If right shoulder pain bothers you, in this article our doctors will describe one of the causes of shoulder pain, namely Adhesive capsular is of right shoulder.
what you will read next :
- Shoulder pain
- What is meant by adhesive capsulitis of the right shoulder?
- Who is most likely to develop adhesive capsulitis of the right shoulder?
- What are the signs and symptoms of adhesive capsulitis of the right shoulder?
- How is adhesive capsulitis diagnosed?
- How is the treatment of adhesive capsulitis of the right shoulder?
Shoulder pain
Pain in the shoulder joint itself or in the tissues around the shoulder is described as “shoulder pain”.
Even a limb far from the shoulder may have been the cause of right shoulder pain, for example, pain of cardiac origin may spread to the right shoulder or gallbladder pain may be felt in the right shoulder.
Your shoulder pain can be acute or prolonged and chronic. One of the most common causes of chronic right shoulder pain is osteoarthritis or osteoarthritis of the right shoulder joint.
Osteoarthritis of the shoulder joint is accompanied by wear and tear and damage to the cartilage in the shoulder, if your shoulder is injured and the injury is not treated in principle, for example you have had a fracture in the bones that make up the shoulder, which are badly welded, inflammation, etc. In the long run can accelerate the progression of osteoarthritis of your right shoulder joint.
Leaving aside the most common cause of right shoulder joint pain, we must say that about two percent of the causes of right shoulder pain in middle age are adhesive capsulitis of the right shoulder. Another name for this skeletal problem is frozen shoulder.
The adhesive capsulitis of the right shoulder, in addition to pain, will be accompanied by limited shoulder movement.
What is meant by adhesive capsulitis of the right shoulder?
What does shoulder adhesive capsulitis mean?
Around your shoulder joint is a strong but flexible connective tissue called the shoulder joint capsule. The ligaments and tendons around the shoulder attach to the shoulder joint capsule.
Sometimes it becomes inflamed for some reason and the thickness of the tissue that makes up this capsule increases, it loses its flexibility and becomes hard and stiff. This condition is called adhesive capsulitis of the right shoulder.
Following these changes, the ligaments and shoulder tendons will not be able to move normally in their normal range, shoulder movements are limited and that is why another name for this problem is Frozen Holder.
Shoulder pain when moving the joint and arm causes the person with adhesive capsulitis of the right shoulder to avoid moving the shoulder, and not using the joint accelerates the process of thickening of the shoulder capsule and worsening of the condition, This way we will have a frozen shoulder, Which the movements will be both difficult and very painful.
Who is most likely to develop adhesive capsulitis of the right shoulder?
Risk factors for adhesive capsulitis of the right shoulder include:
- Age:
People between the ages of forty and sixty are more likely to develop adhesive capsulitis of the shoulder.
- Gender:
Women are more likely than men to develop adhesive capsulitis.
- People with diabetes:
Ten to twenty percent of diabetics develop frozen shoulder and right shoulder capsulitis. (??)
- People with a history of shoulder injuries:
For example, people with rotator cuff problems.
People who suffer from shoulder bone fractures and have to use shoulder braces or slings or shoulder wrap may keep the shoulder joint immobile for a long time.
- Existence of internal diseases and disorders and underlying problems such as:
- Parkinson’s disease
- Stroke is one of the most important risk factors for adhesive capsulitis of the right shoulder, Restriction of arm and shoulder movements is followed by strokes.
- Heart disease
- Hyperthyroidism
It is not yet clear why hyperthyroidism and heart diseases, are associated with an increased risk of developing adhesive capsulitis of the right shoulder.
People who suffer from depression or anxiety may also develop adhesive capsulitis on their right or left shoulder.
Adhesive capsulitis of the shoulder are also common after Breast cancer surgeries and heart surgeries.
In general, any prolonged immobility in the shoulder can cause adhesive capsulitis of the right shoulder, so after any injury, at the discretion of the physician, the shoulder joint should be moved as soon as possible and long-term immobilization of the joint should be avoided.
What are the signs and symptoms of adhesive capsulitis of the right shoulder?
Symptoms of frozen shoulder in the right shoulder joint can be classified and described in three stages:
- Freezing stage:
This step takes six to nine months.
The capsule around the joint becomes thick and stiff, at this time, there is pain when moving the shoulder. Gradually, the thickness and stiffness increase over time, and in parallel, the limitation in the range of motion of the shoulder also increases.
- frozen stage:
This step takes two to six months.
The shoulder becomes stiffer and drier in this phase, but the shoulder pain at this stage may be less, the limitation of shoulder movements has reached such a level that it has become very difficult to perform normal daily activities and tasks.
- recovery stage (Thawing):
Six months to two years will be needed to complete this phase and recovery.
The amount of pain is reduced and the restriction of shoulder movement is gradually corrected and your shoulder is near or fully recovered.
Pain is a symptom of adhesive capsulitis of the right shoulder, the adhesive capsulitis of the right shoulder pain is a dull pain that is usually felt on the outside of the shoulder and arm, the pain is aggravated by movement of the shoulder and head of the shoulder, The most important symptom of frozen shoulder is severe limitation of shoulder movements. Neither the person can move his shoulder easily nor can the doctor move the shoulder.
How is adhesive capsulitis diagnosed?
Your doctor will diagnose adhesive capsulitis of the right shoulder based on your history and examination.
How is the treatment of adhesive capsulitis of the right shoulder?
We have said that the process and course of adhesive capsulitis of the right shoulder is such that it generally improves in two to three years, but it is possible to accelerate the recovery process with some measures.
Most non-surgical treatments are sufficient, which include:
- Warming the shoulder with a warm towel reduces pain.
- Use of sedatives and anti-inflammatory drugs
- The most important part of treatment to improve adhesive capsulitis of the right shoulder is to prevent shoulder immobilization.
- It is better to ask your doctor and physiotherapist about stretching exercises of frozen shoulder and avoid doing unprincipled movements.
- Sometimes it is necessary to have a topical injection of corticosteroids into the shoulder joint by a doctor at the clinic to reduce pain and inflammation and for you to be able to do stretching exercises for the shoulder.
- Sometimes the pain becomes so severe that a nerve block will be used to relieve the pain for the patient’s comfort to do shoulder stretching exercises.
- Sometimes, after anesthesia and in the operating room, the doctor will move your shoulder in all directions with high and very strong pressure to release the adhesive capsulitis of the right shoulder joint.
More than ninety percent of cases of adhesive capsulitis of the right shoulder will be cured by doing these non-surgical tips.
If you do not recover, your doctor may suggest a surgical procedure.
- Surgical treatment of adhesive capsulitis of the right shoulder:
If there is no response to non-surgical treatments, shoulder surgery with an arthroscope is performed by an orthopedic specialist. In this surgery, incisions are made in the shoulder joint capsule so that the shoulder can move more.
Finally, it is important to note that as people with anxiety and depression are more likely to develop adhesive capsulitis of the right shoulder, getting medical treatment for depression and stress can be very helpful.
Pain is a symptom of adhesive capsulitis of the right shoulder, the pain of the adhesive capsulitis of the right shoulder is a dull pain that is usually felt on the outside of the shoulder and arm, the pain is aggravated by movement of the shoulder and head of the shoulder, Neither the person can move his shoulder easily nor can the doctor move the shoulder.