Frozen Shoulder Treatment in Vikaspuri Tilak Nagar Janakpuri Uttam Nagar

Frozen Shoulder Treatment in Vikaspuri Tilak Nagar Janakpuri Uttam Nagar

ADHESIVE CAPSULTITS

Adhesive capsulitis (AC) also known as Frozen Shoulder, is characterized by initially painful and later gradually restriction in both active and passive shoulder, glenohumeral (GH) joint range of motion.

Also referred to as the following

  • Frozen Shoulder
  • Painful stiff shoulder
  • Periarthritis

 

This inflammatory condition causes the GH joint capsule fibrosis and is accompanied by gradually progressive stiffness and significant restriction of range of motion (typically external rotation).

 

RISK FACTORS:

  • Diabetes mellitus(Prevalence 20%)
  • Stroke
  • Thyroid disorder
  • Shoulder injury (FOOSH, direct impact, dislocation etc.)
  • Dupuytren disease
  • Parkinson’s
  • Complex regional pain syndrome
  • Avascular necrosis (rare)
  • Tuberculosis
  • Shortness of breath, severe cough, any compromises to the quality of the breath
  • Metastatic disease
  • Rheumatisms
  • Multiple joint involvements
  • Fever, chills, severe (inexplicable) pain
  • History of cancer (to the individual, or family)
  • Any suspicion of a systemic pathology or condition.

RISK FACTORS:

  • Diabetes mellitus(Prevalence 20%)
  • Stroke
  • Thyroid disorder
  • Shoulder injury (FOOSH, direct impact, dislocation etc.)
  • Dupuytren disease
  • Parkinson’s
  • Complex regional pain syndrome[
  • Avascular necrosis (rare)
  • Tuberculosis
  • Shortness of breath, severe cough, any compromises to the quality of the breath
  • Metastatic disease
  • Rheumatisms
  • Multiple joint involvements
  • Fever, chills, severe (inexplicable) pain
  • History of cancer (to the individual, or family)
  • Any suspicion of a systemic pathology or condition.

If you are Searching for Frozen Shoulder Treatment in Vikaspuri Tilak Nagar Janakpuri Uttam Nagar, We at Dr. Nasir Physiotherapy & Rehabilitation have expert physiotherapists to treat Frozen Shoulder problems.

CLINICAL PRESENTATION:

  1. The patient presents with an insidious onset with a progressive increase in pain and a gradual decrease in active and passive range of motion
  2. loss of external rotation (ER) in a dependent position with the arm down by the side
  3. Patients frequently have difficulty with grooming, performing overhead activities, dressing, and particularly fastening items behind the back
  4. Disturbed sleep: in the early and middle phases sleeping is often interrupted and disturbed. As the condition progresses, this can get worse and there’s good evidence that the lack of sleep, pain, and depression form a tightly interconnected triangle

DIAGNOSTICS PROCEDURES

  1. Ultrasound
  2. Ncv test
  1. MRI

 

TREATMENT

  • Modifications of activities and the workplace (ergonomic modifications)
  • Manual therapy: Mobilization of Soft tissue, Carpal bone, Median nerve
  • Modalities: ultrasound, electromagnetic field therapy
  •  Splinting

PHASES

  1. Acute/freezing/painful phase:
  • Gradual onset of shoulder pain at rest
  • sharp pain at extremes of motion,
  • pain at night with sleep interruption
  • Last from 2-9 months.

 

  1. Adhesive/frozen/stiffening phase:
  • Pain starts to subside,
  • Progressive loss of GH motion in capsular pattern.
  • Pain is apparent only at extremes of movement.
  • This phase may occur at around 4 months and last till about 12 months.
  1. Resolution/thawing phase:
  • Spontaneous, progressive improvement in functional range of motion
  • Last anywhere from 5 to 24 months.
  • Some studies suggest that it’s a self-limiting condition, and may last up to three years.

TREATMENT

  • Gentle shoulder mobilization, muscle releases, acupuncture, dry needling and kinesiology taping for pain-relief can assist during this painful inflammation phase.
  • Application of a TENS machine was shown reduce pain and increase range of motion.
  • Moist heat used in conjunction with stretching can help to improve muscle extensibility and range of motion by reducing muscle viscosity and neuromuscular mediated relaxation
  • isometric strengthening in all ranges once motion returned to 90% of normal ranges, Theraband exercises in all planes, scapular stabilization exercises, and later, advanced muscular strengthening with dumbbells.

If you are Searching for Frozen Shoulder Treatment in Vikaspuri Tilak Nagar Janakpuri Uttam Nagar, We at Dr. Nasir Physiotherapy & Rehabilitation have expert physiotherapists to treat Frozen Shoulder problems.

Our Physiotherapy Center near Tilak Nagar is

Address:

DR NASIR Physiotherapy & Rehabilitation
Associated with Jyoti Nursing Home, C-234,
Shankar Garden,
Vikaspuri,
New Delhi,
Delhi-110018
9891878611

Contact: 9891878611

 

 

 

 

 

 

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