Physio Mansi

21/09/2023

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24/08/2023

Do you know apart from frozen shoulder there is another reason for the pain in shoulder joint . It can be due to injury in Rotator cuff muscles. Rotator cuff muscles are the group of muscles that surround shoulder joint and are responsive for the stabilisation of shoulder joint . They are deeper muscles and are very active in the neurons muscular control of the shoulder complex during the movement of upper extremity. Rotator cuff injury can occur at any age but the incidence increases with age

Most common injuries to the Rotator Cuff are often referred to as:

Rotator Cuff Tears (micro or macro tearing of the muscles or tendons);
Rotator Cuff Tendinitis (acute inflammation of the RC soft tissue);
Rotator Cuff Tendinopathy (chronic irritation or degeneration of the RC soft tissue);
Impingement syndrome (biomechanical dysfunction of the shoulder complex with causes abnormal wear and tear on the RC soft tissue).

The most common signs of rotator cuff injuries are:

Pain (may or may not be present). Can be localized to anterior / lateral aspect of the shoulder, with referred pain down the upper arm (lateral aspect).

Painful range of motion

Painful arch (degrees vary - generally above shoulder height)

Painful external rotation / internal rotation / ABDuction

Muscle weakness in the shoulder joint (particularly ABDuction and ER)

Functional impairments (difficulty lifting, pushing, overhead movements and movements with hand behind the back (IR)).

These signs result mainly from a loss of the superior stability of the glenohumeral joint because of dysfunction of the rotator cuff muscles.

23/08/2023

23/08/2023

Frozen Shoulder (Adhesive Capsulitis): Symptoms, Causes, Treatment & Exercises.
Frozen Shoulder: Frozen shoulder a commonly used term describes ‘Adhesive Capsulitis’, an incapacitating and sometimes astringent painful condition of the shoulder. It is a disorder where the shoulder capsule and connective tissue circumventing the shoulder joint becomes stiff and thickened greatly restricting movement and causing chronic pain.
Frozen Shoulder(Adhesive Capsulitis) Symptoms
Stiffness and pain in the shoulder joint are the two main symptoms of a frozen shoulder. Arduous to perform everyday tasks, such as-

Bathing
Dressing
Driving
Sleeping comfortably

Causes of Frozen Shoulder

It is unknown what causes a frozen shoulder. Infrequently it can commence after a shoulder injury but it frequently commences with no categorical preceding incident. It can last from 6 months to up to 3 years.

Risk Of Developing a Frozen Shoulder

Frozen shoulder affects 5% of people over their lifetime. People in their 40s and 70s are most liable to develop the quandary. It is very rare in those under 40 years of age. It inclines to be more prevalent in females than males (incidence of females: males 6:4).

Developing frozen shoulder is incremented in those who suffer from other health quandaries such as diabetes, stroke, lung disease, connective tissue disorders, and heart disease.
Diagnosis of Frozen Shoulder

The three main hallmarks of frozen shoulder are shoulder stiffness that comes on for no categorical reason; rigorous pain that becomes worse at night and in algid weather; and near consummate loss of passive & active external rotation of the shoulder.
A frozen shoulder can usually be diagnosed on examination by your doctor or physiotherapist, with no special tests needed. An x-ray may be obtained to ensure the shoulder joint looks normal and there is no evidence of arthritic changes or injury to the joint. An MRI may be performed if the diagnosis is unsure, but it is used to rule out other problems rather than investigate frozen shoulder.
Stages of Frozen Shoulder
Freezing Stage

The shoulder gradually becomes painful and loses movement over six weeks to nine months. Shoulder outward motion is usually lost first, followed by other directions of movement. This is the most painful stage. Overzealous stretching and activity are NOT recommended at this stage as it is likely to worsen the symptoms.
Frozen Stage

In this stage, restriction of range and stiffness is the main concern. Conventionally pain has settled. This stage may last from 4 to 9 months. Therapy during this stage has not shown to provide many benefits.
Thawing Stage

Treatment is most propitious at the thawing stage and should aim at maximizing the range of kineticism and gradually building strength. Shoulder kineticism should gradually return to mundane but for some people, kineticism may remain mildly restricted. This stage can last five months to 26 months.
Treatment for Frozen Shoulder

Treatment for frozen shoulder customarily consists of pain mitigation and physical therapies to improve kineticism and muscle function.
Medication

Over-the-counter pain relievers, such as aspirin and ibuprofen can avail reduce pain and inflammation associated with frozen shoulder. In some cases, your medico may prescribe more vigorous pain-mitigating and anti-inflammatory drugs.

When analgesics aren’t availing to control the pain, it may be possible to have a corticosteroid injection in your shoulder joint.

Shoulder pain is associated with conditions such as – shoulder impingement, bursitis, rotator cuff tear, calcific tendonitis, referred pain from the neck and nerve pain. These quandaries may additionally cause reduced kineticism but they will not cause the kineticism loss in all directions or the pattern of pain typical of frozen shoulder. Corticosteroid injections may damage your shoulder, and the injections often become less efficacious over time, so your medico may recommend having no more than three injections.

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23/08/2023

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