Causes, incidence, and risk factors
Most of the time there is no cause for frozen shoulder. Risk factors include:
Cervical disk disease of the neck
Open heart surgery
The main symptoms are:
Decreased motion of the shoulder
Frozen shoulder without any known cause starts with pain. This pain prevents you from moving your arm. Lack of movement leads to stiffness and then even less motion. Over time, you become unable to do movements such as reaching over your head or behind you.
Signs and tests
You may have x-rays of the shoulder. This is to make sure there is no other problem, such as arthritis. Sometimes an
Pain is treated with nonsteroidal anti-inflammatory medications (NSAIDs) and steroid injections. Steroid injections plus physical therapy can improve your motion.
It can take a few weeks to see progress. It may take as long as 6 – 9 months for complete recovery. Physical therapy is intense and needs to be done every day.
Left untreated, the condition often gets better by itself within 2 years with little loss of motion.
Risk factors for frozen shoulder, such as diabetes or thyroid problems, should also be treated.
Surgery is recommended if nonsurgical treatment is not effective. This procedure (
After surgery restores motion, you must continue physical therapy for several weeks or months to prevent the frozen shoulder from returning. Treatment may fail if you cannot keep up with physical therapy.
Stiffness and pain continue even with therapy
The arm can break if the shoulder is moved forcefully during surgery
Calling your health care provider
The best way to prevent frozen shoulder is to contact your health care provider if you develop shoulder pain that limits your range of motion for an extended period. Early treatment and helps prevent stiffness.
People who have diabetes will be less likely to get frozen shoulder if they keep their condition under control.