Shoulder Pain

Do you have frozen shoulder?

Do you have frozen shoulder is a million dollar question. All painful shoulder cases are not frozen shoulder. There are many reasons of painful joint with reduced shoulder movements. Rotator cuff tendon tear and tendon impingement are main causes of shoulder pain.

Dr. IPS Oberoi

Founder

How common is a frozen shoulder?

Frozen shoulder is seen in 10-15% cases of painful shoulder. It is common in diabetics and those with thyroid problems. Shoulder specialist by doing certain clinical tests can differentiate between frozen shoulder and other causes of painful shoulder.

How do I evaluate?

Patient with primary frozen shoulder have resisted shoulder movements in all directions, the pain is worse in night and on moving shoulder joint, small injury or jerk may result in frozen shoulder. Xray are usually normal and MRI might show inflammation and small tears in tendons which may not be significant.

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Self Introduction

Education

Trained in joint replacement and adult reconstructive trauma surgery from Klinik and Poliklinik for Unfall-Hand & Wiederherstellungschirurgie, Universitatsklinikum, Munster Germany.
Joint replacement training at Nuffield Hospital, Exeter, U.K and Joint Replacement unit, Queen Elizabeth hospital, Exeter, U.K.
Surgical training in knee reconstructive surgery from Henriettenstiftung, Hannover, Germany.
Trained in shoulder surgery at Center Hospitalier, St Gregoire, Rhein, France and Cape shoulder clinic, Cape Town in South Africa.
Trained in knee arthroscopy and reconstruction from Sporthopaedicum, Straubing, Germany and Rosebank clinic, Johannesburg in South Africa.

How I treat it

Most frozen shoulder patient get with rest, physiotherapy, modification of daily activities, gentle range of motion exercises and analgesia. Injection might be helpful in some patients when inflammation is not getting well with physiotherapy and they are extremely painful. Single dose of injection is usually good but in some cases may need additional injection after few days.

What is the role of arthroscopy?

Patient with very stiff joint who are unable to cope up with their daily activities may need shoulder arthroscopy capsular release. This is a procedure in which under anaesthesia, a telescope is put in shoulder and with the help of special instruments/devices, the tissue capsule is released and patient gets back his shoulder movements instantly.

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Results of Arthroscopy

Shoulder arthroscopy in frozen shoulder is technically precise surgery and entering into the tight joint is not easy. With expert hands, an adequate capsular release once performed help patient to get back his motion of joint back to near normal.