Navigation Links
‘Frozen’ Not Just a Popular Movie; It’s a Common Shoulder Problem
Date:7/18/2020

“Frozen.” It’s not simply the title of a popular family movie. It’s something that can happen to a shoulder joint – oftentimes for unknown reasons – resulting in stiffness, persistent pain and loss of range of motion. So, says orthopedic surgeon Alejandro Badia MD, an expert in treating problems of the upper limbs and joints and founder and chief medical officer of the Florida-based Badia Hand to Shoulder Center and founder of OrthoNOW®, a network of immediate care orthopedic centers. Dr. Badia notes that the disorder is relatively common, but its diagnosis and the most effective methods for “thawing” the affected joint remain challenging. The exact cause is not exactly understood but its felt to have a hormonal and metabolic component in many cases.

Symptoms of frozen shoulder often mimic other musculoskeletal problems, including tendinitis, arthritis and shoulder impingement, a more serious condition in which the rotator cuff tendon becomes inflamed and swells, causing sharp pain when lifting the arm. “Unlike frozen shoulder, which can gradually ease on its own, shoulder impingement must be addressed quickly to avoid permanent joint damage,” Dr Badia says.

“This is why it is so important for patients who experience any kind of shoulder pain that worsens over time to consult an orthopedic specialist – someone with the experience to accurately assess the problem and determine the optimal therapy,” emphasizes Dr. Badia.

Known in medical terms as adhesive capsulitis, frozen shoulder occurs when the connective tissue – or capsule – lining the shoulder cavity where the ball of the arm (humerus) bone fits into the shoulder blade socket becomes chronically inflamed. Scar tissue builds, causing the capsule to thicken, contract, and limit joint motion, according to the American Academy of Orthopaedic Surgeons. The disorder can develop in one or both shoulders, reportedly affects between 2 percent and 5 percent of the American population and may eventually resolve on its own – within 18-36 months or more.

Most at risk are individuals – primarily women – between the ages of about 40 and 65, patients who have diabetes and those who experience a shoulder injury, like torn rotator cuff, or develop chronic arthritis or other joint problem that restricts use of the shoulder, Dr. Badia says. In fact, statistics indicate that as many as 10 percent of patients treated for a rotator cuff problem will experience frozen shoulder.

Authors of a September 2019 article in Clinics in Orthopedic Surgery write that frozen shoulder, first described by French surgeon Simon-Emmanuel Duplay in 1872, has been “regarded as a self-limiting and benign disease with complete recovery of pain and range of motion.” However, the writers contend that studies show recovery can be a slow process, with a percentage of patients not fully recovered as much as five to 10 years following onset of their condition.

Dr. Badia concurs, indicating frozen shoulder can impact quality of life for years, limiting a person’s ability to perform routine tasks and participate in everyday activities.

The disorder generally proceeds through three phases: the initial “freezing” stage, in which pain develops in the shoulder and then worsens over time, sometimes even affecting a person’s sleep; a “frozen” state, when the pain may lessen, but the shoulder stiffens, making everyday activities difficult; and then the “thawing” phase, as shoulder motion gradually returns.

Frontline treatments for the disorder are conservative, consisting of oral, anti-inflammatory medications to relieve pain; physical therapy; and recommended shoulder exercises, Dr. Badia says. If the patient’s affected shoulder does not respond, the specialist may recommend injection of corticosteroids in the joint.

Dr. Badia says surgery is rarely required to correct the condition, but, when necessary, is best performed arthroscopically to “release” the shoulder-joint capsule. This “arthroscopic capsulectomy” is coupled with passive manipulation of the shoulder, where the surgeon passively moves the shoulder to a functional range of motion while the patient is still sedated. It is critical to begin therapy immediately, and Badia typically starts the patient on use of a CPM (continuous passive motion) machine that same night. This is a machine delivered to the patients home, or hotel room, and moves the arm through the now regained arc of motion. This is in addition to intense engagement with an experienced shoulder therapist, typically a physical or occupational therapist.

Other experts agree with this approach. In a study published in a November 2019 issue of the scientific journal PLOS One, scientists indicate that “arthroscopic release provides effective and rapid improvements to shoulder motion and function, unrelated to the timing of surgery.”

Although causative factors for frozen shoulder are still not well understood, Dr. Badia offers these tips to minimize risks for developing the condition:

  • Talk to the appropriate physician or physiotherapist about exercises that can stretch the shoulder and strengthen shoulder muscles and tendons.
  • If your occupation is one that does not require physical labor, engage in recreational and exercise routines that require use of the shoulders to maintain flexibility and encourage sufficient blood flow to nourish joint ligaments and tendons.
  • Practice good posture when standing or sitting, especially if seated in front of a computer screen for lengthy periods of time. Avoid slumping, slouching, or positions that push the shoulders up near the ears.

Move a shoulder as best possible following surgery or injury. Keeping the joint immobile for too long can promote frozen shoulder. “And, if you think life is starting to give you the cold shoulder, contact an orthopedic specialist,” Dr. Badia says.

