Frozen shoulder, or adhesive capsulitis, is a debilitating condition characterized by stiffness and pain in the shoulder joint. This condition significantly impairs daily activities and quality of life, making effective treatment essential. Shri Bone & Joint Clinic, located in Chennai, is renowned for its expertise in managing and treating frozen shoulder, offering a range of advanced and personalized treatment options under the expert care of Dr. Shriram Krishnamoorthy.

Understanding Frozen Shoulder

Frozen shoulder develops gradually and progresses through three distinct stages: freezing, frozen, and thawing.

1. Freezing Stage: This initial stage lasts from 6 weeks to 9 months. Pain in the shoulder begins gradually and worsens over time, especially at night. As the pain increases, shoulder movement becomes increasingly limited.
2. Frozen Stage: This stage can last from 4 to 6 months. The pain may start to decrease, but the shoulder becomes stiffer, significantly restricting movement. Daily activities involving the shoulder become difficult.
3. Thawing Stage: This final stage lasts from 6 months to 2 years. Shoulder movement gradually improves, and pain subsides. The range of motion slowly returns to normal, although the thawing process can be slow.

The exact cause of frozen shoulder is often unclear, but it can occur after an injury or due to prolonged immobilization, such as post-surgery. Risk factors include diabetes, thyroid disorders, cardiovascular disease, Parkinson’s disease, and being over 40 years old. Women are more likely to develop frozen shoulders than men.

Symptoms of Frozen Shoulder

• Freezing Stage: Gradual onset of severe shoulder pain, especially at night. Increasing stiffness limits movement.
• Frozen Stage: Pain may lessen but remains with movement. Significant stiffness restricts the range of motion.
• Thawing Stage: Gradual reduction in pain and improvement in movement.

Patients often experience difficulty moving the shoulder in all directions, weakness due to disuse and pain, and difficulty performing everyday tasks such as dressing, lifting objects, and reaching for items.

Diagnosis at Shri Bone & Joint Clinic

Diagnosis of frozen shoulder at Shri Bone & Joint Clinic involves a comprehensive evaluation:

1. Medical History: Assessing the onset and progression of symptoms, and any prior shoulder injuries, surgeries, or medical conditions like diabetes or thyroid disorders.
2. Physical Examination: Evaluating both active and passive range of motion in the shoulder. The doctor will assess pain levels during various movements to identify limitations and discomfort.
3. Imaging Studies: While X-rays cannot diagnose frozen shoulders, they help rule out other conditions such as arthritis or fractures. Detailed views of soft tissues around the shoulder are obtained to rule out other potential causes of shoulder pain and stiffness, such as rotator cuff tears.

Treatment Options at Shri Bone & Joint Clinic

Shri Bone & Joint Clinic offers a variety of treatment options tailored to the severity and stage of the condition:

1. Non-Surgical Treatments:

   • Medications: Over-the-counter pain relievers like acetaminophen or NSAIDs such as ibuprofen help manage pain and inflammation. Corticosteroid injections into the shoulder joint can significantly reduce pain and inflammation, particularly in the freezing stage.
   • Physical Therapy: Essential for improving shoulder flexibility and range of motion. Gentle stretching exercises and, as pain decreases, strengthening exercises help maintain shoulder stability and function. Manual therapy techniques may also be used to mobilize the shoulder joint.
   • Heat and Cold Therapy: Applying heat or ice packs to the shoulder helps reduce pain and inflammation.
   • Transcutaneous Electrical Nerve Stimulation (TENS): TENS units deliver small electrical currents to the affected area, which may help reduce pain.

2. Surgical Treatments:

   • Shoulder Manipulation: Under anesthesia, the doctor moves the shoulder joint through its range of motion to break up adhesions and scar tissue. This procedure can help restore movement but may cause some discomfort.
   • Arthroscopic Surgery: Minimally invasive surgery using small instruments to remove scar tissue and adhesions from inside the shoulder joint. This can improve the range of motion and reduce pain.

Rehabilitation and Recovery

Rehabilitation and recovery from frozen shoulder focus on gradually restoring mobility and strength. Physical therapy is crucial, starting with gentle stretching exercises to improve the range of motion and gradually incorporating strengthening exercises as pain subsides. Consistency with these exercises, both in therapy sessions and at home, is vital.

• Heat and Cold Therapy: Manage pain and reduce inflammation during rehabilitation.
• TENS and Manual Therapy: Alleviate discomfort and enhance mobility.
• Follow-Up: Regular follow-up with a healthcare provider ensures proper monitoring and adjustment of the treatment plan.
• Long-Term Management: Continued exercise to maintain shoulder flexibility and addressing any underlying conditions, such as diabetes or thyroid disorders, to prevent recurrence.

Post-Treatment Care

Post-treatment care is crucial to ensure a full recovery and prevent recurrence. It focuses on maintaining shoulder mobility, managing pain, and gradually returning to normal activities.

• Continuing Exercises: Prescribed stretching and strengthening exercises are essential to maintain and improve shoulder mobility. Regular therapy sessions and a home exercise program are beneficial.
• Pain Management: Over-the-counter pain relievers or anti-inflammatory drugs can help manage any residual pain. Heat and cold therapy can also be used to reduce pain and inflammation.
• Gradual Return to Activities: Avoiding activities that may strain the shoulder and gradually returning to normal activities can prevent re-injury.
• Regular Check-Ups: Regular check-ups with your healthcare provider are important to monitor progress and address any issues that may arise.
• Healthy Lifestyle: Maintaining a healthy lifestyle, including a balanced diet and regular exercise, can support overall recovery.
• Preventive Measures: Learning about proper shoulder mechanics and taking preventive measures to avoid future injury is essential.

Why Choose Shri Bone & Joint Clinic?

Shri Bone & Joint Clinic in Chennai is the preferred choice for frozen shoulder treatment due to its reputation for having the best orthopedic specialists in the region. The clinic offers personalized care, state-of-the-art facilities, and comprehensive treatment options tailored to meet the individual needs of each patient.

Dr. Shriram Krishnamoorthy, a leading orthopedic specialist, is known for his expertise in shoulder surgeries, ensuring the best possible outcomes for patients. His advanced surgical skills and patient-centered approach make Shri Bone & Joint Clinic the top choice for frozen shoulder treatment in Chennai.

Cost of Treatment

The cost of frozen shoulder treatment at Shri Bone & Joint Clinic is highly affordable, with physiotherapy and surgery rates typically ranging from Rs 1,500 to Rs 5,000 per session. This makes effective treatment accessible to a broad range of patients.

For expert care and affordable treatment, contact Shri Bone & Joint Clinic in Chennai and schedule an appointment with Dr. Shriram Krishnamoorthy. Our commitment to excellence and patient care ensures that you receive the best possible treatment for your frozen shoulder, enabling you to regain mobility and improve your quality of life.