Our Summary

Frozen shoulder, also known as adhesive capsulitis (CA), is a joint condition that primarily affects middle-aged women. It often causes painful movement restriction and usually develops in three stages: the freezing, frozen, and thawing phases. The diagnosis is usually based on symptoms, but imaging like X-rays and MRIs can help rule out other conditions like osteoarthritis or calcific tendinitis. Sonography, another imaging technique, can be used as an alternative if an MRI isn’t possible. CT scans aren’t typically used because of the radiation exposure and their lower sensitivity and specificity compared to MRI.

Treatment for frozen shoulder depends on the stage of the disease. It can include painkillers, physiotherapy, and in some cases, surgical procedures. New treatments, such as transarterial periarticular embolization, are also being explored. The condition usually lasts for two to three years, but some patients may continue to experience pain and limited movement beyond this period.

FAQs

  1. What is frozen shoulder and who are the most affected by this condition?
  2. What are the different stages of frozen shoulder and how is it diagnosed?
  3. What are the potential treatments for frozen shoulder and how long does the condition usually last?

Doctor’s Tip

During the recovery period after shoulder replacement surgery, it is important to follow your doctor’s instructions for physical therapy and rehabilitation exercises. These exercises will help improve range of motion, strengthen the muscles around the shoulder, and prevent stiffness. It is also important to avoid lifting heavy objects or making sudden movements that could strain the shoulder joint. Be sure to attend all follow-up appointments with your doctor to monitor your progress and address any concerns. With proper care and rehabilitation, you can improve your shoulder function and quality of life after surgery.

Suitable For

Patients with severe shoulder osteoarthritis, rheumatoid arthritis, severe shoulder fractures, or rotator cuff tears that cannot be repaired may be recommended for shoulder replacement surgery. Other conditions that may warrant shoulder replacement include avascular necrosis, severe shoulder instability, and failed previous shoulder surgeries. Patients who have tried conservative treatments such as physical therapy, medications, and injections without success may also be candidates for shoulder replacement. It is important for patients to discuss their individual circumstances with their healthcare provider to determine if shoulder replacement is the best treatment option for them.

Timeline

Before shoulder replacement surgery, patients may have undergone various conservative treatments for their frozen shoulder, such as physical therapy, pain medication, and corticosteroid injections. If these treatments are unsuccessful in relieving symptoms and improving range of motion, then shoulder replacement surgery may be recommended.

After shoulder replacement surgery, patients typically experience improved range of motion and reduced pain in the affected shoulder. Physical therapy is usually recommended to help regain strength and function in the shoulder joint. Recovery time can vary, but most patients are able to resume normal activities within a few months after surgery. It is important for patients to follow their surgeon’s post-operative instructions and attend follow-up appointments to ensure proper healing and a successful outcome.

What to Ask Your Doctor

  1. Is shoulder replacement surgery the best option for me at this time?
  2. What are the potential risks and complications associated with shoulder replacement surgery?
  3. What is the success rate of shoulder replacement surgery for patients with my specific condition?
  4. What type of shoulder replacement procedure do you recommend for me (total shoulder replacement, reverse shoulder replacement, etc.)?
  5. What is the expected recovery time and rehabilitation process after shoulder replacement surgery?
  6. Will I need to make any lifestyle changes or modifications after the surgery?
  7. Are there any alternative treatments or therapies that I should consider before opting for shoulder replacement surgery?
  8. How long can I expect the shoulder replacement to last before needing a revision surgery?
  9. What can I do to help ensure the best possible outcome from the surgery?
  10. Are there any specific exercises or activities I should avoid after shoulder replacement surgery?

Reference

Authors: Kuhn I, Erber B, Goller SS. Journal: Radiologie (Heidelb). 2024 Feb;64(2):119-124. doi: 10.1007/s00117-023-01217-5. Epub 2023 Oct 6. PMID: 37801107