WHAT IS IT? FROZEN SHOULDER

  • Also called adhesive capsulitis.
  • Thickening of the capsule (adhesions)
  • Degenerative changes also affect the bursa and rotator cuff tendons
  • Is a stiff and painful condition which occurs in three stages:
    Stage 1 – (Freezing) - pain and spasm which prevents movement.
    Stage 2 – (Frozen)   -  pain with loss of shoulder movement
    Stage 3 – (Thawing) -  predominantly stiffness rather than pain.  Poor scapular and shoulder movement pattern.

 

Signs and symptoms

  • Gradual onset of pain

  • Loss of range of movement (especially outward rotation of a bent arm)

  • Increasing difficulty with carrying out everyday activities (e.g. brushing hair, doing up bra, playing golf or overhead racquet sports).

WHAT CAUSES IT?

  • Can occur for no reason
  • Can be triggered by: trauma, surgery, immobilisation, shoulder injuries
  • More common in 40-60 year olds
  • Increased risk if diabetic, or have thyroid dysfunction
HOW TO SELF MANAGE
  • Anti-inflammatory medication

  • Seeking the advice of a physiotherapist is recommended

PROGNOSIS
  • Following trauma or surgery recovery can take 1-2 years to resolve.
  • If the onset is unrelated to trauma or surgery, then it can be more than 2 years.
  • If not treated, and the frozen shoulder does not resolve on its own, then the condition can last years.
  • Corticosteroid injections can offer short term pain relief.
  • Manipulation under anaesthetic and arthroscopy are surgical interventions which may provide relief.
HOW PHYSIO HELPS?
  • Assess your shoulder presentation to confirm that frozen shoulder is the issue
  • Address factors which are impairing normal shoulder and shoulder blade function
  • Provide manual treatment to provide pain relief (massage, acupuncture)
  • Recommend a range of movement, and stabilising program
  • Mobilise of the shoulder joint, scapula and thoracic spine

 

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OPENING HOURS

Monday-Friday: 8:00am - 8:00pm

​Saturday: 8:00am - 12:00pm

Sunday: By Appointment​

 

ADDRESS

Sammy Margo Physiotherapy

444 Finchley Road

London

NW2 2HY

Email: physiophysio@hotmail.com

Tel: ​020 7435 4910​​​
Fax: 020 7435 0461

Web: sammymargophysiotherapy.com

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Disclaimer: Information made available by AskPhysio (Sammy Margo Physiotherapy) is provided for guidance only and should not be considered as medical recommendations or advice.  AskPhysio is not responsible for errors or omissions in the information. Please consider what the best options for your healthcare are, based on the urgency of your condition and nature of your condition. Please consult a GP or Healthcare Specialist to discuss any specific concerns that exist prior to using the information provided.