Adhesive capsulitis presents as an often very intense pain in the shoulder accompanied by a marked loss of range of motion. It is divided into three phases that can last more than 2 years. The first is the painful phase, the second is the "frozen" phase and the last is the recovery phase.
- Idiopathic (cause unknown).
- Trauma (e.g. rotator cuff tear).
- Surgery (complication encountered following shoulder surgery).
- The procedure of choice is distensivearthrography where a quantity of fluid combined with cortisone is injected into the glenohumeral joint.
- Studies show that the combination of the previous intervention with manual therapies has proven to be more effective than the injection alone, hence the importance of post-injection follow-up.
- Soft Tissue Techniques (Active Release Techniques and Graston).
- Passive joint mobilization.
- Electrotherapy and ultrasound can also be used to reduce pain, as can the application of ice.
- As soon as possible, incorporate rehabilitation exercises and emphasize the progressive mobilization of the joint.
- Without treatment, the condition will resolve itself over a period of up to two years.
- With treatment, it is possible to decrease the recovery time and prevent the long-term complications of capsulitis, such as loss of range of motion or prolonged disability.
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