Acute Adhesive Capsulitis of the Shoulder

Acute Adhesive Capsulitis of the Shoulder

Introduction

The shoulder, a complex and highly mobile joint in the human body, plays a crucial role in our daily lives. However, shoulder-related issues can lead to significant discomfort and functional limitations. Acute Adhesive Capsulitis of the Shoulder is a condition that restricts shoulder mobility and causes significant pain. In this article, we will delve into the causes, symptoms, diagnosis, treatment options, prevention strategies, and the role of chiropractic care in managing this condition.

Understanding Acute Adhesive Capsulitis

Acute Adhesive Capsulitis of the Shoulder, commonly referred to as “Frozen Shoulder,” is a debilitating condition characterized by inflammation and thickening of the shoulder joint capsule. This results in the formation of adhesions, which restrict the joint’s movement. The condition typically progresses through several stages, often causing prolonged pain and functional impairment.

Primary Adhesive Capsulitis

Primary Adhesive Capsulitis, also known as idiopathic adhesive capsulitis, refers to cases where the exact cause of the condition is unclear. This form of adhesive capsulitis often develops spontaneously and without a known trigger. Primary adhesive capsulitis is more common and typically affects individuals between the ages of 40 and 60, with women being more susceptible. While the exact cause remains a subject of study, my personal hypothesis about the development of adhesive capsulitis are Scapulohumeral Rhythm Disruption, postural factors such as Increased thoracic kyphosis (excessive curvature of the upper back) and rounded shoulder which can lead to anterior positioning of the glenohumeral joint, might contribute to chronic recurrent sprain of the joint capsule. Individuals who have either of these factors who involves repetitive overhead movements may be more prone to developing primary adhesive capsulitis.

Secondary Adhesive Capsulitis

Secondary Adhesive Capsulitis occurs as a result of a known underlying condition or trigger. These factors include trauma: Injuries to the shoulder, including fractures, dislocations, or surgeries. Systemic Diseases such as diabetes, thyroid disorders, and heart disease have been linked to an increased risk of developing secondary adhesive capsulitis. Prolonged Immobilization, Any situation that leads to extended immobilization of the shoulder, such as wearing a sling or cast, can increase the risk of secondary adhesive capsulitis.

Symptoms

Main Clinical Features

The main clinical features of Acute Adhesive Capsulitis include,

1. Pain: Persistent and often intense shoulder pain, particularly at night, is a hallmark symptom of this condition. The pain may also radiate down the arm.
2. Stiffness: Gradual onset of shoulder stiffness, which can progress to the point where routine activities become challenging. Stiffness is often more pronounced in the morning.
3. Loss of Range of Motion: A significant reduction in the shoulder’s range of motion, making it difficult to perform tasks such as reaching overhead, behind the back, or even simple activities like combing hair.
4. Muscular Weakness: Due to reduced use of the joint, muscular weakness can develop around the shoulder area, further contributing to functional limitations.
5. Night Pain: Many individuals with acute adhesive capsulitis experience severe pain at night, which can disrupt sleep and lead to fatigue.

It is crucial to note that the severity of these symptoms can vary from person to person and may progress through stages, including the freezing, frozen, and thawing phases.

Diagnosis

Diagnosing Acute Adhesive Capsulitis typically involves,

1. Physical Examination: A healthcare provider assesses the shoulder’s range of motion, strength, and pain levels.
2. Imaging: magnetic resonance imaging (MRI) scans may be conducted to rule out other shoulder conditions and evaluate the extent of inflammation and adhesions within the joint.
3. Medical History: Gathering information about the patient’s medical history, including underlying conditions, recent injuries, or surgeries, is crucial for an accurate diagnosis.

Treatment Options

Treatment for Acute Adhesive Capsulitis aims to alleviate pain, improve shoulder mobility, and restore function. Treatment options may include,

1. Physical Therapy: Skilled physical therapists design exercise programs tailored to improve shoulder mobility and strength.
2. Pain Management: Over-the-counter or prescription pain medications may be recommended to alleviate discomfort.
3. Corticosteroid Injections: In some cases, corticosteroid injections into the shoulder joint can help reduce inflammation and pain.
4. Chiropractic Care for Acute Adhesive Capsulitis: Chiropractic care can be a valuable complementary treatment option for individuals with Acute Adhesive Capsulitis. Chiropractors use non-invasive techniques to promote musculoskeletal health, including the shoulder joint. They can provide:
   • Pain Management: Chiropractors offer manual therapy and gentle adjustments to alleviate shoulder pain associated with acute adhesive capsulitis.
   • Improved Range of Motion: Chiropractic adjustments and exercises can help improve shoulder mobility and reduce stiffness.
   • Enhanced Joint Function: Chiropractors aim to optimize joint function, allowing for better shoulder movement.
   • Prescription of Rehabilitative Exercises: Chiropractors often prescribe specific rehabilitative exercises to improve shoulder strength and flexibility.
5. surgical treatment options for adhesive capsulitis are
   • Arthroscopic Release:
   • Open Release Surgery:

It’s essential to note that chiropractic care should be used in conjunction with other medical treatments, and individuals should consult their healthcare provider before pursuing chiropractic therapy.

Prevention

While the exact cause of Acute Adhesive Capsulitis remains unclear, some preventive measures can help reduce the risk.

1. Maintain Shoulder Mobility: Regularly perform shoulder-strengthening and stretching exercises to maintain joint mobility.
2. Manage Underlying Conditions: If you have diabetes or other medical conditions, work with your healthcare provider to manage them effectively.
3. Avoid Prolonged Immobilization: If you undergo shoulder surgery or experience an injury, work with a physical therapist to prevent prolonged immobilization.
4. **Early Intervention