Powered by the doe report



or
Search Language
Browse
Medical Illustrations
Medical Exhibits
Medical Animations
Medical Animation Titles
Medical Encyclopedia
Most Recent Uploads
Body Systems/Regions
Anatomy & Physiology
Diseases & Conditions
Diagnostics & Surgery
Cells & Tissues
Cardiovascular System
Digestive System
Nervous System
Reproductive System
Respiratory System
Back and Spine
Foot and Ankle
Head and Neck
Hip
Knee
Shoulder
Thorax
Medical Specialties
Cancer
Cardiology
Dentistry
Editorial
Neurology/Neurosurgery
Ob/Gyn
Orthopedics
Pediatrics
Account
Administrator Login
 
3/28/24
Friedman Certified Legal Nurse Consultants - Medical Demonstrative Evidence Medical Reference Library
Print this article
Frozen Shoulder (Adhesive Capsulitis)

Frozen Shoulder (Adhesive Capsulitis) Loading image. Please wait...

As the name implies, movement of the shoulder is severely restricted in people with a "frozen shoulder." This condition, which doctors call adhesive capsulitis, is frequently caused by injury that leads to lack of use due to pain. Rheumatic disease progression and recent shoulder surgery can also cause frozen shoulder. Intermittent periods of use may cause inflammation. Adhesions (abnormal bands of tissue) grow between the joint surfaces, restricting motion. There is also a lack of synovial fluid, which normally lubricates the gap between the arm bone and socket to help the shoulder joint move. It is this restricted space between the capsule and ball of the humerus that distinguishes adhesive capsulitis from a less complicated painful, stiff shoulder. People with diabetes, stroke, lung disease, rheumatoid arthritis, and heart disease, or who have been in an accident, are at a higher risk for frozen shoulder. The condition rarely appears in people under 40 years old.

Diagnosis
With a frozen shoulder, the joint becomes so tight and stiff that it is nearly impossible to carry out simple movements, such as raising the arm. People complain that the stiffness and discomfort worsen at night. A doctor may suspect the patient has a frozen shoulder if a physical examination reveals limited shoulder movement. An arthrogram may confirm the diagnosis.Loading image. Please wait...

Treatment
Treatment of this disorder focuses on restoring joint movement and reducing shoulder pain. Usually, treatment begins with nonsteroidal anti-inflammatory drugs and the application of heat, followed by gentle stretching exercises. These stretching exercises, which may be performed in the home with the help of a therapist, are the treatment of choice. In some cases, transcutaneous electrical nerve stimulation (TENS) with a small battery-operated unit may be used to reduce pain by blocking nerve impulses. If these measures are unsuccessful, the doctor may recommend manipulation of the shoulder under general anesthesia. Surgery to cut the adhesions is only necessary in some cases.

Source: The National Institute of Arthritis, Musculoskeletal and Skin Diseases
Last reviewed: May 2001



Medical/Legal Disclaimer
Copyright © 2003 Nucleus Medical Art, Inc. All Rights Reserved.
Related Medical Demonstrative Evidence - click thumbnail to review.
How do I find a personal injury lawyer in my local area?
Find a personal injury lawyer in your local area using LEGALpointer™, a national directory of U.S. attorneys specializing in personal injury, medical malpractice, workers' compensation, medical product liability and other medical legal issues. Or, click on one of the following to see attorneys in your area: Alabama (AL), Alaska (AK), Arizona (AZ), Arkansas (AR), California (CA), Colorado (CO), Connecticut (CT), Delaware (DE), Washington D.C. (DC), Florida (FL), Georgia (GA), Hawaii (HI), Idaho (ID), Illinois (IL), Indiana (IN), Iowa (IA), Kansas (KS), Kentucky (KY), Louisiana (LA), Maine (ME), Maryland (MD), Massachussets (MA), Michigan (MI), (MN), Mississippi (MS), (MO), Montana (MT), North Carolina (NC), North Dakota (ND), Nebraska (NE), Nevada (NV), New Hampshire (NH), New Jersey (NJ), New Mexico (NM), New York (NY), Ohio (OH), Oklahoma (OK), Oregon (OR), Pennsylvania (PA), Puerto Rico (PR), Rhode Island (RI), South Carolina (SC), South Dakota (SD), Tennessee (TN), Texas (TX), Utah (UT), Virginia (VA), Virgin Islands (VI), Vermont (VT), Washington (WA), West Virginia (WV), Wisconsin (WI).
Medical Legal Blog |Find a Lawyer | Hospital Marketing