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FROZEN SHOULDER SYNDROME REHABILITATION
The shoulder is one of the most mobile joints of our body and allows us to perform many basic movements in daily life. However, in some cases, shoulder movements can be restricted and cause pain. Frozen shoulder syndrome (Adhesive capsulitis) is a disease characterized by stiffness, pain and loss of movement in the shoulder joint. It usually progresses slowly and can significantly limit daily life if left untreated.
What is Frozen Shoulder Syndrome?
Frozen shoulder syndrome is a disease that occurs when the shoulder joint capsule thickens, hardens and becomes inflamed, limiting the mobility of the joint. The connective tissue surrounding the shoulder joint hardens and causes adhesions within the joint, leading to loss of movement.
Causes of Frozen Shoulder Syndrome
Although the exact cause of frozen shoulder syndrome is not known, certain risk factors increase the likelihood of developing the disease:
- Diabetes: People with diabetes have a higher risk of frozen shoulder.
- Shoulder Injuries or Surgeries: Prolonged immobilization of the shoulder can trigger the development of frozen shoulder.
- Hormonal Changes: It is more common especially in women during menopause.
- Rheumatic Diseases: Inflammatory diseases such as rheumatoid arthritis can increase the risk.
- Heart Diseases and Stroke: Especially in people who have had a stroke, shoulder movements may decrease and frozen shoulder may develop.
Symptoms of Frozen Shoulder Syndrome
Frozen shoulder usually develops in three stages:
1. Painful Period (6 weeks - 9 months)
- Increasing pain is felt in the shoulder.
- Shoulder movements become restricted.
2. Freezing Period (4 - 12 months)
- The shoulder becomes stiff and mobility is markedly reduced.
- The pain may decrease but the limitation of movement persists.
3. Thaw Period (6 months - 2 years)
- The shoulder gradually regains its former mobility.
- Full recovery can be achieved with the right treatment.
Frozen Shoulder Syndrome Treatment
Treatment of frozen shoulder usually starts with conservative methods and different treatment approaches are applied depending on the stage of the disease.
1. Physical Therapy and Exercises
Physical therapy is one of the most effective treatment methods for frozen shoulder syndrome. The aim is to increase shoulder movement, reduce pain and relieve joint stiffness. Some recommended exercises include:
- Pendulum Exercise: Leaning slightly forward, swinging the arm in a circular motion to relax the shoulder.
- Wall Walking Exercise: Increasing shoulder movement by walking upwards on the wall with the fingers.
- Stretching Exercises: Controlled stretching exercises to stretch the shoulder capsule.
2. Painkillers and Anti-inflammatory Drugs
Non-steroidal anti-inflammatory drugs (NSAIDs) and corticosteroid injections can be used to relieve pain and reduce inflammation.
3. Manual Therapy and Massage Techniques
Manual therapy by physiotherapists can help improve the mobility of the shoulder joint.
4. Cortisone Injection for Shoulder
In cases of severe pain, cortisone injections administered by a doctor can reduce inflammation and improve mobility.
5. Surgical Intervention (in rare cases)
In advanced cases that do not respond to conservative treatments, closed shoulder manipulation or arthroscopic surgery can be used to remove adhesions and improve mobility.
Supportive methods that can be applied at home
- Hot and Cold Compresses: Applying hot or cold applications to the area to reduce pain and inflammation.
- Light Yoga and Stretching Exercises: May help maintain shoulder range of motion.
- Do not immobilize the shoulder for long periods of time: It is important to do controlled exercises instead of stopping movement completely.
Conclusion
Frozen shoulder syndrome is a process that requires proper treatment and patience. With early diagnosis and appropriate treatment methods, shoulder movements can be restored and pain can be reduced. Physical therapy and regular exercises are the most important components of treatment. If you suffer from shoulder pain and stiffness, you can accelerate the healing process with early intervention by consulting a specialist.
The shoulder is one of the most mobile joints of our body and allows us to perform many basic movements in daily life. However, in some cases, shoulder movements can be restricted and cause pain. Frozen shoulder syndrome (Adhesive capsulitis) is a disease characterized by stiffness, pain and loss of movement in the shoulder joint. It usually progresses slowly and can significantly limit daily life if left untreated.
What is Frozen Shoulder Syndrome?
Frozen shoulder syndrome is a disease that occurs when the shoulder joint capsule thickens, hardens and becomes inflamed, limiting the mobility of the joint. The connective tissue surrounding the shoulder joint hardens and causes adhesions within the joint, leading to loss of movement.
Causes of Frozen Shoulder Syndrome
Although the exact cause of frozen shoulder syndrome is not known, certain risk factors increase the likelihood of developing the disease:
- Diabetes: People with diabetes have a higher risk of frozen shoulder.
- Shoulder Injuries or Surgeries: Prolonged immobilization of the shoulder can trigger the development of frozen shoulder.
- Hormonal Changes: It is more common especially in women during menopause.
- Rheumatic Diseases: Inflammatory diseases such as rheumatoid arthritis can increase the risk.
- Heart Diseases and Stroke: Especially in people who have had a stroke, shoulder movements may decrease and frozen shoulder may develop.
Symptoms of Frozen Shoulder Syndrome
Frozen shoulder usually develops in three stages:
1. Painful Period (6 weeks - 9 months)
- Increasing pain is felt in the shoulder.
- Shoulder movements become restricted.
2. Freezing Period (4 - 12 months)
- The shoulder becomes stiff and mobility is markedly reduced.
- The pain may decrease but the limitation of movement persists.
3. Thaw Period (6 months - 2 years)
- The shoulder gradually regains its former mobility.
- Full recovery can be achieved with the right treatment.
Frozen Shoulder Syndrome Treatment
Treatment of frozen shoulder usually starts with conservative methods and different treatment approaches are applied depending on the stage of the disease.
1. Physical Therapy and Exercises
Physical therapy is one of the most effective treatment methods for frozen shoulder syndrome. The aim is to increase shoulder movement, reduce pain and relieve joint stiffness. Some recommended exercises include:
- Pendulum Exercise: Leaning slightly forward, swinging the arm in a circular motion to relax the shoulder.
- Wall Walking Exercise: Increasing shoulder movement by walking upwards on the wall with the fingers.
- Stretching Exercises: Controlled stretching exercises to stretch the shoulder capsule.
2. Painkillers and Anti-inflammatory Drugs
Non-steroidal anti-inflammatory drugs (NSAIDs) and corticosteroid injections can be used to relieve pain and reduce inflammation.
3. Manual Therapy and Massage Techniques
Manual therapy by physiotherapists can help improve the mobility of the shoulder joint.
4. Cortisone Injection for Shoulder
In cases of severe pain, cortisone injections administered by a doctor can reduce inflammation and improve mobility.
5. Surgical Intervention (in rare cases)
In advanced cases that do not respond to conservative treatments, closed shoulder manipulation or arthroscopic surgery can be used to remove adhesions and improve mobility.
Supportive methods that can be applied at home
- Hot and Cold Compresses: Applying hot or cold applications to the area to reduce pain and inflammation.
- Light Yoga and Stretching Exercises: May help maintain shoulder range of motion.
- Do not immobilize the shoulder for long periods of time: It is important to do controlled exercises instead of stopping movement completely.
Conclusion
Frozen shoulder syndrome is a process that requires proper treatment and patience. With early diagnosis and appropriate treatment methods, shoulder movements can be restored and pain can be reduced. Physical therapy and regular exercises are the most important components of treatment. If you suffer from shoulder pain and stiffness, you can accelerate the healing process with early intervention by consulting a specialist.
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