Adhesive capsulitis

Question 1

Primary vs secondary adhesive capsulitis?

Answer 1

• Primary: insidious onset

- Secondary diabetic or other shoulder pathology

Question 2

What is general prognosis for frozen shoulder?

Answer 2

• Most recover within 2 years, 40-50% still have mild pain at 7 years
• 60% still have stiffness at 7 years
• 7-15% have permanent ROM loss

Question 3

What are the three stages of frozen shoulder?

Answer 3

• Freezing
• Frozen
• Thawing

Question 4

What does Freezing look like?

Answer 4

• Gradual ROM loss

- Increased pain aggravated by arm movement

Question 5

What does frozen look like?

Answer 5

-Huge ER loss, especially ER, lower baseline pain

Question 6

What does thawing look like?

Answer 6

-Gradual restoration of mobility and decreased pain

Question 7

What are the classifications for ER ROM loss and irritability for frozen shoulder?

Answer 7

Irritability: 1-high 2-mod 3-low

ER ROM: Mild (>45 deg), Mod (11-45 deg), Severe (<11 degrees)

Question 8

What are the three goals for treatment of frozen shoulder?

Answer 8

• Relieve pain
• Restore movement
• Regain functionq

Question 9

What is goal for freezing stage?

Answer 9

Pain modulation, pain as guide for activity, exercise within limit of pain

Question 10

What is goal for frozen stage and thawing stage?

Answer 10

-Improve ROM, DO NOT TORTURE PATIENTS