Frozen Shoulder Physiotherapy Management
Description:
Adhesive capsulitis, commonly known as frozen shoulder, is a painful and debilitating condition characterized by shoulder stiffness and limited mobility. Managing frozen shoulder involves a multi-faceted approach to alleviate pain, improve shoulder function, and restore quality of life. Understanding these strategies is key to effectively managing this challenging condition.
Anatomy Reminder:
Frozen shoulder primarily affects the glenohumeral joint, where the upper arm bone (humerus) meets the shoulder blade (scapula). The shoulder joint capsule thickens and tightens, leading to pain and stiffness.
Management Strategies:
Pain Management:
Medications: Over-the-counter pain relievers like ibuprofen or prescribed medications may be used to manage pain and inflammation. Always follow dosage instructions and consult your healthcare provider before starting any medication.
Physical Therapy:
Range of Motion Exercises: A physical therapist will guide you through a series of gentle exercises to gradually regain shoulder mobility. These exercises are tailored to your specific condition and may be performed regularly.
Stretching: Stretching exercises target the tight shoulder capsule and surrounding tissues to improve flexibility.
Strengthening: Strengthening exercises focus on the muscles around the shoulder joint to enhance stability and support.
Heat and Cold Therapy:
Heat Application: Applying heat to the shoulder before exercise or stretching can help relax tight tissues and reduce stiffness.
Cold Compress: Cold therapy may be used to reduce inflammation and alleviate pain after physical therapy or exercises.
Corticosteroid Injections:
In some cases, a healthcare provider may recommend corticosteroid injections into the shoulder joint to reduce inflammation and pain.
Hydrodilatation:
This procedure involves injecting sterile water into the shoulder joint to stretch the capsule and improve mobility. It is usually performed under ultrasound guidance.
Home Exercises:
Performing prescribed exercises at home is essential to maintain progress made during physical therapy sessions.
Activity Modification:
Modify or avoid activities that exacerbate symptoms or place excessive strain on the shoulder.
Patient Education:
Understanding the condition, its stages, and the importance of adherence to prescribed exercises and treatments is crucial for successful management.
Lifestyle Modifications:
Pay attention to posture and ergonomics in daily activities to minimize stress on the shoulder.
Gentle, regular stretching exercises can help maintain shoulder mobility and prevent recurrence.
By Charlie Molloy