Frozen Shoulder (Adhesive Capsulitis): Causes, Symptoms, Stages, Diagnosis, Treatment

Frozen Shoulder (Adhesive Capsulitis) | Causes, Pathophysiology, Symptoms, Stages, Diagnosis, Treatment

Frozen Shoulder (which is also known as Frozen Shoulder Syndrome and Adhesive Capsulitis) is a condition involving progressive pain and stiffening of the shoulder joint. There are a wide variety of causes and factors associated with this condition, including prolonged shoulder immobility, diabetes, and shoulder injury. In this lesson, we discuss the pathophysiology behind why it occurs, along with the stages of symptoms, how it’s diagnosed and how it’s treated.

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JJ

**MEDICAL LEGAL DISCLAIMER**: JJ Medicine does not provide medical advice, and the information available on this channel does not offer a diagnosis or advice regarding treatment. Information presented in these lessons is for educational purposes ONLY, and information presented here is not to be used as an alternative to a healthcare professional’s diagnosis and treatment of any person/animal. Only a physician or other licensed healthcare professional are able to determine the requirement for medical assistance to be given to a patient. Please seek the advice of your physician or other licensed healthcare provider if you have any questions regarding a medical condition.

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[jjmedicine]

Hi everyone! I hope you all found this lesson helpful :)
Please check out my other lessons, including my *Most Popular* videos:

[lanaj]

I had idiopathic frozen shoulder (female, non-dominant arm 5 years ago), and I can honestly say it was the most excruciatingly painful thing I've ever had. It's constant stabbing pains that rarely subsided from my shoulder to elbow and radiating to my wrist. I would just sit and cry. NSAIDs did nothing to help with the pain. Nothing at all. I went to therapy, but after thawing, I never regained full motion. It is now starting to recur, but I am doing all the exercises I learned from my first battle and hasn't gotten anywhere near as bad!

[keiripatu]

Hydrodilatation - literally saved my life and mental state. All therapies were making my condition worse and the pain was excruciating. I am grateful I finally found a really good consultant. I was physically super fit and rapid decline of my ROM was concerning. While having the procedure I felt the release immediately in the other surrounding tissues, my neck, biceps, trapezius etc as the capsule was essentially torn apart. I walked out of that procedure a completely different person from two years of pain everyday, the thought of giving up my job & just not being able to participate in favourite actives to then literally running down the hospital corridor singing and dancing .... it is SO important to find the right Doctor.

[frankmercer]

I had secondary adhesive capsulitis. I was involved in a motorcycle accident in 2009, that resulted in 10 broken ribs, broken collar bone and a shattered scapula in my left shoulder. The left shoulder was immobilized for months due to pain management. No surgery was performed to put the broken bones back together, they were just left to heal. CAT scans of my shoulder still show all the healed fractures but I'm living with it OK. My scapula looks particularly bad as it was broken into 7 pieces, and one can see some of the damage to my scapula visually by just looking at my back. After over a year of much physical therapy and pain management, arthroscopic surgery was required on my left shoulder. I now have about 90% of full motion in my left should with little to no pain.

[crystals]

As a student revising for boards, this helped a lot. Thank you for explaining it so simply and succinctly.

[bleuberry]

Best video on this that I’ve seen! Thank you.

[kimlarso]

Whats it called after getting a vaccination? Similar s/s? Thank You

[kangasban]

Semoga cepat sembuh, salam sehat dr Lampung

[donrajah]

Had this in both shoulders. & affected my jaw to. Then it started rotating. Caused by my diabetes. Tell you this is the most excruciating pain you can ever experience. Physical therapy helped with range of motion but not the pain. 😢

[renna]

The pain it's very painful, I went too the ER, I call it a flair up. It's always my Left Shoulder.

[g.s.]

could serrapeptase not help to break down fibrin around the addesion ?

[irshadullah]

Sir plz when you tol about the caustion please a littile alaborate the cause .in this frozen shoulder you talke about DM, parkinson so how is the relation with this.

[frozenauna]

I had none of those causes and got 2 frozen shoulders at the same time. So awful! My left one came back but rt one is still lingering. It’s been 6 years.

[paulcooper]

I've had two frozen shoulders. Once on each side, so many years apart I couldn't remember which side it was on first, when I had the second.

The first incident occurred due to injury. I didn't seek treatment because I had recovered from a similar injury without aid previously.
But this time it got progressively worse over many months, limiting motion to about 35%-40% range, painful only when trying to extend motion beyond.
This shoulder was treated with Physical Therapy twice a week for 8 weeks. This was expensive and in the end yielded only slight improvement.
Next I received a cortisone injection, which returned of 80% of motion within minutes and probably 90% within a day, eventually 100% weeks later.


Don't know what caused the incident, in the second shoulder, years later, but I skipped the PT and went straight for the shot.
The immediate relief again was about 80% but this time with some pain and the overall recovery was slower, taking many months to get 100% pain free range.
So maybe the prior PT had been helpful in the first incident.

From my experience I recommend the cortisone injection.
They will hold you in a vice like grip administering the shot because the needle is long and goes deep into the shoulder joint.
For most people the shot is very painful, but the relief from the frozen shoulder is well worth it.

[corinthians-]

I had calcific tendinitis for a year and a half. Excruciating pain, especially when you're trying to sleep. Hanging on a pull up bar fixed it.