Frozen Shoulder
Frozen shoulder also known as Adhesive capsulitis, is characterized by pain and global restriction of both active and passive Glenohumeral joint motion
OVERVIEW
The joint capsule adheres to the anatomic neck and becomes thickened and contracted. It can be idiopathic (primary adhesive capsulitis) or related to other conditions such as diabetes mellitus, thyroid disease, hyperlipidemia, pulmonary disorders, and trauma (secondary adhesive capsulitis). Women in their sixth decade are most commonly affected.
There are three phases in the natural history of this condition. Gradual spontaneous improvement of the pain occurs 1 to 3 years after onset, but there is often some residual limitation of shoulder motion. Because prolonged immobility of the Glenohumeral joint allows adhesions to form, early mobilization is key.
Your risk of developing frozen shoulder increases if you’re recovering from a medical condition or procedure that prevents you from moving your arm — such as a stroke or a mastectomy.
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.
It’s unusual for frozen shoulder to recur in the same shoulder, but some people can develop it in the opposite shoulder.
CAUSES
It’s not clear why some people develop it, but some groups are more at risk.
Frozen shoulder happens more often in women than men, and you’re more likely to get it if you’re between the ages of 40 and 60
Frozen shoulder is more common in diabetes mellitus, but may also be triggered by a rotator cuff tear, local trauma, myocardial infarction or hemiplegia.
TYPES
Frozen shoulder, or adhesive capsulitis, has three primary stages:
Freezing Stage: This is the initial phase, characterized by gradual pain and stiffness in the shoulder. Movement becomes increasingly limited, and the pain can worsen at night.
Frozen Stage: In this phase, pain may decrease, but the stiffness in the shoulder becomes more pronounced. Range of motion is significantly restricted, and daily activities become difficult.
Thawing Stage: The final phase involves gradual improvement in shoulder mobility. Pain continues to decrease, and movement becomes less restricted, but full range of motion may take months to regain.
These stages can last anywhere from several months to a couple of years. Early intervention helps in managing symptoms effectively.
SIGNS AND SYMPTOMS
The main symptoms of a frozen shoulder are pain and stiffness that make it difficult or impossible to move it.
If you have frozen shoulder, you’ll likely feel a dull or achy pain in one shoulder. You might also feel the pain in the shoulder muscles that wrap around the top of your arm. You might feel the same sensation in your upper arm. Your pain could get worse at night, which can make it hard to sleep.
You’ll typically go through three phases with a frozen shoulder. Each has its own unique symptoms and timeline.
Freezing stage:
- You develop a pain (sometimes severe) in your shoulder any time you move it.
- It slowly gets worse over time and may hurt more at night.
- This can last anywhere from 6 to 9 months.
- You’re limited in how far you can move your shoulder.
Frozen stage:
- Your pain might get better but your stiffness gets worse.
- Moving your shoulder becomes more difficult and it becomes harder to get through daily activities.
- This stage can last 4-12 months.
Thawing stage:
- Your range of motion starts to go back to normal.
- This can take anywhere from 6 months to 2 years.
WHAT TO EAT
For managing frozen shoulder, a diet that reduces inflammation and supports joint health is crucial. Here’s a point-wise guide:
Anti-Inflammatory Foods: Incorporate foods like fatty fish (salmon, mackerel), nuts, and seeds that are rich in omega-3s to reduce inflammation.
Antioxidant-Rich Foods: Berries, leafy greens, and colorful vegetables (like bell peppers and carrots) help protect joints from oxidative stress.
Vitamin D & Calcium: Dairy, fortified plant milk, and leafy greens support bone and joint health.
Collagen-Rich Foods: Bone broth, chicken skin, and gelatin help support joint flexibility.
Turmeric & Ginger: Natural anti-inflammatory spices that may help reduce pain and swelling.
Hydration: Drink plenty of water to keep joints lubricated and improve mobility.
Consult a healthcare provider for a tailored diet plan and additional treatments.
DIET AND REGIMEN
Foods to be taken i.e.
- Increase intake of anti-inflammatory foods e.g. fruits and vegetables, oily fish (which contain high levels of omega-3 fatty acids), nuts, seeds, also certain spices, such as ginger, garlic, turmeric.
- Furthermore, Vegetables like cauliflower, broccoli, Brussel sprouts, cabbage, cress, sweet potatoes are all loaded with antioxidants that can help rid the body of harmful compounds.
- Besides this; Fruits like berries, pineapples, red grapes are well regarded for their anti-inflammatory properties.
Foods to be avoided i.e.
- Simple carbohydrates and fats, e.g. saturated fats and trans fats.
Yoga and Exercise i.e.
Stretching exercises for frozen shoulder e.g.
- Pendulum stretch
- Towel stretch
- Finger walk
- Cross-body reach
- Armpit stretch
Strengthening exercises e.g.
- Outward rotation
- Inward rotation
Asanas which help for frozen shoulder e.g.:
- Gomukhasana
- Pranayama in sukasana
- Parvatasana
Music and Meditation
Home Remedies i.e.
- Gently move the affected joint within the limits of your pain also range-of-motion
- Massage the affected joint to increase blood circulation to the area
- Apply a warm/cold compress to the area which can help a great deal in alleviating pain
- Be aware of proper posture
- Sleep with two pillows- One pillow is for your head, as usual, the other is to go between your elbow also your body (on your affected side) so that your arm is held slightly away from your body.
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FAQ
What is Frozen Shoulder ?
Frozen shoulder also known as Adhesive capsulitis, is characterized by pain and global restriction of both active and passive Glenohumeral joint motion.
Homeopathic Medicines used by Homeopathic Doctors in treatment of Frozen Shoulder ?
- Rhus Tox
- Sanguinaria
- Ferrum Met
- Bryonia Alba
- Causticum
- Phytolacca
- Ledum Pal
What causes Frozen Shoulder ?
- Diabetes mellitus
- Rotator cuff tear
- Local trauma
- Myocardial infarction
- Hemiplegia
What are the symptoms of Frozen Shoulder ?
- You develop a pain in your shoulder any time you move it.
- It slowly gets worse over time and may hurt more at night.
- This can last anywhere from 6 to 9 months.
- You’re limited in how far you can move your shoulder.
REFFERNCE
1] Clev_Cli_-_Cur_Clini_Med_2nd_ed_2010.pdf
2] https://www.mayoclinic.org/diseases-conditions/frozen-shoulder
3] Textbook of Medicine, 5th Edition
4[ Davidson’s Principles and Practice of Medicine
5] https://www.aafp.org/pubs/afp/issues/2011/0215/p417.html#:~:tex
6] https://www.mtatva.com/en/disease/frozen-shoulder-treatment-diet-and-home-remedies/
7] https://www.drhomeo.com/joint/homeopathic-remedies-for-frozen-shoulder-treatment/
