What is Frozen Shoulder Syndrome?
Frozen shoulder Syndrome is a disorder that occurs in the shoulder area in the form of stiffness and pain. This condition causes limited movement of the shoulder until it can not be moved at all.
Frozen shoulder Syndrome usually lasts for 1-3 years. This condition rarely relaps at the same location.
Cause of Frozen Shoulder Syndrome
Shoulders have a protective capsule of interconnected tissues. This capsule protects the bones, ligaments, and shoulder tendons. Frozen shoulder Syndrome is caused by the thickening of the tissue that forms the protective capsule which then attaches tightly around the shoulder joint. This condition then causes disruption of shoulder movement. The thickened tissue is thought to be tissue that resembles scar tissue.
However, conditions that trigger tissue thickening or scarring are still unknown to date. Frozen shoulder Syndrome can suddenly appear without a clear trigger. In some cases it can be triggered by rheumatic diseases. In some other cases, frozen shoulder Syndrome is experienced by diabetics. In other words, diabetes becomes one of the risk factors of this condition as well.
Some other risk factors that may trigger the occurrence of frozen shoulder Syndrome , namely:
- Age and gender. Frozen shoulder Syndrome is mostly experienced by women and people over the age of 40 years.
- Systemic disease. Some of these types of diseases are disorders of the disease and blood vessels, thyroid gland (hypothyroid), tuberculosis, parkinson’s, and diabetes.
- Being in silence or not moving for long periods of time. Shoulders that are rarely moved or not used have a high risk of frozen shoulder Syndrome . This condition is usually caused by injuries suffered by the patient, such as fractures, injuries to muscles of shoulder cuff rotator, postoperative recovery, to stroke.
Frozen Shoulder Syndrome Symptoms
The frozen shoulder Syndrome symptoms can develop and worsen over time, then it will improve. This condition is generally experienced by the shoulders are rarely used or not very active, Usually symptoms will tend to worsen, especially at night. These symptoms have several developmental stages which can last up to several months.
- The first stage or the freezing stage, when the shoulder begins to feel pain in each movement. The movement also began to experience limitations. This period usually lasts for
- The second stage or frozen stage, when the pain began to appear reduced, but the shoulder becomes more rigid or tense so difficult to move. This period usually lasts for four months to a year.
- Third stage or thawing stage, when the range of movement and shoulder condition improves. This period usually lasts for 1-3 years.
Diagnosis of Frozen Shoulder Syndrome
In addition to direct interviews in patients, doctors will perform a series of physical examinations, including asking patients to try a series of active movements using the hand. Passive movement evaluation can also be done by the doctor by asking the patient to relax the muscles of the body. This is because the frozen shoulder Syndrome condition can affect both types of movement. Thus the doctor can see and make an evaluation of the range of movement and perceived pain.
In addition to physical examination, frozen shoulder diagnosis can usually be obtained on the basis of symptom examination alone. However, doctors will recommend investigations, such as X-rays and MRI scans. The doctor may also inject an anesthetic to detect the range of active or passive motion of the patient.
Frozen Shoulder Syndrome Treatment
Frozen shoulder Syndrome treatment involves giving drugs, physical exercise to train range of motion, to surgical procedures. These drugs aim to control the pain so that the hand can still be used although the movement is limited. Exercise or physical therapy is done so that the patient can learn certain movements that can help the shoulder recovery process and increase the range of movement.
Pain relief medicines can be obtained freely in pharmacies and can be used to reduce the pain and inflammation experienced by this condition. Drugs such as aspirin and the ibuprofen medicines are some of them. If over-the-counter medicines are not effective in relieving pain, doctors may recommend pain relievers and high-dose anti-inflammatory drugs to patients.
Self treatment when at home can also be done by frozen shoulder Syndrome sufferers to help relieve pain. You can use a warm or cold cloth to the shoulder area. The patient can also keep moving the injured shoulders and legs as much as possible.
Common frozen shoulder Syndrome cases can usually recover within one to one and a half years. Another case with cases that do not get better. In such cases, doctors may recommend surgical procedures or some other procedure, such as:
- Inject sterile water into the shoulder protective capsule with the aim of stretching the tissues and facilitating joint movement.
- Injects corticosteroids into the shoulder joint to reduce pain and increase shoulder movement range. The benefits of this procedure will be more pronounced if done in the first stage of this condition.
- The procedure of shoulder manipulation by means of anesthetize the total patient so as not to feel pain when doctors move the shoulder joints in various directions. This procedure is done to relax the tense tissues.
- The surgical procedure for removing scar tissue and tissue that adheres from within the shoulder joint. This procedure is performed using a small device inserted through small slices around the patient’s joint.
Several other treatment options for frozen shoulder Syndrome can be taken into consideration by doing research before the procedure is performed. Commonly available alternative treatments are acupuncture, massage of shiatsu, and provide stimulation aimed at the nerves by using electricity through the skin layer or TENS (Transcutaneous electrical nerve stimulation). TENS conducts small amounts of electrical current through electrode patches affixed to the skin. These electric currents target important nerve points, to stimulate the release of pain-blocking molecules (endorphins), or fibers that carry painful impulses. Another more commonly known procedure is acupuncture. This procedure takes 15-40 minutes and usually does not feel pain.
Prevention of Frozen Shoulder Syndrome
Prevention of frozen shoulder Syndrome that you can do is to keep your hands moving even if limited. Rarely moving can trigger this condition and worsen the condition, especially if you are undergoing a long-term postoperative recovery process. Ask and discuss with your doctor about the type of movement that can be applied to train your shoulders.