Frozen Shoulder Treatment at Nirschl Orthopaedic Center in Arlington, VA
The shoulder is a complex joint that is encased in a flexible capsule of connective tissue, which stabilizes its bones, tendons and ligaments. Frozen shoulder (adhesive capsulitis) occurs when the joint capsule thickens and tightens around these tissues. This can interfere with the movement of – or “freeze” – the shoulder joint. In response to the resulting friction, the body may produce bands of scar tissue (adhesions), which may press on the joint capsule. All of these changes in the structure of the shoulder joint can cause pain, swelling and stiffness.
Why Does Frozen Shoulder Develop?
The causes of adhesive capsulitis are unclear. Certain factors that cause or contribute to inflammation, such as diabetes, hormonal imbalances and a weakened immune system, may increase the risk of frozen shoulder. Additionally, the condition sometimes develops during an extended period of inactivity, such as that necessary to allow a rotator cuff tear, arm fracture or surgical repair to heal.
Frozen Shoulder Stages
The symptoms of frozen shoulder usually develop gradually, worsen over time and eventually resolve over the course of one to three years. In most cases, the condition advances through three stages, each of which can last several months or longer:
- The freezing stage – Range of motion is restricted, making movement painful.
- The frozen stage – As the pain subsides, stiffness sets in.
- The thawing stage – Flexibility and range of motion begin to improve.
How Is Frozen Shoulder Treated?
The goals of frozen shoulder treatment are to manage pain, improve function and promote healing. Some options include:
- Stretches and range-of-motion exercises
- Nonsteroidal anti-inflammatory drugs (NSAIDs)
- Pain-relieving medications
- Corticosteroid injections
To address severe or persistent symptoms, arthroscopic surgery may be considered. For instance, a surgeon may remove adhesions that formed inside the shoulder joint, which can help loosen the joint capsule and promote free movement.
Consult With a Shoulder Specialist in Arlington
If you’re experiencing frozen shoulder symptoms, don’t wait to seek medical attention. Early diagnosis and appropriate treatment can relieve your discomfort and help you avoid complications.
You can consult with an experienced shoulder specialist at Nirschl Orthopaedic Center (NOC) in Arlington, VA. Our outstanding team of shoulder specialists includes Drs. Robert P. Nirschl, Derek H. Ochiai, Ronald S. Paik and Clay Wellborn. We offer a full range of conservative and surgical treatments for shoulder conditions, including physical therapy. Whenever possible, we emphasize nonsurgical treatment, and our goal is to help each patient find effective relief through the least invasive means possible. Contact us today.