What is frozen shoulder syndrome?

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Frozen shoulder syndrome, also known as adhesive capsulitis or periarthritis humeroscapularis, is a chronic inflammatory disease of the shoulder and surrounding soft tissues. When the connective tissues surrounding the joint become inflamed, they thicken and become stiff and bound, preventing the joint from moving freely.
As the patient is unable to move their arm, the joint becomes more and more bound and stiff, the soft tissues begin to scar and a „frozen shoulder” develops.

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What is the course of the disease?

The course of frozen shoulder syndrome 3 main sections can be divided into:

1. From first the frostbite phase: this phase lasts 3-6 months from the first symptoms, with intense pain and a slow, gradual stiffening of the shoulder joint. Every movement becomes more painful, which means that the patient has less and less use of the limb and the shoulder joint's range of movement is reduced.
2. This followed by the frozen phase: observed in months 3-12 after the onset of symptoms. During this period, pain decreases, but range of movement still does not improve.
3. Finally, the melting stage the pain is gone and gradually the movements return. This period can last up to a year.

Overall, the recovery time for frozen shoulder syndrome is 1.5-2 years, but the reduced range of motion may persist after recovery, but to a lesser extent.

What are the treatments for frozen shoulder syndrome?

As the recovery time is very long, it is important that the disease is diagnosed early so that the pain is relieved and the patient regains mobility of the affected joint as soon as possible.

A to establish the diagnosis of orthopaedic specialist in addition to a physical examination, an imaging procedure may be needed (X-rays, MRI) is.

A treatment of frozen shoulder syndrome is usually done conservatively, i.e. it does not require surgery. Anti-inflammatory and analgesic drugs, occasionally injections, various physiotherapy tools such as ultrasound, safe laser, etc. may be used. In addition, movement therapy under the guidance of a specialist, a physiotherapist, is essential, as the frozen part of the body can often only be reintroduced to physiological movements by manual therapy.

In the frozen phase, when the pain is reduced, the frozen joint can be treated surgically to speed up the return of movement, after which the pain is significantly reduced. The operation is performed by shoulder arthroscopy, where, with a minimum of penetration, 2-3 incisions of about 1 cm are made using an arthroscope to release the connective tissue that has built up in the joint capsule and surrounding ligaments. Post-operative physiotherapy is also essential to restore movement and speed up recovery.

To prevent the symptoms from recurring, it is advisable to continue to use the movement therapy you have learned with the help of a specialist on a regular basis and to follow the recommendations made by experts for a longer period of time (e.g. ideal working conditions, avoiding air conditioning, avoiding overwork, etc.).

The most common complaints treated by our gynaecologists:

• shoulder pain
• company fuck
  
• dislocated shoulder
  
• shoulder joint and shoulder ligament tear
  
• shoulder pain
  
• shoulder inflammation
  
• frozen shoulder
  
• mobility disability
  
• shoulder joint wear
  

Our shoulder surgeons