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Frozen shoulder, or adhesive capsulitis, has a few different treatment options. Here is a list of the various treatments from the related link below:
- The Niel-Asher technique works by reducing inflammation in and around the shoulder capsule and tendons and then re-programming the muscles which have switched off.
- Non-Steroidal anti-inflammatory medications - these are mainly ineffective. This type of medicine is good for reducing acute pain and swelling but because frozen shoulders are full of chronic inflammation NSAID's rarely improve things.
- Oral Steroids - Short courses of high doses of intravenous steroids (500mgs of prednisolone IV for three consecutive days) appear to improve the pain relief. A three week course of 30mgs prednisolone daily has shown significant short term benefit in adhesive capsulitis, but the benefits did not persist beyond 6 weeks(Buchbinder R. Ann Rheum Dis 2004;63:11:1460-9). It must also be remembered that Oral steroids can have significant and unwanted side-effects.
- Streroid injections - Your GP may initiate a course (up to 3) of hydrocortisone injections into the shoulder, these can take away some of the acute pain but the effect seems to be short-term and they are rarely useful on their own. (Bal A et al. Effectiveness of corticosteroid injection in adhesive capsulitis. Clinical Rehabilitation 2008;22:6:503-12). They also may have serious unwanted side effects such as facial flushing and changes in sugar metabolism (especially in diabetics).
- Hydroplasty - involveing distention of the glenohumeral joint with an injection of 10mgs of combined bupivacaine (Marcaine), lidocaine (Xylocaine) and corticosteroid followed by injection of 30mls of chilled sterile normal saline (Callinan N. J Hand Ther 2003;16:3:219-24). This is a surgical procedure and s not risk free - it is more effective when combined with physical therapy and may also need to be repeated.
- Hydrodilatation - involves inflating the capsule with between 10 and 50mls of saline. Has shown to be significantly better than manipulation under anaesthesia at 6 monts (p<0.0001). But it should be noted that this is a surgical procedure and the evidence is not conclusive. Some authors have failed to identify any further beneficial affects from three hydrodilatations when included with steroid therapy compared to the steroid injections alone (Tveita EK. MBC Musculoskelet Disord 2008;9:53).
- A combination of Acupuncture and physical therapy may lead to a better outcome than using one method alone (Ma T. Am J Chin Med 2006;34:5:759-75).
- Physical Therapy - is of little or no use during the freezing or frozen phases but may help speed up recovery during the thawing phase¹. (Vermeulen H. Phys Ther 2006;86:3:355-68). Patients may have well over a dozen physical therapy sessions and modalities include ultrasound, mobilization and exercise regimens.
- Transcutaneous electrical nerve stimulation (TENS) machines are also commonly used to alleviate night pain.
- Manipulation under anaesthesia (MUA) followed by several months of intensive physical therapy, or if severe, more invasive surgery. Manipulation under anaesthesia does not add effectiveness to exercise program with only a small difference in the range of movement in favour of the manipulation group (Kivimaki J. J Shoulder Elbow Surg 2007;16:6:722-6). The risks associated with MUA include fracture of the humerus, tendon rupture and brachial plexus injury¹ and the risks associated with anaesthesia.
- A series of three indirect bupivacaine supra scapula nerve blocks has been shown to be effective in reducing the pain from frozen shoulder within one month (64% Vs 13%) in the control group (Daha TH. J Rheumatol 2000;27:6:1464-9).
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What is frozen shoulder?
When there is inflammation in the subacromial bursa (a part of the shoulder joint), there is pain on elevation of the shoulder above the horizontal. This condition is variously called subacromial bursitis and shoulder impingement syndrome. If this condition is left untreated, eventually scar tissue will form in the shoulder joint. This scar tissue permanently restricts motion of the shoulder. This condition is called adhesive capsulitis, or frozen shoulder. Frozen shoulder is treated conservatively by physical therapy, but if that doesn't work the orthopedist has to do one of 2 things: violently wrench the shoulder to break up the scar tissue, or do surgery to go in and break up the scar tissue.
What are the treatments for a frozen shoulder and shoulder pain?
The treatment for a frozen shoulder and shoulder pain depends on the underlying cause and severity of the condition. Here are some possible treatment
What is frozen shoulder or adhesive capsulitis?
