find
out more details.
If some one desires to be updated with hottest technologies therefore he must be visit this web site and be up to date everyday.
RTP stands for Return to Player, and higher RTP is an indication of how substantially chance a player has to
win.
We’re a group of volunteers and opening a new scheme in our community.
Your web site provided us with valuable information to work on. You’ve done an impressive job and our entire community
will be thankful to you.
You ought to be a part of a contest for one of the highest quality sites on the web.
I am going to highly recommend this blog!
With Paysafecard casinos, you never ever expose your bank information to the actual casinos generating it one hundred% secure.
Thanks to this blog, I’ve turn into a better pet owner and have even connected with other pet lovers
who share my passion.
Sports Guru Pro India vs PAK normally getting very anticipated.
It helps you to acquire backlinks thereby boosting your blog’s Search engine optimisation and authority.
Now, build a blank page on your blog and title it “Privacy Policy”.
To winn the jackpot, you need to get all 5 numbers correct, aas properly as the Megga
Ball number.
Also visit my blog post: ga lottery
Regular expressions of love and appreciation contribute to
a positive and uplifting atmosphere.
I have been exploring for a little bit for any high-quality articles or blog posts in this sort of area .
Exploring in Yahoo I at last stumbled upon this web site.
Studying this info So i’m satisfied to show that I’ve an incredibly just right uncanny feeling I came upon just what I needed.
I most for sure will make sure to do not overlook
this site and give it a look on a constant basis.
Nice blog here! Also your website loads up fast!
What host are you using? Can I get your affiliate link to
your host? I wish my web site loaded up as fast as yours lol
Hi there exceptional website! Does running a blog similar to this take a
lot of work? I have absolutely no expertise in coding but I was hoping to start my own blog soon. Anyways, should you have any suggestions or tips for
new blog owners please share. I understand this is off topic nevertheless I just wanted to ask.
Appreciate it!