Adhesive Capsulitis, (Frozen Shoulder) A Simple Guide To The Condition, Diagnosis, Treatment And Related Conditions

By Kenneth Kee

This book describes Adhesive Capsulitis, Diagnosis and Treatment and Related Diseases
Adhesive Capsulitis is also known as Frozen Shoulder Syndrome (FSS), a disorder of the shoulder featured by the slow onset of pain and restricted shoulder movement.
Adhesive capsulitis of the shoulder produces pain and stiffness in the shoulder.
Over time the shoulder becomes very stiff to move and is called frozen.
It is likely to be chronic and full recovery may require several months.
Primary idiopathic Adhesive Capsulitis is often linked with other disease such as diabetes and may be the first presentation of diabetes mellitus.

Patients with systemic diseases such as thyroid diseases and Parkinsonism have a higher risk of adhesive capsulitis.

Secondary Adhesive Capsulitis can happen after shoulder injuries or immobilizations e.g., rotator cuff injuries, sub-acromial impingement, biceps tenosynovitis, and cardiac tendonitis.

These patients develop pain from shoulder pathology leading to reduced movement in the shoulder and thus developing Adhesive Capsulitis.
The most important sign of Adhesive Capsulitis is being unable to move the shoulder either by the patient or with the help of someone else.
It progresses in three stages:
a. Freezing
In the freezing stage the shoulder slowly has more and more pain that typically worsens at night.
As the pain worsens, the shoulder loses range of motion.
Freezing normally lasts from 2 to 9 months.
b. Frozen
Painful symptoms may actually become better during this stage but the stiffness and tightness remains.
There is a typical progressive loss of gleno-humeral flexion, abduction, internal rotation, and external rotation.
For the 4 to 12 months of the frozen stage daily activities of the shoulder may become very difficult.
c. Thawing
Shoulder range of motion slowly gradually returns during the thawing stage.
Complete return to normal or close to normal strength and motion usually takes from 6 months to 2 years.
While adhesive capsulitis is self limiting usually resolving in 1- years, it can persists, presenting symptoms that are often mild pain, the most frequent complaint.
Cause
The exact cause is unknown but several conditions have been blamed:
Bicipital tenosynovitis
Rotator cuff tendonitis
Reflex sympathetic dystrophy
Trauma
Immobilization
Diabetes
Symptoms:
Pain
Decreased motion of the shoulder
Stiffness
Diagnosis:
People with Adhesive Capsulitis have restricted range of shoulder motion both actively and passively
Magnetic resonance imaging (MRI) and ultrasound can create better images of problems with soft tissues such as a torn rotator cuff, not for Adhesive Capsulitis
Conservative treatment:
1.Initial phase:
Rest
Moist heat
Pain killers such as NSAID
Muscle relaxant
Injection of local anesthetic and long acting steroid
2.Mobilization phase:
Physiotherapy such as traction, shortwave diathermy
Gradual mobilization and exercises
3.Maintenance phase:
Continual exercises of the shoulder muscles
Avoidance of strain on the muscles of the shoulder
Steroid injections plus physical therapy can improve the range of motion.
It can take a few weeks to see improvement in the Adhesive Capsulitis.
It may take as long as 6 to 9 months for complete recovery.
Physical therapy is intense and needs to be done every day.
Left untreated the condition very often improves by itself within 2 years with little loss of motion.
Risk factors for Adhesive Capsulitis such as diabetes or thyroid problems should also be treated.
4.Surgery may be recommended if non-surgical treatment is not effective
Arthroscopic surgery can also be used to cut the tight ligaments and remove the adhesions from the shoulder

TABLE OF CONTENT
Introduction
Chapter 1 Adhesive Capsulitis
Chapter 2 C

• Language: English
• Publisher: Kenneth Kee
• Release date: Dec 29, 2017
• ISBN: 9781370876587

