The adhesive capsulitis appears as a pain often very intense on the shoulder accompanied by a loss of amplitude of marked movement. It is divided into three phases, which can be spread over more than 2 years. The first is the painful phase, the second phase is the “frozen” phase and the last phase is the recovery phase.
Causes of adhesive capsulitis
- Idiopathic (unknown cause).
- Trauma (tear of the rotator cuff for example).
- Surgery (complication encountered following shoulder surgery).
Treatment of adhesive capsulitis
- The intervention of choice is distant arthrography. Where a quantity of fluid combined with cortisone is injected into the glenohumeral joint.
- Studies show that combining previous intervention with manual therapies has proven to be more effective than injection alone, hence the importance of post-injection follow-up.
- Soft tissue techniques (Active Release Techniques and Graston).
- Passive joint mobilization of the joint.
- Electrotherapy and ultrasound can also be used to reduce pain, as does the application of ice.
- Rehabilitation exercises should be integrated as soon as possible, where progressive mobilization of the joint will be put forward.
- Without treatment, the condition will resolve itself over a period that can extend over more than two years.
- With treatment, it is possible to reduce the recovery time and to prevent the long-term complications of capsulitis, such as loss of amplitude of movement or prolonged disability.