The condition that’s often referred to as frozen shoulder goes by many monikers: adhesive capsulitis, painful stiff shoulder, periarthritis, and idiopathic restriction of shoulder movement. Regardless of the name, frozen shoulder presents itself as a stiff, inflexible, and painful shoulder joint and it often arises in a mysterious way that’s sometimes difficult to trace. The etiology of frozen can be primary (typically, no known cause) or secondary to other conditions. Because of its often nebulous onset, there is great debate in the scientific literature regarding how to best manage the condition.
Frozen shoulder impacts up to 5% of the global population, primarily affecting individuals aged between 40 and 60 years, with a higher prevalence of 10% to 38% among those with diabetes or thyroid diseases. Beyond diabetes and thyroid issues, additional factors contributing to the risk of frozen shoulder encompass Dupuytren’s syndrome, kidney stones, cancer, Parkinson’s disease, shoulder injury, smoking, post-stroke, heart and neck surgery, and chronic regional pain syndrome. It's noteworthy that a substantial 85% of frozen shoulder patients possess at least two risk factors, while nearly 40% have a minimum of three.
Characterized as an inflammatory condition, frozen shoulder induces fibrosis in the glenohumeral ball and socket joint capsule, resulting in a gradual and progressive stiffness with a significant loss of motion, particularly in external rotation. In the initial stages, distinguishing frozen shoulder from other shoulder pathologies can pose challenges, but the differentiation becomes more straightforward as the condition progresses. Contrary to a common misconception among healthcare professionals, frozen shoulder doesn't necessarily resolve spontaneously in most patients; untreated, it can persist for years.
Typically, the initial approach for frozen shoulder involves physical treatments, combining manual therapies, physical therapy, and personalized home exercises. While medical doctors may offer temporary relief through steroid injections or prescribed medications, these interventions have limited impact on the accumulation of fibrotic collagenous scar tissue, often leading to symptom recurrence. When conservative measures prove ineffective, surgical interventions such as open or arthroscopic capsular release and hydrodilation may be suggested to enhance shoulder range of motion and alleviate pain. However, it's important to note that these procedures carry the potential for complications.
As with many musculoskeletal conditions, frozen shoulder is easiest to manage in its earliest stages. Because of the nature of frozen shoulder, co-management to address comorbidities with the patient’s medical doctor may be necessary to achieve the best possible outcome in the shortest time.
So, if you are interested in no longer chasing your tail on the pain gerbil wheel and type in pain management near me or chiropractor near me, you may find Coast Chiropractic Centers with Dr. Timothy Harcourt, me, comes up.
You may wonder, “Is There a Better Way to Address Actually Fixing the Cause of the Pain?”
Once you have experienced the frustration of simply covering over the pain temporarily, you may be more enlightened to the idea of fixing the problem and then keep it that way. Some around you say one description of such an approach is called wellness care.
Call me, Dr. Tim Harcourt, at Coast Chiropractic Centers at (239) 278-3344 or stop by on your day off if we’re near you for a walk in visit and mention this article for an awesome discounted first visit to include history, exam, and adjustment or Class IV high-intensity laser treatment. So if you find yourself experiencing lower back pain while running or doing physical activities.
If you feel like a gerbil on a perpetual pain wheel and you know it is negatively affecting your quality of life and keeping you from enjoying walks at Fort Myers Beach, playing golf, tennis, pickle ball or others, come see us at Coast Chiropractic Centers located on 7270 College Parkway.
If you would like to avoid getting back pain in the first place or to take a proactive approach to your health and wellness nearby, our membership program called Club C may be just the thing for you with great cost savings, convenience, and even more importantly, a plan to get your health back and keep it.
Don't let back pain stop you from enjoying the beautiful SWFL! Dr. Tim Harcourt is here to give you the relief you need.
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