Monday, October 16, 2017

PHYSIOTHERAPY MUST FOR FROZEN SHOULDER

Frozen shoulder is a condition when somebody encounters continuous shoulder stiffness and pain. It could last for weeks. It is likely to occur when selling increases around the shoulder which reduces inability to move or stretch properly. This ordinarily happens when somebody is recovering from an injury. Frozen shoulder at times happens when somebody is wearing a sling or a cast.

Symptoms and various stages -

Signs and symptoms develop gradually.

They are usually classified in three stages, as symptoms worsen gradually and then resolve within a two-year period.

Painful stage: The shoulder becomes stiff and then very painful with movement. Movement becomes limited. Pain typically worsens at night.

Frozen stage: The shoulder becomes increasingly stiff, severely limiting range of motion. Pain may not diminish, but it does not usually worsen.

Thawing/improvement stage: Movement in the shoulder begins to improve. Pain may fade but occasionally recur.

Causes-
Frozen shoulder is thought to happen when scar tissue forms in the shoulder. This causes the shoulder joint's capsule to thicken and tighten, leaving less room for movement. Movement may become stiff and painful.

The exact cause is not fully understood, and it cannot always be identified.

However, most people with frozen shoulder have experienced immobility as a result of a recent injury or fracture.

The condition is common in people with diabetes.

Diagnosis
Doctors diagnose frozen shoulder based on signs, symptoms, and a physical exam.
The severity of frozen shoulder is determined by a basic test in which a doctor presses and moves certain parts of the arm and shoulder.
Structural problems can only be identified with the help of imaging tests, such as an X-ray or MRI.
 

Physiotherapy

Physiotherapy is very crucial for a frozen shoulder since it is very difficult to get movement in the stiff joint without any exercise, stretching or other methods used by a physiotherapist. It is mostly crucial to get physiotherapy to:

    To reduce pain in the shoulder
    To increase the flexibility and strength of the shoulder
    To enhance movement of the shoulder.
    To increase endurance of the muscles

Physiotherapy treatment for a frozen shoulder depends on the stage you are on and is customized according to the needs of your condition. Physiotherapy treatments for a frozen shoulder include:

    Pain relief: Pain diminishing techniques including gentle shoulder movement exercises, muscle releases, needle therapy for pain can help during the painful swelling phase.
    Defrosting: Shoulder mobilization and stretching are the best in order to achieve a full shoulder recovery. As your scope of movement increases, your physiotherapist will then be able to give you muscle strengthening exercises to control and keep up your recently found range of movement.
    Warm Up: Before beginning shoulder exercises for a frozen shoulder, try to warm up your shoulder keeping in mind the end goal. That is to help blood supply in the affected area and avoid future injuries. The best approach is to extend and warm up the shoulder by applying heat for 10 to 15 minutes, scrubbing down or showering with Epsom salt.

Physiotherapy will gradually help  to improve the flexibility of the joint. One should keep in mind, not to stretch their shoulder too quickly at once. This can lead to a ligament tear. The exercises should be tender and gradual. It is best to learn the correct way of doing the exercise from a well-trained physiotherapist and the therapist watching you do the exercise correctly, as any wrong movement will only worsen the condition.


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