Current concepts of natural course and in management of frozen shoulder: A clinical overview

Wojciech Konarski, Tomasz Poboży, Martyna Hordowicz, Kamil Poboży, Julia Domańska, Wojciech Konarski, Tomasz Poboży, Martyna Hordowicz, Kamil Poboży, Julia Domańska

Abstract

Frozen Shoulder (FS) by many specialists is still considered a benign, self-limiting condition, which usually resolves without intervention. This concept originated in the 70', stating that FS will proceed from "the freezing" phase, with the predominance of inflammation and pain to "the frozen" phase with marked stiffness in the joint and "the thawing" phase, with a progressive return to the normal Range Of Motion (ROM) and function. Nevertheless, numerous authors have recently challenged this concept, arguing that most patients with FS will never fully recover, and suffer from residual pain and loss of function. Lack of early intervention, when a patient does not improve with conservative treatment, might lead to disability. We have discussed the recent concepts in the natural course of the disease and discussed both noninvasive and surgical methods in the treatment of FS.

Keywords: Frozen shoulder; adhesive capsulitis; management; range of motion; shoulder pain.

Conflict of interest statement

Conflict of interests: The authors declare no conflict of interest.

©Copyright: the Author(s).

Figures

Figure 1.
Figure 1.
Injection in hydrostension procedure guided by ultrasound (in plane projection). The red line pinpoints the direction of the needle.

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Source: PubMed

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