Frozen Shoulder Syndrome

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Frozen Shoulder Syndrome 


It is a disorder characterized by limitation of movement and pain in the shoulder joint. Due to the narrowing, thickening and inflammation of the shoulder joint capsule, both active and passive joint movements are restricted. Symptoms typically begin gradually, worsen over time, and then improve over 1 to 3 years.


        


What are the risk factors in frozen shoulder syndrome?


It is mostly seen in women between the ages of 40-65. Systemic diseases such as diabetes, thyroid diseases, cardiovascular diseases, stroke, Parkinson's disease are risk factors. Long-term shoulder immobility may also cause the development of a frozen shoulder.


What are the symptoms of frozen shoulder syndrome?


There is loss of movement and pain in the shoulder.

Frozen shoulder syndrome can happen slowly and in 3 stages.

  • 1st stage : Inflammation (6-9 months)
  • 2nd Stage : Freezing (4-12 months)
  • 3rd stage : Dissolution (6 months - 2 years)


How is frozen shoulder syndrome diagnosed?


On physical examination, diffuse decrease in active and passive movements is observed. X-ray and MRI are required to exclude causes such as concomitant arthritis, rotator cuff tear.


     


How Is frozen shoulder syndrome treated?


The first treatment is non-surgical methods. Treatment planning is made with interventions such as medical treatment, joint injections, stretching exercises, and ice application. If the patient's complaints have not regressed despite at least 6 months of regular treatment, the patient should be evaluated for surgical intervention. Manipulation under anesthesia and arthroscopic release surgery are among the treatment options.

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