It's a condition where the tendons in the shoulder become tight and hard to move. This causes a dull pain all the time and is very annoying and becomes more painful when sleeping on that side. There is apparently no cure.
Can Regenerative Cell Treatment Help in Frozen Shoulder ?
Is frozen shoulder harmful? Won't it heal by itself? Should I consult a specialist? Is surgery the only available option? If these are the questions that keep bothering you now and then, here is the good news for you! There is no need for surgery. Frozen shoulder can heal by itself and provide permanent relief from symptoms. Medica Stem Cells therapy will help in treating the shoulder joint by itself. Let us understand the causes and symptoms of frozen shoulder, and see how regenerative cell treatment can do wonders.According to the article published by Zuckerman JD and Rokito A in the journal J Shoulder Elbow Surg., dated 2011, frozen shoulder or adhesive capsulitis, is defined as "a condition of uncertain aetiology, characterized by significant restriction of both active and passive shoulder motion that occurs in the absence of a known intrinsic shoulder disorder."Frozen shoulder is always associated with severe pain that worsens by night, stiffness, and loss or range of motion. Frozen shoulder may be primary or secondary type. Primary frozen shoulder is often associated with conditions like diabetes mellitus. A secondary type of frozen shoulder usually affects individuals with a recent history of shoulder injuries like subacromial impingement, rotator cuff tendon tear, biceps tenosynovitis and calcific tendonitis.Stages of frozen shoulderFrozen shoulder often reveals in three stages:Freezing stage or the painful stage: This stage lasts for 2-9 months. It starts gradually with dispersing pain, followed by the thickening of the shoulder capsule. This condition leads to severe pain with restricted movement.Frozen stage or the adhesive stage: This stage lasts for 4-6 months. Here, the pain usually begins to subside, and it restricts the joint movement. Stiffness persists in this stage.Thawing stage or the last stage: This stage lasts for 6-24 months to heal completely. During this stage, the shoulder joint capsule begins to loosen up. The pain subsides gradually with gradual improvement in the range of shoulder movement.Causes of frozen shoulderThe exact cause of frozen shoulder has remained unknown. However, patients having systemic ailments like diabetes, cardiovascular disease, Parkinson's disease, etc. have frozen shoulder. Similarly, those who immobilize their shoulder joint for a prolonged time, mostly after surgery or fracture, are more prone to have a frozen shoulder. Still, manual workers and women above the age of 40 are at higher risk of developing a frozen shoulder.Diagnosis of frozen shoulderPhysical examination of the shoulder followed by tests such as an X-ray, ultrasound scan, or an MRI scan can detect the condition.Treatment of frozen shoulderThe conventional treatment methods of frozen shoulder include R.I.C.E. (Rest, Ice therapy, Compression, and Elevation), physiotherapy, non-steroidal anti-inflammatory drug administration, and corticosteroid injections. But these treatment methods help to alleviate the symptoms only for a short duration. Hence, the physician may recommend frozen shoulder surgery as the only method to get permanent relief from pain.Regenerative cell treatmentRecently an innovative treatment method named regenerative cell treatment has emerged as one of the most popular treatment methods for frozen shoulder pain treatment. This non-surgical Regenerative cell treatment is safe that naturally utilizes the intrinsic property of your regenerative cells to promote healing. This therapeutic approach not only alleviates the symptoms but also promotes self-healing of the damaged tissues. Unlike conventional treatment methods, regenerative cell treatment addresses the cause of the symptoms rather than merely masking the symptoms. Hence, this regenerative cell treatment has also reduced the need for medications, steroid injections, and surgery.For more information on the regenerative treatment for the frozen shoulder condition, we use PRP therapy or Plasma Rich Therapy, along with other Regenerative therapies for frozen shoulder treatment. You can also contact Medica Stem Cells Clinics, to learn more about the types of Medica stem cell therapy available to treat your frozen shoulder.
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What is the medical condition frozen shoulder?
A shoulder that becomes scarred and cannot move.
When do you need a professional consultation for Frozen Shoulder?
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What is medical billing code 726.0?
adhesive capsulitis of shoulder (i.e. frozen shoulder)
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