The condition typically develops gradually and progresses through three stages:
- Freezing stage: This stage is marked by the onset of pain and progressive loss of shoulder motion. The pain may be worse at night and may be accompanied by aching or throbbing sensations.
- Frozen stage: During this stage, the shoulder becomes increasingly stiff, limiting both active and passive range of motion. Pain may decrease or remain constant, but stiffness is the predominant symptom.
- Thawing stage: In this stage, shoulder motion gradually improves, and pain subsides. Recovery can take several months to years, with some residual stiffness possible.
Adhesive capsulitis can occur without a known cause, referred to as primary adhesive capsulitis, or it may be associated with certain risk factors such as diabetes, thyroid disorders, shoulder trauma, or prolonged immobilization of the shoulder. It is more common in individuals between the ages of 40 and 60, and it affects women more often than men.
Treatment for adhesive capsulitis typically involves a combination of conservative measures and, in some cases, medical interventions. These may include:
- Physical therapy: Range-of-motion exercises and stretching are essential to prevent further stiffness and maintain mobility.
- Pain management: Over-the-counter pain analgesics can help manage pain and discomfort.but exercise is important to release shoulder
- Corticosteroid injections: Injecting corticosteroids into the shoulder joint can help reduce inflammation and alleviate pain.
- Surgical intervention: In severe cases that do not respond to conservative treatments, arthroscopic surgery may be considered to release the tight capsule and improve shoulder movement.
It’s important to consult with a healthcare professional, such as a physical therapist or orthopedic specialist, for an accurate diagnosis and appropriate treatment plan for adhesive capsulitis. They can provide personalized advice based on your specific condition and medical history.
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