A locked up shoulder, also known as frozen shoulder or adhesive capsulitis, is a condition characterized by stiffness and pain in the shoulder joint. This occurs when the connective tissue surrounding the joint thickens and tightens, restricting its movement and causing discomfort.
The symptoms of a locked up shoulder usually develop gradually and worsen over time. Initially, individuals may experience mild pain and stiffness in the shoulder, which may worsen with movement. As the condition progresses, the range of motion in the shoulder joint becomes increasingly limited, making it difficult to perform everyday activities such as reaching overhead or behind the back.
The exact cause of frozen shoulder is not fully understood, but certain risk factors have been identified. It is more common in individuals between the ages of 40 and 60, and women are more likely to be affected than men. People with certain medical conditions, such as diabetes, thyroid disorders, or cardiovascular disease, may also be at a higher risk.
The natural course of frozen shoulder typically involves three phases: freezing, frozen, and thawing. During the freezing phase, pain and stiffness gradually increase, making it challenging to move the shoulder. This phase can last for several months. In the frozen phase, the pain may subside, but the stiffness remains, often at its peak. The frozen phase can last for several months to a year. in the thawing phase, the shoulder gradually regains its range of motion, and the symptoms gradually improve. This phase can last for several months to years.
Treatment for a locked up shoulder usually involves a combination of conservative measures and, in some cases, medical interventions. Physical therapy exercises that focus on stretching and strengthening the shoulder muscles can help improve flexibility and reduce pain. Pain relievers and anti-inflammatory medications may be prescribed to manage discomfort. In severe cases, corticosteroid injections into the shoulder joint may be recommended to reduce inflammation and alleviate symptoms.
In rare instances where conservative treatment fails to provide relief, surgical intervention may be considered. This typically involves manipulating the shoulder joint under anesthesia to break up adhesions and loosen the tightened connective tissue.
Having personally experienced a locked up shoulder, I can attest to the frustration and limitations it can impose on daily activities. Simple tasks like reaching for objects or even getting dressed can become challenging and painful. However, with patience and consistent treatment, the symptoms gradually improved over time. Physical therapy exercises played a crucial role in restoring mobility and reducing pain. It is important to seek medical attention if you suspect you have a locked up shoulder, as early intervention can lead to better outcomes.