Introduction
Adhesive capsulitis, or frozen shoulder, is a condition that causes stiffness and pain in the shoulder joint. External rotation is one of the movements that become restricted in this condition. In this article, we will discuss the causes, symptoms, diagnosis, and treatment of adhesive capsulitis external rotation.
Causes
The exact cause of adhesive capsulitis is not known, but it is believed to be related to inflammation and scarring of the capsule that surrounds the shoulder joint. External rotation becomes restricted when the capsule becomes tight and thickened. Some factors that may increase the risk of developing adhesive capsulitis include age, gender (more common in women), diabetes, and previous shoulder injury or surgery.
Symptoms
The main symptom of adhesive capsulitis is pain and stiffness in the shoulder joint. The pain may be dull or sharp and may worsen with movement. External rotation becomes difficult, and the shoulder may become locked in a certain position. The symptoms usually develop gradually and may last for several months to years.
Diagnosis
Adhesive capsulitis is usually diagnosed based on the patient’s symptoms and physical examination. The doctor may also order imaging tests, such as X-rays or MRI, to rule out other conditions that may cause similar symptoms.
Treatment
Treatment for adhesive capsulitis external rotation involves a combination of pain relief, physical therapy, and in some cases, surgery. Pain relief may include medications, such as nonsteroidal anti-inflammatory drugs (NSAIDs) or corticosteroids injections. Physical therapy is an essential part of treatment, and it aims to improve the range of motion and strength of the shoulder joint. The therapist may use various techniques, such as stretching, massage, and exercises. In severe cases, surgery may be necessary to loosen the tight capsule and restore the range of motion. The surgery may be performed using arthroscopy, a minimally invasive technique.
Prevention
There is no sure way to prevent adhesive capsulitis, but some measures may reduce the risk. These include maintaining a healthy weight, avoiding shoulder injuries, and doing regular shoulder exercises to keep the joint flexible and strong.
Conclusion
Adhesive capsulitis external rotation is a common complication of frozen shoulder, which causes pain and stiffness in the shoulder joint. The condition may last for several months to years, but with proper treatment and physical therapy, most patients can regain their range of motion and function. If you experience any shoulder pain or stiffness, it is essential to seek medical attention promptly to prevent further complications.