The villain is Frozen Shoulder himself?

Author: Dr. Dileep Isaac
(MBBS, D.Ortho, MS (Orthopaedics), DNB (Orthopaedics) : Senior Consultant - Orthopedics

OP's wandering around in the morning While sitting on the chair, the sister called the name of the first patient, 'Bhavaniamma, a middle-aged woman who looks fifty or fifty-five years old, not too fat, completely ignored the smile I gave her and gave me a stern look and sat on the chair. '

What about? I asked familiarly, 'Doctor, what happened to my shoulder? The question is about the way I did something to my mother's shoulder.

With a little more grace, I asked, 'What's wrong with mom's shoulder? Then Bhavaniamma was in the mountain water patch of sorrows. Except there's less sugar

There was no other problem. A small pain in the right shoulder came about six months ago. I don't remember falling or getting hurt anywhere. I started immobilizing my shoulder to ease the pain. Then it became a problem. Not only did the pain increase, but the shoulder could no longer be lifted. Tried tincture and rubbing. Then a doctor was shown nearby. X-rays were taken and some physio was done. But the pain is increasing and not decreasing. Can't sleep at night due to pain. Why do you have to depend on others to change your clothes? I slowly got the hang of it.

The villain is Frozen Shoulder!!

What is frozen shoulder ?

Remember that skeleton from old biology class? God probably made the shoulder joint a ball and a very small cup. There's a reason this cup [glenoid] is short. Because the cup is smaller, the ball [humeral head] can move a lot more. The hip does not have as much movement as the shoulder joint because the cup [acetabulum] of our hip joint fully covers the ball [femoral head]. The shoulder joint is covered by a very loose capsule and a group of muscles (the rotator cuff). These muscles and the rotator cuff stabilize the joint. These are very loose. When the shoulder is immobilized, it helps the cumulus become more tight

will affect X-ray will be normal. Because the problem is not the bones but the disease that covers them. Cumulus cannot be seen on X-ray. If in doubt. Ar will have to take a look.

What is the remedy ?

Once the diagnosis is confirmed, the mainstay of treatment is physiotherapy, not painkillers. Pain relievers should be used sparingly. Physiotherapy tries to loosen the contracted cumulus by gently stretching it. Using an ice pack before and after physio can greatly help control pain. If the pain is severe, methylprednisolone (intra articular steroid injection) is injected into the joint. Physio is very effective in most patients. Physiotherapy can be done under the supervision of a good physiotherapist.

for a small group of patients, even after months of physio, the arm does not come back. Arthroscopic cassular release is a keyhole surgery performed in such people.

In this keyhole surgery, a very thin instrument [radio frequency ablator hook] is used to carefully release the small tight cumulus that was previously challenged. It is discharged the next day. The pain and stiffness resolves quickly. But even after that, the patient must be careful to continue the physiotherapy. Bhavaniamma had to undergo arthroscopic callular release. Now the pain is gone. Easy to lift.