Kenneth Kee

Medical doctor since 1972.Started Kee Clinic in 1974 at 15 Holland Dr #03-102, relocated to 36 Holland Dr #01-10 in 2009.Did my M.Sc (Health Management ) in 1991 and Ph.D (Healthcare Administration) in 1993.Dr Kenneth Kee is still working as a family doctor at the age of 74However he has reduced his consultation hours to 3 hours in the morning and 2 hours inthe afternoon.He first started writing free blogs on medical disorders seen in the clinic in 2007 on http://kennethkee.blogspot.com.His purpose in writing these simple guides was for the health education of his patients which is also his dissertation for his Ph.D (Healthcare Administration). He then wrote an autobiography account of his journey as a medical student to family doctor on his other blog http://afamilydoctorstale.blogspot.comThis autobiography account “A Family Doctor’s Tale” was combined with his early “A Simple Guide to Medical Disorders” into a new Wordpress Blog “A Family Doctor’s Tale” on http://ken-med.com.From which many free articles from the blog was taken and put together into 1000 eBooks.He apologized for typos and spelling mistakes in his earlier books.He will endeavor to improve the writing in futures.Some people have complained that the simple guides are too simple.For their information they are made simple in order to educate the patients.The later books go into more details of medical disorders.He has published 1000 eBooks on various subjects on health, 1 autobiography of his medical journey, another on the autobiography of a Cancer survivor, 2 children stories and one how to study for his nephew and grand-daughter.The purpose of these simple guides is to educate patient on health disorders and not meant as textbooks.He does not do any night duty since 2000 ever since Dr Tan had his second stroke.His clinic is now relocated to the Buona Vista Community Centre.The 2 units of his original clinic are being demolished to make way for a new Shopping Mall.He is now doing some blogging and internet surfing (bulletin boards since the 1980's) startingwith the Apple computer and going to PC.The entire PC is upgraded by himself from XT to the present Pentium duo core.The present Intel i7 CPU is out of reach at the moment because the CPU is still expensive.He is also into DIY changing his own toilet cistern and other electric appliance.His hunger for knowledge has not abated and he is a lifelong learner.The children have all grown up and there are 2 grandchildren who are even more technically advanced than the grandfather where mobile phones are concerned.This book is taken from some of the many articles in his blog (now with 740 posts) A Family Doctor’s Tale.Dr Kee is the author of:"A Family Doctor's Tale""Life Lessons Learned From The Study And Practice Of Medicine""Case Notes From A Family Doctor"

Book preview

Adhesive Capsulitis,

(Frozen Shoulder)

A

Simple

Guide

To

The Condition,

Diagnosis,

Treatment

And

Related Conditions

By

Dr Kenneth Kee

M.B.,B.S. (Singapore)

Ph.D (Healthcare Administration)

Copyright Kenneth Kee 2017 Smashwords Edition

Published by Kenneth Kee at Smashwords.com

Dedication

This book is dedicated

To my wife Dorothy

And my children

Carolyn, Grace

And Kelvin

This book describes Adhesive Capsulitis, Diagnosis and Treatment and Related Diseases which is seen in some of my patients in my Family Clinic.

(What The patient Need to Treat Adhesive Capsulitis)

This eBook is licensed for your personal enjoyment only. This eBook may not be re-sold or given away to other people. If the patient would like to share this book with another person, please purchase an additional copy for each reader.

If you’re reading this book and did not purchase it, or it was not purchased for your use only, then please return to Smashwords.com and purchase your own copy.

Thank you for respecting the hard work of this author.

Introduction

I have been writing medical articles for my blog http://kennethkee.blogspot.com (A Simple Guide to Medical Disorder) for the benefit of my patients since 2007.

My purpose in writing these simple guides was for the health education of my patients.

Health Education was also my dissertation for my Ph.D (Healthcare Administration).

I then wrote an autobiolographical account of his journey as a medical student to family doctor on his other blog http://afamilydoctorstale.blogspot.com.

This autobiolographical account A Family Doctor’s Tale was combined with my early A Simple Guide to Medical Disorders into a new Wordpress Blog A Family Doctor’s Tale on http://kenkee481.wordpress.com.

From which many free articles from the blog was taken and put together into 800 eBooks.

Some people have complained that the simple guides are too simple.

For their information they are made simple in order to educate the patients.

The later books go into more details of medical disorders.

The first chapter is always from my earlier blogs which unfortunately tends to have typos and spelling mistakes.

Since 2013, I have tried to improve my spelling and writing.

As I tried to bring the patient the latest information about a disorder or illness by reading the latest journals both online and offline, I find that I am learning more and improving on my own medical knowledge in diagnosis and treatment for my patients.

Just by writing all these simple guides I find that I have learned a lot from your reviews (good or bad), criticism and advice.

I am sorry for the repetitions in these simple guides as the second chapters onwards have new information as compared to my first chapter taken from my blog.

I also find repetition definitely help me and maybe some readers to remember the facts in the books more easily.

I apologize if these repetitions are irritating to some readers.

Chapter 1

Adhesive Capsulitis (Frozen Shoulder)

What is Adhesive Capsulitis (Frozen Shoulder)?

Adhesive Capsulitis is also known as Frozen Shoulder Syndrome (FSS), a disorder of the shoulder featured by the slow onset of pain and restricted shoulder movement.

Adhesive capsulitis of the shoulder produces pain and stiffness in the shoulder.

Over time the shoulder becomes very stiff to move and is called frozen.

It is likely to be chronic and full recovery may require several months.

Adhesive Capsulitis is when the shoulder is painful because of inflammation and loses movement.

In Adhesive Capsulitis the shoulder capsule thickens and becomes tight.

Stiff bands of fibrous tissue called adhesions develop.

There is normally less synovial fluid in the joint.

Patients who met