Shoulder pain comes in many forms, among them is Adhesive
Capsulitis, commonly known as frozen shoulder, a problem that
causes the shoulder joint capsule to stiffen and causes a loss
of movement throughout the shoulder joint. This condition is
often confused with shoulder tendonitis or a rotator cuff
injury, but it's different because it affects the joint capsule
rather than the tendons and muscles of the joint. To understand
this concept better, it might help to look at the anatomy of
the shoulder joint.
Shoulder Joint Anatomy
This particular joint is intricate and complex area of the
body. While the shoulder is one of the most amazingly
versatile parts of the body, it is also among the most
fragile. With the number of tendons, bones and muscles
involved with each movement, it's easy for something to go
wrong. The shoulder joint also has a large range of motion,
but that means that it lacks the stability that other
joints have. This makes it more susceptible to injury
resulting in shoulder pain.
Three Bones in the Shoulder
- Scapula (shoulder blade)
- Humerus (upper arm bone)
- Clavicle (collarbone)
Four Muscles in the Shoulder
- Supraspinatus
- Infraspinatus
- Teres Minor
- Subscapularis
When we talk about frozen shoulder, we are talking
about the point at which the humerus fits into the shoulder
socket. The surrounding ligaments and capsule becomes
inflamed and causes limited motion in the area and a great
deal of shoulder pain.
Causes of Frozen Shoulder
Although the cause of frozen shoulder is a mystery, many
cases of this condition occur following a shoulder injury,
shoulder surgery or arthritis. Poor posture is also a cause
of frozen shoulder, causing the ligaments that surround the
shoulder joint to shorten and cause stiffness in the joint.
Others believe that conditions like diabetes and
hyperthyroidism can cause or at least contribute to
stiffness in the shoulder.
Symptoms of Frozen Shoulder
You might not know what causes frozen shoulder, but you
definitely know when you have it because of the extreme
stiffness and shoulder pain you'll feel in the joint. The
pain is usually more like a constant aching and the
stiffness prevents the joint from performing its full range
of motion. In a typical case, you won't be able to lift
your arm above your head or rotate your shoulder at all.
There are generally three stages involved with the
condition:
Stage One
This is known as the "freezing phase." The shoulder begins
to have mild pain and stiffness. It can last for a few
weeks or several months.
Stage Two
Known as the "frozen phase," this stage sees the pain
decline while the stiffness remains. This stage can last up
to a year.
Stage Three
This "thawing phase" allows the shoulder joint to regain
its full range of motion, but it could take up to a few
months to fully recover.
Most cases of frozen shoulder clear up between four to
six months after onset, but some extreme cases have been
known to last a few years. Proper precautions and exercises
can reduce your risk of getting this condition and any
other type of shoulder pain.
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