Frozen Shoulder Treatment in Delhi

Frozen shoulder or Adhesive Capsulitis of the shoulder is a condition of the shoulder joint which presents with shoulder pain and decreased range of motion of the shoulder joint significantly. Frozen shoulder usually affects the nondominant with higher incidence in females than males. In a life time a patient has about a 30% chance of having frozen shoulder in the opposite shoulder. This shoulder pain felt deep inside the shoulder joint or this pain may be felt in the arm up to the elbow. Most patients feel the pain around the upper arm (area of deltoid muscle). Pain becomes worse at night with difficulty in sleep. Patients cannot sleep on the same side of the shoulder pain. Shoulder pain can be referred to as pain meaning pain from other organs of the body. Shoulder pain can arise from cervical spine, Heart, gallbladder or even the same side lung. But can be easily differentiated by a Shoulder expert. To begin with it just seems like a niggle of pain in and around the shoulder joint but slowly increases in intensity. Example being that you are not able to reach to the back pocket or the opposite shoulder. Patients give a history of sudden jerk which is usually very painful and following the jerk or trauma, the latter presents with an increase in the intensity of pain. The pain can be very excruciating requiring a lot of pain killers. Night pain is a very particular feature of this disease.

Frozen shoulder is a condition of the shoulder which affects the nondominant side and is common in females as compared to the men generally. Men and women are affected in the 4th decade to 6th decade of life. The course of the disease is very variable. Frozen shoulders may affect you from a few months to a few years. During this phase of untreated condition of the shoulder joint leads to loss of many productive hours to days. Hence when you have symptoms of shoulder pain which causes a drastic decrease in the range of your shoulder joint with increasing severity of shoulder pain, you should visit a shoulder specialist.

Facts and Myths about Frozen Shoulder

The first Myth being that it is a routine shoulder pain and it can be taken care of by taking any over the counter medicine from a neighborhood chemist.

The Fact about the shoulder pain due to the frozen shoulder is that it requires a very good understanding of this disease to further treat it.

The Myth of the Frozen shoulder – Every Shoulder pain in the Shoulder joint is a frozen shoulder. The answer is “NO”. There are many reasons for shoulder Pain, But Shoulder pain due to frozen shoulders is certainly more common in Females, with a nondominant arm and with an increased incidence seen in Diabetics. Even patients with Hypothyroidism are prone to have Frozen Shoulder.

Fact about Frozen Shoulder and Diabetes

It is true that patients with a history of Diabetes or even first time diagnosed Diabetes are prone to develop Frozen shoulder due to an association between Hyperglycemia (increased levels of blood sugar) and capsular thickening leading to frozen shoulder. Patients with high HBA1C have a more extended course of the disease.

Myth about Frozen shoulder– Shoulder injection will worsen the stiffness and is more harmful to the body

Fact about the Intra-articular Injection of the shoulder joint– Injection into the shoulder joint for the Frozen shoulder is very beneficial in the initial stages of the disease when the synovitis (Inflammation of the joint) is progressing in to the shoulder capsule which later progresses to a very stiff joint because of a thick capsule. The Intra-articular injection which is usually Triamcinolone 40mg. Triamcinolone is a steroid which doesn’t cause any systemic side effects. P.S You should always tell your doctor about your skin condition and drug allergies.

Benefits of Intra-articular Injection– Joint injection helps to bring down the pain rapidly in a few days to weeks. This decreases the use of painkillers which can be otherwise harmful especially in India where over the counter drugs are easily available with the patients not knowing the side effects. Injection should be done in a controlled environment under aseptic precautions by a Shoulder Specialist.

Role of Physiotherapy in Frozen Shoulder

Once the excessive pain of the initial stages of the Frozen shoulder has settled with the patient having good sleep then the guided rehab can be started. It definitely makes the patient feel better and with gain in the shoulder Range the shoulder slowly but steadily improves.

If the patient has or develops excessive pain during or after the physiotherapy which makes the patient very uncomfortable then it should be stopped. This is seen in the very early stage of adhesive capsulitis or Frozen shoulder which can lead to further worsening of the symptoms especially pain.

Hence it's very important to understand when to start the rehab which can be decided by the shoulder specialist attending the patient.

What is the role of Arthroscopy in Adhesive capsulitis or Frozen Shoulder?

Arthroscopy of the shoulder joint is a keyhole surgery.

Arthroscopy is only offered to patients who have failed the conservative line of management. Meaning patients who have tried physiotherapy, Intra-articular Injection and have waited long enough with no significant relief in symptoms. Such patients after failing conservative therapy can be considered for an arthroscopy of the shoulder Joint. Arthroscopy involves careful assessment of the Shoulder joint with Capsular release, Rotator interval release, Longhead of biceps management with/without Subacromial assessment of the shoulder joint.

Frozen Shoulder Treatment in Delhi

Dr. Vishwadeep Sharma, a renowned shoulder treatment doctor in Delhi, is transforming the way frozen shoulder is treated. His innovative approach combines traditional methods with cutting-edge techniques to provide patients with effective and lasting relief. With a deep understanding of the complexities of frozen shoulder, Dr. Sharma customizes treatment plans to suit each patient's unique needs and lifestyle, ensuring optimal outcomes.

Patients seeking frozen shoulder treatment in Delhi can benefit from Dr. Sharma's extensive experience and expertise in this field. His holistic approach integrates physiotherapy, medication management, and minimally invasive procedures to address the root cause of the condition and promote long-term healing. By prioritizing patient education and empowerment, Dr. Vishwadeep Sharma equips individuals with the knowledge and tools they need to actively participate in their recovery process, fostering a sense of confidence and control over their health journey.