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Interstitial lung disease

Frozen shoulder is a condition where your shoulder remains painful and stiff for along time (for months, or even years). It is expected to go away on its own, though this can take from 1-3 years.

What is frozen shoulder?

Your shoulder is a ball-and-socket joint that includes 3 bones: your collarbone (clavicle), upper arm bone (humerus) and shoulder blade (scapula).The humerus slots into a socket in your shoulder blade, which is surrounded by strong tissue called the ‘shoulder capsule’.In the case of frozen shoulder, your shoulder capsule becomes tight and stiff.

What are the symptoms of frozen shoulder?

Frozen shoulder develops over time, and in three stages:

  1. Freezing – you find it more difficult and painful to move your shoulder
  2. Frozen – your shoulder gets more stiff, although it’s less painful
  3. Thawing – you start to find it easier to use your shoulder

Any of the above stages can last for several months.

What causes frozen shoulder?

There’s no clear cause of frozen shoulder. However, there are some risk factors that make you more likely to get it:

Being over 40 – those aged over 40 and women are more likely to get frozen shoulder
Certain illnesses  – including overactive or underactive thyroid, diabetes and Parkinson’s
Previous rotator cuff injury or broken arm
Recovering from arm surgery or a stroke

How is Frozen Shoulder diagnosed?

Your doctor will ask you about your medical history, including details of any prior injuries, alongside information about the exercise you do. They will ask you to move your shoulder in certain ways while they look for any problems in movement (this tests your active range of motion) and will then move your shoulder for you (testing your passive range of motion). They may inject an anaesthetic in your shoulder to numb your pain and better assess your ranges of motion.In some instances, your doctor may take an x-ray or MRI scan to try to get a better idea of whether you have frozen shoulder or another potential condition.

How is frozen shoulder treated?

Your doctor will recommend some (or all) of the following:

  • Physical therapy (this usually means you meet with a physical therapist once to learn some gentle movement exercises, and can then continue with the exercises on your own at home to strengthen your shoulder muscles)
  • Anti-inflammatory drugs and medications
  • Rest
  • Steroid injections into your shoulder (in some cases)
  • Joint distention treatment – your doctor injects sterile water into your shoulder to help improve your range of movement 

If you’re unsure what treatment you should go for, or the above treatments don’twork for you, our team of expert specialists are here to help.

This content has been checked and approved by

Mr Gareth G Jones  ›

Consultant Orthopaedic surgeon and knee specialist at King Edward VII’s Hospital.

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