{"id":171,"date":"2012-04-20T10:12:00","date_gmt":"2012-04-20T10:12:00","guid":{"rendered":"http:\/\/www.kauveryhospital.com\/blog\/frozen-shoulder-is-a-surgical-disease\/"},"modified":"2023-03-13T08:28:09","modified_gmt":"2023-03-13T08:28:09","slug":"frozen-shoulder-is-a-surgical-disease","status":"publish","type":"post","link":"https:\/\/www.kauveryhospital.com\/blog\/orthopedics\/frozen-shoulder-is-a-surgical-disease\/","title":{"rendered":"Frozen Shoulder Is A Surgical Disease"},"content":{"rendered":"<h2>Introduction<\/h2>\n<p class=\"caps\">In 1934, Codman described the frozen shoulder as a condition which is difficult to define, difficult to explain and difficult to treat. Codman\u2019s description remained true until 10 years ago. But, with the advent of shoulder arthroscopy, understanding of this condition and treatment has significantly improved.<\/p>\n<h2>Periarthritis Is A Misnomer<\/h2>\n<p>We now clearly know that there is no involvement of glenohumeral joint. So, periarthritis is a misnomer. It is the capsule which is diseased. So, pericapsulitis is also a misnomer. The terms which closely describe the condition are adhesive capsulitis and frozen shoulder. There is widespread consensus among the <a href=\"https:\/\/www.kauveryhospital.com\/Centers-of-Excellence-and-Specialties\/Orthopaedics-Doctors\/Chennai\">shoulder specialists<\/a> that \u201ccontracted shoulder\u201d is the most appropriate term to describe this condition.<\/p>\n<div class=\"also-read\"><strong>Also Read: <\/strong><a href=\"https:\/\/kauveryhospital.com\/blog\/orthopedics\/causes-of-shoulder-pain-and-treatment\/\">Causes Of Shoulder Pain And Treatment<\/a><\/div>\n<h2>What Is It?<\/h2>\n<p>Frozen shoulder is characterized by two principal features<\/p>\n<ul>\n<li>Pain<\/li>\n<li>Stiffness<\/li>\n<\/ul>\n<p>Sudden onset of pain and stiffness in a previously normal shoulder is frozen shoulder until proved otherwise.<\/p>\n<h2>Types:<\/h2>\n<p>The Frozen Shoulder can be of two types, primary or secondary. Primary is the most common type with no specific etiology. The secondary frozen shoulder can be due to trauma, infection, or surgery. The primary frozen shoulder can be associated with the lot of medical conditions.<\/p>\n<h2>Associated Conditions:<\/h2>\n<p><a href=\"https:\/\/kauveryhospital.com\/blog\/general-medicine-diabetology\/living-with-diabetes\/\">Diabetes<\/a> is a very specific risk factor for developing frozen shoulder. 20% of the diabetics have frozen shoulder at some point of their lifetime. This rises to 36% in insulin-dependent diabetics. In diabetics, it is often bilateral and resistant to treatment. The etiology is probably auto immune in origin. The other associated conditions are thyroid disorders, <a href=\"https:\/\/www.kauveryhospital.com\/blog\/k-way-health\/ischemic-stroke-what-is-it-causes-and-symptoms\/\">ischemic heart disease<\/a>, post-cardiac surgery, hyperlipidemia, and other neurologic conditions.<\/p>\n<h2>Differential Diagnosis :<\/h2>\n<p>The frozen shoulder should be differentiated from other conditions like biceps tendon pathology, brachial neuritis, cervical disc disease, chronic regional pain syndrome, Pancoast&#8217;s tumour, hemiplegia, and <a href=\"https:\/\/www.kauveryhospital.com\/blog\/k-way-health\/rotator-cuff-injury-causes-and-treatment\/\">rotator cuff disease<\/a>.<\/p>\n<p><b>Treatment:<\/b><\/p>\n<p>The treatment of the frozen shoulder depends on the stage of presentation.<\/p>\n<ul>\n<li>Stage 1 (pain) : Treated with intra-articular steroid and medications for the neuropathic pain.<\/li>\n<li>Stage 2 (pain + stiffness):Treatment by manipulation under anaesthesia , steroid injection and followed by aggressive <a href=\"https:\/\/kauveryhospital.com\/blog\/orthopedics\/physiotherapy-helps-in-pain-management\/\">physiotherapy<\/a>.<\/li>\n<li>Stage 3 (stiffness):Treatment by <a href=\"https:\/\/draravindan.com\/specialities\/keyhole-surgery-in-chennai\/\" target=\"_blank\" rel=\"noopener\">arthroscopic surgical<\/a> release.<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<p>Kauvery Hospital is globally known for its multidisciplinary services at all its Centers of Excellence, and for its comprehensive, Avant-Grade technology, especially in diagnostics and remedial care in heart diseases, transplantation, vascular and neurosciences medicine. Located in the heart of Trichy (Tennur, Royal Road and Alexandria Road (Cantonment), Chennai, Hosur, Salem, Tirunelveli and Bengaluru, the hospital also renders adult and pediatric trauma care.<\/p>\n<p>Chennai \u2013 044 4000 6000 \u2022 Trichy \u2013 Cantonment \u2013 0431 4077777 \u2022 Trichy \u2013 Heartcity \u2013 0431 4077777 \u2022 Trichy \u2013 Tennur \u2013 0431 4022555 \u2022 Maa Kauvery Trichy \u2013 0431 4077777 \u2022 Kauvery Cancer Institute, Trichy \u2013 0431 4077777 \u2022 Hosur \u2013 04344 272727 \u2022 Salem \u2013 0427 2677777 \u2022 Tirunelveli &#8211; 0462 4006000 \u2022 Bengaluru &#8211; 080 6801 6801<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Introduction In 1934, Codman described the frozen shoulder as a condition which is difficult to define, difficult to explain and difficult to treat. Codman\u2019s description remained true until 10 years<\/p>\n","protected":false},"author":3,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[56],"tags":[],"class_list":["post-171","post","type-post","status-publish","format-standard","hentry","category-orthopedics"],"_links":{"self":[{"href":"https:\/\/www.kauveryhospital.com\/blog\/wp-json\/wp\/v2\/posts\/171","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.kauveryhospital.com\/blog\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.kauveryhospital.com\/blog\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.kauveryhospital.com\/blog\/wp-json\/wp\/v2\/users\/3"}],"replies":[{"embeddable":true,"href":"https:\/\/www.kauveryhospital.com\/blog\/wp-json\/wp\/v2\/comments?post=171"}],"version-history":[{"count":18,"href":"https:\/\/www.kauveryhospital.com\/blog\/wp-json\/wp\/v2\/posts\/171\/revisions"}],"predecessor-version":[{"id":8452,"href":"https:\/\/www.kauveryhospital.com\/blog\/wp-json\/wp\/v2\/posts\/171\/revisions\/8452"}],"wp:attachment":[{"href":"https:\/\/www.kauveryhospital.com\/blog\/wp-json\/wp\/v2\/media?parent=171"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.kauveryhospital.com\/blog\/wp-json\/wp\/v2\/categories?post=171"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.kauveryhospital.com\/blog\/wp-json\/wp\/v2\/tags?post=171"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}