Adhesive capsulitis, commonly known as “frozen shoulder”, occurs secondary to inflammation and thickening of the fibrous joint capsule of the glenohumeral joint. The glenohumeral joint includes the head of the humerus and the concave glenoid fossa of the scapula and is where most of our shoulder motion comes from. The inflammation and thickening of the glenohumeral capsule causes it to adhere down to the humeral head, limiting shoulder range of motion in all directions and causing pain that can radiate down the arm. Adhesive capsulitis can present as either a primary or a secondary condition. Primary adhesive capsulitis has an unknown cause, however, there is an increased incidence among individuals diagnosed with diabetes mellitus, thyroid hormone abnormalities, or cardiopulmonary conditions. Secondary adhesive capsulitis occurs secondary to a trauma, period of immobilization, complex regional pain syndrome or rheumatoid arthritis.
Frozen shoulders may present with the greatest loss of motion in reaching above shoulder level, reaching to the side and twisting the shoulder outward but all planes of motion can be affected. This can limit your ability to reach into kitchen cabinets or closets overhead, wash and fix your hair and dress or work without pain and limitation. Secondary to motion loss, patients may experience muscle spasms and pain around the shoulder and down the arm, a loss of natural arm swing with walking, and muscle loss due to disuse.
Frozen shoulder is treatable with the right exercises and stretches and with physical therapy and home exercises most people reduce their pain levels and regain normal function.
If you are experiencing pain in your shoulder or have been diagnosed with Frozen Shoulder or Adhesive Capsulitis, contact us for a free consultation. To request an appointment, click here, or call directly to one of our three locations during regular business hours:
Cool Springs: 615-224-9810
Spring Hill: 931-489-2022