Adhesive capsulitis, more
commonly referred to as "Frozen shoulder" is a condition where, as the
name implies, the movement of the shoulder is severely restricted. The
shoulder may become so stiff it is nearly impossible to carry out even
the simplest of movements, like raising your arm.
The condition commonly results
from an injury to the shoulder that leads to lack of use due to pain. Limited
use of the shoulder may cause inflammation. Abnormal bands of tissue may
also grow between the joint surfaces, further restricting motion. There
is also a lack of synovial fluid that normally lubricates the gap between
the socket and the arm bone. It is the restricted space that divides adhesive
capsulitis from a shoulder that is simply stiff.
Risk factors for developing
adhesive capsulitis include diabetes, stroke, accidents, lung disease and
heart disease. Most often, this condition is not found in people under
40.
Restoring movement and reducing
joint pain are the goals of treatment, which may include nonsteroidal
anti-inflammatory drugs, heat, and gentle exercises. If these and other treatments prove unsuccessful, your doctor may recommend manipulation of the shoulder under general anesthesia.