Frozen shoulder----or adhesive capsulitis--reflects limited shoulder range of motion due to a contracted capsule, not secondary to arthritis or cuff pathology, by contrast. Diabetes is a common cause, but most causes are idiopathic. Usually a 3-6 month physical therapy program is successful at increasing range of motion, and in most cases pain and stiffness improve without surgical interventionby 12-18 months .
There are recalcitrant cases, however, and in such cases a gentle manipulation under anesthesia in combination with arthroscopic release and lysis of adhesions can restore range of motion.
Daily therapy is needed postoperatively for the first 3 weeks, followed by PT 3x a week for the 2nd 3 weeks.
There are recalcitrant cases, however, and in such cases a gentle manipulation under anesthesia in combination with arthroscopic release and lysis of adhesions can restore range of motion.
Daily therapy is needed postoperatively for the first 3 weeks, followed by PT 3x a week for the 2nd 3 weeks.