Alejandro Badia, MD, FACS, internationally renowned hand and upper-limb surgeon and founder of Badia Hand to Shoulder Center and OrthoNOW®, a network of immediate orthopedic care clinics. He is a member of the American Society for Surgery of the Hand, American Association for Hand Surgery and the American Academy of Orthopedic Surgeons and an honorary member of many international professional hand societies. Dr. Badia specializes in treating all problems related to the hand and upper extremities, including trauma, sports injury, joint reconstruction, nerve injuries and arthroscopic surgeries. Dr. Badia has a particular interest in sports and fitness related upper limb problems having served as past worldwide president of the International Society of Sport Traumatology of the Hand (ISSPORTH) founded in Europe in 2011.

Dr. Badia is author of the book, “Healthcare from the Trenches: An Insider account of the Complex Barriers of US Healthcare from the Providers and Patients’ Perspective.

http://www.OrthoNOWcare.com and http://www.drbadia.com.

Read the full story at https://www.prweb.com/releases/frozen_not_just_a_popular_movie_its_a_common_shoulder_problem/prweb17264681.htm.


'/>"/>
Source: PRWeb
Copyright©2020 Vocus, Inc.
All rights reserved


Related medicine news :

1. Online Interest and Sales of “Dr. Sebi’s Cell Food” Continue To Spike As Most Popular Products Return
2. Getting America Moving Again with New PPE Products for Gyms, Restaurants, and More, Rieke Office Interiors Adds More Products to Popular New Line
3. Cupid Has Come to MilfordMD Offering Amazing Specials in February on Popular Lip Fillers, Body Sculpting, Skin Tightening, Facial Fillers and Skin Rejuvenating Treatments
4. Cosmetic Buttock Surgery Spotlighted in May on Popular Cosmetic Surgery Website – Cosmetic Town Announces
5. By Popular Demand, Renee Rodriguez, Award-Winning Author, Adds New Children's Book “Michael Trouble: A Pinch to Grow an Inch” to Acclaimed Series
6. Introducing CoolSculpting, the World’s Most Popular Non-Invasive Fat Reduction Treatment, in Glen Allen, VA at Rejuvenate MD
7. Pot Valet Anticipates the Rising Popularity of CBD Cannabis Products
8. Popular PAINWeek Panel Discussion “The Medical Stasi” Returns to 2017 National Conference Along With Timely Pain and Chemical Dependency Course
9. INFINISkin Treatments Popular In Beverly Hills, Now Available At Maryland Dermatology, Laser, Skin & Vein Institute in Hunt Valley, Maryland
10. Morini Brands Launches Risofu™, New Food Innovtion to Break the Mold in Popular Plant-Based Meat Category
11. Earlypicker Harnessing Power Of Internet, Social Media To Carry Popular Korean Cosmetics
Post Your Comments:
*Name:
*Comment:
*Email:
(Date:8/5/2020)... ... August 05, 2020 , ... Atlanta Magazine partnered with Castle ... the “Top Doctor” survey. The mission of Castle Connolly Medical Ltd. is to ... and key medical leaders were asked to identify outstanding doctors in their respective ...
(Date:8/5/2020)... ... August 05, 2020 , ... In its often-heroic ongoing ... challenges. Regardless of the obstacle - shortages of tests, ventilators and ICU beds; ... cancellation or postponement of all nonessential services - providers across the country have ...
(Date:8/5/2020)... Fla. (PRWEB) , ... August 05, 2020 , ... ... today announced the appointments of Kathleen Cruger as Director of Clinical Services and ... accelerate the company’s growth. , “ChronWell has achieved incredible growth as ...
(Date:8/5/2020)... ... 2020 , ... CentrAlert, Inc. today announced the launch of their ... information. Know NOW!, which is available for Apple and Android , ... easy-to-use mobile application. , “When COVID-19 first hit, there was so much that we ...
(Date:8/5/2020)... ... August 04, 2020 , ... Total Spectrum, a company of ... in Wisconsin, is delighted to announce the grand opening of their new ... center, Total Spectrum now proudly serves ten different locations across the Midwest. The ...
Breaking Medicine News(10 mins):
(Date:8/12/2020)... ... August 12, 2020 , ... ESO , the leading ... EMS/Trauma offices, announced today it has been named to the 2020 Inc. 5000 ... list honors and recognizes private companies that demonstrate the highest growth over a three-year ...
(Date:8/11/2020)... (PRWEB) , ... August 11, ... ... the trusted source for in-home senior care services, continues its recent expansion ... Philadelphia corporate headquarters serving both South Jersey and Philadelphia regions, One You ...
(Date:8/8/2020)... PETERSBURG, Fla. (PRWEB) , ... August 08, 2020 , ... By now, we all know ... for at least 20 seconds with plenty of soap and warm water. , The other ... high touch surfaces, things like door handles, your phone, and remote controls might come to ...
Breaking Medicine Technology: