• Calcutta Medical Research Institute 7/2 Diamond Harbour Road Kolkata-700027, West Bengal

Beat Frozen Shoulder – Hear what the experts have to say

Beat Frozen Shoulder – Hear what the experts have to say

According to the orthopedic experts at CMRI it is important to understand the increasing problem of a ‘Frozen Shoulder’. A team of experts has put forward their thoughts about how to manage, navigate various complicated and challenging shoulder issues in patients.

Diagnosis:

According to the experts only one of ten patients who come to the clinics complaining of ‘Frozen Shoulder’ issues actually have one. Most have other shoulder issues that are erroneously tagged as a Frozen Shoulder. They highlight that due to these generalizations in diagnosis; shoulder problems are miss treated or missed out. Some of the other problems that tend to be diagnosed as a Frozen Shoulder maybe bicep tendinopathy, sub acromial impingement, rotator cuff tear, shoulder arthritis, AC joint arthritis which are sometimes diagnosed as Frozen Shoulder. Therefore, the chosen line of treatment can instead ruin the chances of cure. Diagnosis is an integral part of the treatment and if ignored can eventually lead to a Frozen Shoulder.

What should you do?

Therefore, it is imperative that patients with shoulder problems visit an orthopedic specialist with skills and training in shoulder management. The doctor will examine the patient clinically and follow it up with investigations like, X-Rays and MRI scans if required. If a thorough course of diagnosis were followed, one would find that only one out ten actually suffer from Frozen Shoulder or Adhesive Capsulitis of shoulder and this enable determination of the correct problem.

In the case of an actual frozen shoulder, the first line of management is regular and appropriate exercise. Most patients see positive results from this. If exercises do not help, the doctor usually suggests arthroscopic surgery – a keyhole procedure that helps the shoulder to move towards betterment.

The other patients usually suffer from shoulder impingements or rotator cuff issues etc and their line of treatment are very different. Patients may require rehab physiotherapy or arthroscopic surgery. For those with gross shoulder arthritis, arthroscopic surgery will not be beneficial as these patients may require shoulder replacement. Traditionally shoulder replacement used to be a ‘hemi’ i.e. a half shoulder replacement then with medical evolution. It moved to total shoulder replacement, which changes both the ball and the socket part of the shoulder. CMRI also conducts reverse shoulder replacements with those who have arthritis coupled with a rotator cuff problem. In a reverse shoulder replacement, the ball of the joint is replaced with a socket and vice versa.

Do low temperatures accentuate shoulder problems?

A common belief is that low temperatures affect shoulder problems. However, experts have clarified that climatic changes usually do not have any impact on shoulder problems. Shoulder problems on the other hand may be grouped into young, middle-aged and old depending on the age group in which they are most common.

It is important to understand the cause and nature of a shoulder problem to treat it correctly. This should be done with the help of a skilled orthopedic specialist.

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