insidious disease of the shoulder frozen shoulder syndrome
Professor Ahmet İnanır, a specialist in physiotherapy and rehabilitation, gave important information on the subject. Some pains are very persistent and affect the quality of life. In particular, joint pain and restrictions can make even everyday activities impossible. One of these diseases is frozen shoulder syndrome. Frozen shoulder is a serious health problem that can severely affect the quality of life and is associated with progressive disability and pain.
What is Frozen Shoulder Syndrome?
It is believed to be inflammation of the joint capsule and subsequent fibrosis. There is a thickening or shrinking of the ligaments that form the capsule around the shoulder joint and the joint capsule.
What are the symptoms?
The symptoms in the first stage of the disease often resemble the “impingement syndrome”. Usually a creeping pain sets in. After the pain, the movement restriction begins in the shoulder. Night and rest pain are common in the early stages. Pain that does not go away even at rest, disturbing and aggravating sleep at night, shoulder pain during the day, restriction of shoulder movements, restriction of normal daily movements, inability to lift or turn the arm from a certain point
Who is most common?
Although it most commonly affects women between the ages of 35 and 70, it can also be seen in men.
What are the triggering factors?
Although its etiology is not precisely known, it is related to diabetes, autoimmune disease, thyroid disease, Parkinson’s disease, heart disease, stroke, chronic lung disease, Dupuytren’s contracture, calcified shoulder, and breast cancer, as well as trauma, surgery, and prolonged immobility.
How is it diagnosed?
Diagnosis is made by history, clinical examination, radiographic imaging, and exclusion of other shoulder pathologies. Insidious pains often arise; After this pain, the movement restriction begins in the shoulder. Night and rest pain are common in the early stages. In the case of frozen shoulder, most movements of the shoulder blade-thorax joint are also affected. There is no specific diagnostic test for diagnosis. Magnetic resonance (MR) and ultrasound are used to detect other pathologies such as rotator cuff tears. MR arthrography is used to show capsule thickness and the reduction in joint volume.
What is the treatment?
While there is a chance that collapsed shoulder syndrome will go away on its own, the safest solution is medical treatment. Physiotherapy is primarily preferred in the treatment of frozen shoulder. The aim of the treatments is to loosen the shoulder joint capsule and to control the pain, which is one of the most important complaints of the patient, and to regain the mobility and strength of the joint. As part of physical therapy, methods such as manual therapy, prolotherapy, neural therapy, intra-articular injections, stem cell applications, cupping therapy and dry needling should be used in addition to classic physical therapy methods. Botulinum toxin injections have been found to last longer than steroids (cortisone) and have fewer side effects. Unconscious exertion can lead to humeral fractures, shoulder dislocations, injuries to the brachial plexus, and rupture of the rotator cuff muscles. Caution should be exercised when using surgical methods, as the axillary nerve runs inferiorly under the capsule during capsulotomy. Excessive relaxation can have negative consequences, such as: B. axillary nerve palsy and shoulder dislocation. It is important to continue the exercise to ensure continuity of joint movements gained after treatment.