![]() “Boring” footnotes usually contain scientific citations from my giant bibliography of pain science. There are two types: more interesting extra content, 1 and boring reference stuff. Click to make them pop up without losing your place. There are 199 footnotes in this document. Much more detail about symptoms to come.Ībout footnotes. Many frozen shoulder patients consider it the worst pain they’ve ever endured. Sudden movements can cause surges of much sharper and more extreme pain. The painful early stage mostly involves aching or burning deep in the shoulder joint, sometimes extending into the upper arm, often worst at night. 6 Most patients first notice that they are having trouble reaching bra clasps, hip pockets, and back itches. ![]() Range of motion fails, slowly and painfully, usually just on one side. Sticky shoulder is probably a better name.Ībout two thirds of patients are women. 5Īdhesive capsulitis is the more formal term for frozen shoulder: it describes the characteristic stickyness that develops in the shoulder joint capsule. 3 There is hope - it can thaw spontaneously 4- but many people will be frozen to some degree for a long time, measured in years. Sadly, the old idea that this is a self-limiting condition is flatly contradicted by modern evidence. In fact, frozen shoulder treatment is one of the best examples of how musculoskeletal medicine is surprisingly primitive still. It’s hard to define precisely, diagnose accurately, or treat effectively. 1 Frozen shoulder is a biological puzzle, and a common one. The shoulder is the only joint that often “freezes” like this. It comes with other diseases, usually diabetes, or it follows traumas or periods of immobilisation - hold the shoulder in one position for long enough, and it actually may get stuck there. Sometimes shoulders just seize up, painfully and mysteriously: frozen shoulder.
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