Adhesive Capsulitis
Also known as Frozen shoulder. Adhesive Capsulitis is a painful shoulder condition characterized by progressive stiffness and restricted movement of the glenohumeral joint. In Adhesive Capsulitis, the joint capsule becomes inflamed, thickened, and tight, resulting in reduced shoulder mobility and significant functional limitations. The condition usually develops gradually and may persist for several months or even years if left untreated.
Clinical Importance
Adhesive Capsulitis commonly affects adults between 40 and 60 years of age and occurs more frequently in individuals with diabetes mellitus, thyroid disorders, or prolonged shoulder immobilization. Patients often experience pain during both active and passive movements, particularly external rotation. The condition can interfere with daily activities such as dressing, grooming, reaching overhead, and sleeping comfortably.
Physiotherapy Relevance
Physiotherapists play a vital role in the management of Adhesive Capsulitis. Assessment includes evaluating pain, joint mobility, range of motion, and functional limitations. Treatment may involve patient education, stretching exercises, joint mobilization techniques, pain management strategies, and progressive strengthening exercises. Early physiotherapy intervention helps maintain mobility and improve functional outcomes.
Everyday Example
A person with Adhesive Capsulitis may find it difficult to comb their hair, fasten clothing behind the back, reach for objects on a shelf, or lift the arm overhead. These limitations occur because the shoulder joint capsule becomes increasingly stiff and restricted.
Quick Facts
| Feature | Details |
|---|---|
| Category | Shoulder Disorder |
| Also Known As | Frozen Shoulder |
| Commonly Affected Joint | Glenohumeral Joint |
| Main Symptoms | Pain and Stiffness |
| Common Risk Factors | Diabetes, Thyroid Disorders |
| Primary Treatment | Physiotherapy and Exercise |
Clinical Pearl
A characteristic feature of Adhesive Capsulitis is the loss of external rotation, often followed by limitations in abduction and internal rotation. This pattern helps differentiate it from many other shoulder conditions.
Frequently Asked Questions
What causes Adhesive Capsulitis?
The exact cause of Adhesive Capsulitis remains unclear. However, diabetes, prolonged immobilization, shoulder injury, and certain systemic conditions increase the risk of developing the condition.
Can physiotherapy help Adhesive Capsulitis?
Yes. Physiotherapy helps reduce pain, improve shoulder mobility, restore function, and support recovery through structured exercises and manual therapy techniques.