Top Adhesive Capsulitis Treatment Options

Understanding Adhesive Capsulitis

Adhesive capsulitis, commonly known as frozen shoulder, is a condition that affects the shoulder joint, causing pain, stiffness, and limited range of motion. Understanding the nature of adhesive capsulitis and its symptoms is essential for effective treatment.

What is Adhesive Capsulitis?

Adhesive capsulitis is a condition characterized by inflammation and thickening of the shoulder joint capsule, which surrounds and supports the shoulder joint. This inflammation leads to the development of scar tissue, causing the shoulder joint to become stiff and immobile.

The exact cause of adhesive capsulitis is not fully understood. However, certain factors can increase the risk of developing this condition. These may include:

• Age: Adhesive capsulitis is more common in individuals between the ages of 40 and 60, with the risk increasing with age.
• Gender: Women are more likely to develop adhesive capsulitis than men.
• Certain Health Conditions: Adhesive capsulitis can be associated with conditions such as diabetes, thyroid disorders, and cardiovascular disease.
• Shoulder Injury or Surgery: Previous shoulder injuries or surgeries can increase the risk of developing adhesive capsulitis.

Causes and Symptoms of Adhesive Capsulitis

Adhesive capsulitis can occur gradually or suddenly, and the underlying causes may vary. Some common causes and risk factors include:

• Immobility: Prolonged immobility of the shoulder joint due to factors such as injury, surgery, or certain medical conditions can contribute to the development of adhesive capsulitis.
• Inflammation: Inflammation within the shoulder joint can lead to the formation of scar tissue, causing the shoulder capsule to thicken and tighten.

The most prominent symptom of adhesive capsulitis is the gradual onset of shoulder pain and stiffness. This stiffness typically worsens over time and can significantly limit the range of motion in the shoulder joint. Other common symptoms may include:

• Pain: Persistent shoulder pain, often described as a dull ache, which may worsen during movement or at night.
• Limited Range of Motion: Difficulty in performing everyday activities that require shoulder movement, such as reaching overhead, combing hair, or fastening clothing.
• Shoulder Weakness: Weakening of the muscles surrounding the shoulder joint due to limited use and decreased mobility.

For a comprehensive understanding of the stages and symptoms of adhesive capsulitis, refer to our article on frozen shoulder symptoms.

Early diagnosis and prompt treatment are crucial for managing adhesive capsulitis effectively. By recognizing the symptoms and seeking appropriate medical attention, you can begin the journey towards relief and improved shoulder function. Stay tuned for the upcoming sections which will delve into various treatment options for adhesive capsulitis.

Adhesive Capsulitis Treatment Options

When it comes to treating adhesive capsulitis, there are various options available depending on the severity of your condition. The goal of treatment is to reduce pain, improve range of motion, and restore normal shoulder function. Here are some common treatment options that can help alleviate symptoms and promote recovery:

Physical Therapy and Exercises

Physical therapy plays a crucial role in the treatment of adhesive capsulitis. A physical therapist will work with you to develop a personalized exercise program aimed at improving shoulder mobility and strength. These exercises may include stretching, range of motion exercises, and strengthening exercises targeting the muscles around the shoulder joint.

Regular physical therapy sessions and diligent adherence to the prescribed exercise program can help gradually break up adhesions and increase flexibility in the shoulder joint. It's important to follow the guidance of your physical therapist and perform the exercises correctly to avoid further injury. For more information on specific exercises, refer to our article on frozen shoulder exercises.

Medications and Injections

To manage pain and inflammation associated with adhesive capsulitis, your healthcare provider may prescribe medications such as nonsteroidal anti-inflammatory drugs (NSAIDs) or corticosteroids. These medications can help reduce pain and swelling, allowing for better participation in physical therapy and exercise.

In some cases, your healthcare provider may recommend corticosteroid injections directly into the shoulder joint. These injections can provide temporary relief by reducing inflammation and improving range of motion. However, it's important to note that corticosteroid injections are generally used sparingly due to potential side effects. Your healthcare provider will determine the most appropriate treatment plan for your specific situation.

Other Non-Surgical Treatments

In addition to physical therapy and medications, there are other non-surgical treatment options that may be considered for adhesive capsulitis. These include:

• Heat and cold therapy: Applying heat or cold to the affected shoulder can help reduce pain and inflammation. Heat therapy, such as warm compresses or heating pads, can help relax muscles and improve blood circulation. Cold therapy, such as ice packs, can help numb the area and reduce swelling. It's important to follow proper guidelines for heat and cold therapy to avoid skin damage.
• Ultrasound therapy: This non-invasive treatment method utilizes sound waves to generate heat deep within the tissues, promoting blood flow and reducing pain and stiffness in the shoulder joint.
• Transcutaneous electrical nerve stimulation (TENS): TENS therapy involves the use of low-voltage electrical currents to provide pain relief by stimulating the nerves. It can help reduce pain and improve muscle function in the shoulder.
• Seek RELIEF®: The RELIEF® procedure is a scientifically backed procedure that combines ultrasound guidance and hydrodissection techniques, by specifically targeting damaged and dehydrated fascia in the shoulder joint, and may help address the underlying symptoms of adhesive capsulitis.

Your healthcare provider will assess your condition and recommend the most suitable treatment options based on the stage and severity of your adhesive capsulitis. It's important to consult with a healthcare professional for an accurate diagnosis and personalized treatment plan.

Treatment for adhesive capsulitis may take a lot of time and patience. Consistency in following your treatment plan and maintaining a positive mindset are key to achieving the best possible outcomes.

Surgical Interventions

In some cases, when conservative treatments fail to provide sufficient relief from adhesive capsulitis, surgical interventions may be considered. These surgical options aim to release the tightness and stiffness in the shoulder joint capsule, allowing for improved range of motion and function.

Arthroscopic Capsular Release

Arthroscopic capsular release is a minimally invasive surgical procedure performed under general anesthesia. It involves making small incisions in the shoulder and inserting a tiny camera, called an arthroscope, to visualize the joint. Specialized surgical instruments are then used to carefully release the tight capsule surrounding the shoulder joint.

This procedure allows the surgeon to precisely target and release the adhesions and scar tissue that contribute to the restricted movement of the shoulder. By doing so, it helps to improve the patient's range of motion and alleviate pain. Arthroscopic capsular release is typically associated with shorter recovery times and less post-operative discomfort compared to traditional open surgery.

Manipulation Under Anesthesia

Manipulation under anesthesia (MUA) is a procedure performed to break up the adhesions and scar tissue around the shoulder joint without making any incisions. This procedure is done under general anesthesia, and the surgeon gently moves the patient's arm and shoulder to stretch and loosen the tight capsule.

The goal of MUA is to force the shoulder joint to move beyond its usual range of motion, breaking up adhesions and scar tissue in the process. Following the procedure, the patient may require physical therapy to maintain the gained range of motion and prevent the reformation of scar tissue. MUA is typically reserved for cases where other treatments have failed, and the patient's range of motion remains severely limited.

It's important to note that surgical interventions for adhesive capsulitis are typically considered as a last resort when conservative treatments have not provided adequate relief. The decision to undergo surgery should be made in consultation with a qualified healthcare professional based on the individual's specific condition and medical history.

After undergoing surgical interventions, such as arthroscopic capsular release or manipulation under anesthesia, a comprehensive post-treatment care and rehabilitation plan will be implemented. This will involve physical therapy, exercises, and other rehabilitation techniques aimed at restoring strength, flexibility, and function to the shoulder joint. For more information on post-treatment care and rehabilitation, refer to our article on frozen shoulder exercises.

Recovery and Management

Recovering from adhesive capsulitis, also known as frozen shoulder, requires a comprehensive approach that includes post-treatment care, rehabilitation, and making certain lifestyle changes. By following these steps, you can improve your chances of a successful recovery and minimize the risk of recurrence.

Post-Treatment Care and Rehabilitation

After undergoing treatment for adhesive capsulitis, it's essential to engage in post-treatment care and rehabilitation to regain shoulder mobility and strength. This typically involves working with a physical therapist who will guide you through a tailored exercise program.

The goal of post-treatment care and rehabilitation is to gradually restore your shoulder's range of motion and strengthen the surrounding muscles. Your physical therapist may incorporate various exercises, including stretching, range-of-motion exercises, and strengthening exercises, to help improve your shoulder function. It's important to follow their guidance and be consistent with your exercises to achieve the best outcomes.

Preventing Recurrence of Adhesive Capsulitis

To prevent the recurrence of adhesive capsulitis, it's crucial to address the underlying causes and risk factors. Here are some strategies that can help reduce the likelihood of developing frozen shoulder again:

• Early Intervention: Seek medical attention as soon as you notice any symptoms of adhesive capsulitis. Early diagnosis and treatment can help prevent the condition from progressing to its advanced stages.
• Maintain Shoulder Mobility: Engage in regular shoulder exercises, even after recovering from adhesive capsulitis. This can help maintain shoulder mobility and prevent stiffness.
• Avoid Prolonged Immobilization: Try to avoid keeping your shoulder immobilized for extended periods, as this can contribute to the development of adhesive capsulitis. If you need to immobilize your shoulder due to injury or surgery, consult with your healthcare provider for guidance on appropriate exercises and mobility techniques.
• Gradual Progression: When returning to physical activities or exercises, ensure that you progress gradually. Sudden or excessive strain on the shoulder joint can increase the risk of re-injury or recurrence.
• Pay attention to your posture: Avoid slouching and maintain good sitting practices. Maintaining good posture can help reduce the strain on your shoulder and prevent the development of shoulder-related issues.

Lifestyle Changes and Maintenance Exercises

Making certain lifestyle changes can also contribute to the management and prevention of adhesive capsulitis. Here are some recommendations:

• Maintain a Healthy Weight: Excess weight can put additional stress on your joints, including the shoulder. By maintaining a healthy weight, you can reduce the strain on your shoulder joint and decrease the risk of developing or worsening adhesive capsulitis.
• Practice Good Sleeping Posture: Ensure that you adopt a comfortable sleeping position that doesn't strain your shoulder. For guidance on how to sleep with a frozen shoulder, consult our article on how to sleep with a frozen shoulder.
• Avoid Overuse and Repetitive Movements: Be mindful of repetitive movements or activities that may strain your shoulder joint. If possible, modify your activities or take regular breaks to minimize the risk of shoulder overuse.
• Incorporate Regular Physical Activity: Engaging in regular physical activity can help improve overall joint health and flexibility. However, it's important to choose activities that are safe for your shoulder and consult with your healthcare provider if you have any concerns.

By following these recovery and management strategies, you can optimize your healing process, reduce the likelihood of recurrence, and regain full function of your shoulder. Remember to consult with your healthcare provider for personalized guidance and recommendations based on your specific condition and needs.

For more information on how RELIEF® can help with adhesive capsulitis, without the need for steroids, surgery, anesthesia, or post-procedure immobilization, contact us today to schedule a free consultation.

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