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Frozen shoulder (adhesive capsulitis) occurs when the strong connective tissue surrounding your shoulder joint (called the shoulder joint capsule) becomes thick, stiff and inflamed. Both types can cause stiffness and pain in the shoulder joint, making it difficult to move the arm. Primary adhesive capsulitis is often associated with other conditions such as diabetes mellitus, thyroid dysfunction, dyslipidemia, dupuytren’s contractures, autoimmune disease, and operative procedures (e.g., axillary dissection for malignancy)
Frozen shoulder, also called adhesive capsulitis, causes pain and stiffness in the shoulder Primary adhesive capsulitis occurs with no specific cause, while secondary adhesive capsulitis is usually associated with an underlying condition or injury Over time, the shoulder becomes very hard to move
After a period of worsening symptoms, a frozen shoulder tends to get better, although full recovery may take up to 3 years.
Adhesive capsulitis is characterized by a painful, gradual loss of both active and passive glenohumeral motion in multiple planes resulting from progressive fibrosis and ultimate contracture of the glenohumeral joint capsule. Primary adhesive capsulitis describes the idiopathic presentation of these symptoms, while secondary adhesive capsulitis appears because of trauma, infection or other medical conditions such as diabetes or hypothyroidism. If you have adhesive capsulitis, also known as frozen shoulder, you might notice a decrease in your shoulder’s range of motion and feel pain during a physical examination. Although conditions such as subacromial bursitis and partial rotator cuff tears can be associated with significant pain and loss of active rom, passive rom is preserved
It is a debilitating condition that can occur spontaneously (primary or idiopathic adhesive capsulitis) or following shoulder surgery or trauma (secondary adhesive capsulitis).
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