Pikes Peak Orthopaedic Surgery and Sports Medicine

2925 Professional Place STE 110, Colorado Springs, 80904   |  P. 719-445-0344   |  F. 719-445-0357   |   Email Us

 

P. 719-445-0344     |    Email Us

Frozen Shoulder (Adhesive Capsultis)

Frozen shoulder, also called adhesive capsulitis, is a condition characterized by pain and loss of motion in the shoulder joint. It is more common in older adults aged between 40 and 60 years and is more common in women than men.

Causes & Symptoms

Frozen shoulder is caused by inflammation of the ligaments holding the shoulder bones to each other. The shoulder capsule becomes thick, tight, and stiff bands of tissue called adhesions may develop. Individuals with shoulder injury, shoulder surgeries, a shoulder immobilized for a longer period, or other disease conditions such as diabetes, hypothyroidism, hyperthyroidism, Parkinson’s disease and cardiac diseases are at risk of developing frozen shoulder.

Frozen shoulder may cause pain and stiffness and limit the movements of shoulder.

Diagnosis

Conservative Treatment

Conservative treatment options include:

  • Non-steroidal anti-inflammatory drugs and steroid injections for pain
  • Physical therapy to improve your range of motion
  • Sometimes heat may be applied to reduce pain

Surgery

Your surgeon may recommend shoulder arthroscopy when conservative treatment does not work. During surgery, the scar tissue will be removed and tight ligaments, if any, will be dissected. Following surgery, physical therapy will be advised to bring back full range of motion and strengthen the muscles.

Treatment

Treatment options include both non-surgical and surgical methods. If the overall stability of the knee is intact, your doctor may recommend non-surgical methods. Non-surgical treatment consists of rest, ice, compression and elevation (RICE protocol); all assist in controlling pain and swelling. Physical therapy may be recommended to improve knee motion and strength. A knee brace may be needed to help immobilize your knee.

Young athletes involved in pivoting sports will most likely require surgery to safely return to sports. The usual surgery for an ACL tear is an ACL reconstruction which tightens your knee and restores its stability. Surgery to reconstruct an ACL is done with an arthroscope using small incisions. Your doctor will replace the torn ligament with a tissue graft that can be obtained from your knee (patellar tendon) or hamstring muscle. Following ACL reconstruction, a rehabilitation program is started to help you resume a wider range of activity.