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Do you feel shoulder pain or stiffness? Do you have a problem with the motion of your arm? These can be the symptoms of a Frozen Shoulder; loss of range of motion, stiffness, and shoulder pain. The shoulder can develop increased pain with use/movement. These symptoms can make sleep very difficult and painful. A frozen shoulder occurs often in people 40 to 70 years old, more often in women, especially in postmenopausal women.
When experiencing shoulder pain, we recommend using a PEMFT (pulsed electro-magnetic field therapy) device, MINI LT. The therapy may last for several weeks. We recommend MINI LT for its analgesic effect (against pain), as well as having positive cell stimulation and lasting anti-swelling effects.
What causes frozen shoulder?
Frozen shoulder can develop when you stop using the joint normally because of pain, injury, or a chronic health condition, such as diabetes or a stroke. Any shoulder problem can lead to frozen shoulder if you do not work to keep full range of motion.
In older patients frozen shoulder comes to shoulder stiffness after lack of movement, tendonitis and other painful shoulder affections. This stiffness is conditioned by capsule inflammation on the joint connected with the wear-out and shrinking of the capsule. The symptoms include restricted movability of the shoulder joint with pain intensifying by the inner and outer rotation and shooting into the deltoid muscle.
People who've had reduced mobility of the shoulder are at higher risk of developing frozen shoulder. Immobility may be the result of many factors, including broken arm, stroke and recovery from surgery.
People who have certain diseases appear more likely to develop frozen shoulder. Diseases that might increase risk are diabetes, cardiovascular disease, tuberculosis and Parkinson's disease.
When to contact a Medical Professional
If you have shoulder pain and stiffness and think you have a frozen shoulder, contact your health care provider for referral and treatment. Early treatment may help prevent frozen shoulder. Call your provider if you develop shoulder pain that limits your range of motion for an extended period.
How is frozen shoulder treated?
Physical therapy can help increase your range of motion. A frozen shoulder can take a year or more to get better. Treatment for frozen shoulder usually starts with application of heat to the affected area, followed by gentle stretching. Ice and medication may also be used to reduce pain and swelling.
The objective of the treatment is to prevent shoulder stiffness with the help of preventive therapeutic exercises. The other therapy includes long-term physiotherapeutic mobilizing treatments. Often supported by analgesic or muscle relaxations, nerve blocks (nervus suprascapularis) or corticoid injections.
If treatment is not helping to recover frozen shoulder, surgery is sometimes done to loosen some of the tight tissues around the shoulder. Two surgeries are often done. In one surgery, called manipulation under anesthesia, you are put to sleep and then your arm is moved into positions that stretch the tight tissue. The other surgery uses an arthroscope to cut through tight tissues and scar tissue. These surgeries can both be done at the same time.