Frozen shoulder: don't "let it go" without trying

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 What Causes a Frozen Shoulder?

Have you started experiencing stiffness, pain, and limited range of motion in your shoulder? It can be the result of injury or overuse, a certain medical condition, but sometimes, it can be difficult to determine its cause.

These include:


Those with endocrine disorders, such as diabetes and thyroid disease.

As a result of a major injury or surgery, where you must stop using your shoulder normally

Those over 40 and often women more often than men (whoever said age is just a number didn't have to deal with joint pain!)

There is also an association with heart disease, lung disease, rheumatoid arthritis, and stroke.

What are the symptoms of a frozen shoulder?

A frozen shoulder occurs when the connective tissue surrounding the shoulder joint becomes inflamed and stiff, restricting the shoulder's movements. Arm movements can become extremely limited, and sometimes even the smallest movements can cause great pain. Pain can be felt around the shoulder, but it can also go up the neck or down to the elbow.


Typically, you will go through three stages with a frozen shoulder, each with its own symptoms:


Frostbite - This is the earliest stage where your shoulder becomes inflamed and scar tissue develops. You will usually feel quite sore and stiff during this stage.

Frozen - The freezing stage occurs after the freezing phase when the shoulder capsule is thickened and healed but not inflamed. It may be stiff, but most of the pain has subsided. However, there may be some pain with aggressive stretching.

Thawing: As this implies, the thawing stage is when the shoulder begins to recover and gradually begins to regain full strength and range of motion.


How is a frozen shoulder diagnosed?

Diagnosing a frozen shoulder only requires a history and a physical exam. They will check how much it hurts, your active range of motion, your passive range of motion (when they move it for you) and they will notice the difference.


A physical exam is usually enough to diagnose a frozen shoulder, but an X-ray may be ordered to rule out other problems such as arthritis.

How is a frozen shoulder treated?

The good news is that the vast majority of frozen shoulders respond well to non-surgical treatments. The focus of treatment is to control pain and restore movement and strength, but Dr. Collins cautions patients to be very patient.


When is surgery recommended?

The need for shoulder surgery is less common, but it may be an option if conservative treatments have failed to treat pain and symptoms.

What's the long-term outlook for those with a frozen shoulder?

There is a reason why some say, "Patience is a virtue." A frozen shoulder can put that to the test.


Although it can be time consuming and tedious, most patients do well and report decreased pain and near normal range of motion after conservative treatment. However, it is not uncommon for some to experience some residual discomfort or stiffness, but this is usually mild.

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