Patients age, medical history, onset, nature, aggs and eases all give clues of a frozen shoulder. This limits the big three of reaching over head, reaching out to the side, and reaching behind the back.ĭiagnosis of a frozen shoulder, like most things, is usually done mainly with the subjective history. ( ref)Īll frozen shoulders loose significant amounts of movement, as mentioned this is usually in many directions, and can be in differing amounts, but the fibrosis and contractures classically affect the anterior surperior capsule and rotator interval of the shoulder. It is an inflammatory condition that affects the capsular tissue of the shoulder, which causes significant neovascularisation, collagen proliferation, fibrosis, and eventual contracture of the capsular, reducing the volume of the shoulder joint significantly. What is a Frozen Shoulder?įrozen shoulder is a pathology that is still not fully understood. When I hear females telling me the pain in their shoulder is worse than child birth, I know I am dealing with a very, very painful condition. All ‘true’ frozen shoulders are extremely painful, extremely limiting, and extremely disabling.
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This loss of movement is classically into external rotation and elevation the most, but it tends to affect all movements, and the pain is severe, diffuse, all consuming and usually unrelenting.
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So first what do I class a frozen shoulder, well that’s simple, thats a stiff and very painful shoulder that has significant and EQUAL loss of both active AND passive movement in most directions, but has a normal x-ray. I see a lot of frozen shoulders, primary ones with no risk factors, secondary ones with ALL the risk factor, and I also see many who have been told they have frozen shoulder who clearly do not.