Frozen shoulder is a common diagnosis for shoulder pain. However, not every painful shoulder with limited movements is a frozen shoulder. Careful examination by an experienced Orthopaedic Surgeon is needed to rule out other causes. This video explains the frozen shoulder in Hindi language. you can get more details on this link.
Many times the cause of a frozen shoulder may not be obvious. This is called idiopathic frozen shoulder. About half the patients have predisposing factors like diabetes, arthritis or may have had injury. Other relatively rare causes may include thyroid disorders, Parkinsonism, or heart conditions. They suffer from secondary frozen shoulder.
Pain can also arise from a variety of other causes like tendon tear, bursitis, or impingement. This can frequently get misdiagnosed as frozen shoulder.
Overall, the natural cycle of frozen shoulder can last 2-4 years, there is considerable variation in individual presentation, and examination is important to establish the diagnosis.
It is a clinical diagnosis, but other investigations may be used to aid the diagnosis. Plain X-ray should be obtained to rule out arthritis, other investigations are rarely needed. Sometimes MRI scan may be necessary to rule out cuff tear or an occult fracture.
The second picture below shows release of the capsule whilst taking care to preserve the important structures like tendons, and cartilage.
[vc_single_image image=”2487″ img_size=”full” title=”frozen shoulder released via key hole surgery”]
A regional block with or without GA is used for the operation. The block is very useful for the first 24-48 hours when the pain is at its worst. Success rates after surgery vary between 80-95%.
Here is a short video of the arthroscopic procedure. Please contact using the details on this website if you need a consultation.