Adhesive Capsulitis ,frozen shoulder. - Everything You Need To Know - Dr. Nabil Ebraheim

Educational vide describing the condition of the shoulder known as adhesive capsulitis or frozen shoulder.
Adhesive capsulitis is a painful, progressive loss of shoulder motion. It affects both active and passive movement of the shoulder joint. The shoulder is stiff and painful. It occurs due to inflammation, fibrosis, scarring, and contraction of the capsule of the shoulder joint.
The normal shoulder joint capsule is elastic and allows a great range of motion. With inflammation and thickening of the shoulder capsule, this will lead to adhesive capsulitis. Frozen shoulder may occur without any specific cause; however it may be triggered by a mild trauma to the shoulder. This condition develops slowly and goes through three phases:
1.Pain and freezing: pain is worse at night, increases with any movement and lasts several months.
2.Stiffness or frozen: range of motion is limited as pain is dimishing, may last up to 1 year.
3.Resolution: may begin to resolve over time, may last up to 3 years.
This process will take time, sometimes several years.
Conditions associated with frozen shoulder include: diabetes, thyroid problems, autoimmune disease, stroke, rheumatoid arthritis and trauma or post-surgery.
A patient with frozen shoulder will have loss of both active and passive motion. External rotation of the shoulder is very limited.
Condition is self-limiting and it may resolve by itself. X-rays are needed to rule out degenerative arthritis.
MRI or arthrogram will show small fluid in joint cavity. Rotator cuff may be normal. Synovitis and narrowing of the rotator cuff interval is usually seen.
Treatment includes: anti-inflammatory medications, physical therapy, injections and manipulation under anesthesia. Surgery, release of the capsule is an option if non operative methods fail.

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