- Also known as ‘Adhesive Capsulitis’.
- It is a chronic capsular inflammation with fibrosis of the capsule and caused the pain and stiffness in the shoulder.
- Theorized into two types :-
- Primary : Idiopathic, spontaneous; unknown stimulus creates histologic changes caused by immobilization or aging.
- Secondary : Trauma
- Females > Males
- Age range of 40 to 60
- Commonly in the nondominant shoulder
- Occur in 3 stages :-
- Freezing (Painful) Phase: pain continues to get worse and worse with severe night pain, and as the pain worsens the shoulder losses range of motion. This typically lasts 6 weeks to 9 months.
- Frozen (Stiff) Phase: pain may actually improve, but range of motion is greatly diminished. Daily activities such as tucking in the back of one’s shirt, reaching for a high shelf, combing the hair, or doing up the bra become increasingly difficult, if not impossible to perform. This typically lasts 4-6 months.
- Thawing (Resolving) Phase: pain and range of motion slowly improve. This typically lasts 6 months to 2 years.
- Symptom :-
- Shoulder movement restricted
- Feel sharp pain at certain angle
- Worse at night
- Pain at rest
- Patient can not lie on affected side at night
- Pain spreads below the elbow
- End feel indicates muscle spasm, like difficult to lift hand, difficult to put hand behind back, difficult to wash hair
Reference
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Jan K. Richardson, Z. Annette Iglarsh:Clinical Orthopaedic Physical Therapy. Philadelphia.W.B. Saunders Company.1994