What is Periarthritis Shoulder?
If you can’t move your shoulder around like you used to, you could have periarthritis shoulder. When it hurts to move your shoulder or you don’t have as much movement in your shoulder as before, your shoulder may become “frozen.” Because of this, doctors sometimes refer to this problem as Adhesive Capsulitis or Frozen Shoulder.
Symptoms of Periarthritis
- In this condition, the shoulder joint becomes painful and stiff
- The cause for this inflammatory disease is not known
- There occurs a loss of resilience of the joint capsule, possibly due to adhesion formation
- In the early stages of the disease, the pain is worse at night and the movements are slightly restricted
- Later, there is pain at all times and all the shoulder movements get severely limited
- There could possibly be a history of trauma
Does my shoulder actually freeze?
No, it just won’t move. If you don’t use your shoulder enough (because it hurts to move) or if you use it the wrong way, your shoulder will develop scar tissue that stops it from moving much. Your shoulder may go through several stages as the scar tissue forms.
The painful stage: At first, your shoulder may ache and feel stiff. Then it may get very painful. This stage may last about 3 to 8 months.
The adhesive stage: During the second stage, you may not actually have as much pain, but your shoulder keeps getting stiffer. This stage usually lasts about 4 to 6 months.
The recovery stage: The final stage, which usually lasts about 1 to 3 months, isn’t very painful. It becomes very hard to move your shoulder even a little bit. Then after a while, the stiffness slowly goes away. You can move your shoulder again. Although you may not get the full movement of your shoulder back, you should be able to do many more activities. As your shoulder movement increases, you may still have pain at times.
How is Periarthritis Shoulder treated?
1. Peri-arthritis is a self-limiting disease.
2. It takes 6-9 months for the inflammation to subside, but it leaves behind a stiff but painless shoulder
3. Hence, the aim of management of such a case is to prevent or minimize the stiffness by continued shoulder movements and exercises.
4. Physiotherapy is an absolute necessity. Follow frozen shoulder physical therapy exercises. More tips on how to give a good shoulder massage
5. Pain killers have a palliative effect and give only temporary relief.
6. The injection that you have taken would be an intra-articular hydrocortisone injection which speeds up cure.
7. Hot fomentation affords relief from frozen shoulder.
8. Rhus tox 30, a homoeopathy medicine, works beautifully on joint complaints. It strengthens the tendons, ligaments and capsule, and reduces pain in shoulder and stiffness.
9. Black sesame seeds relieve pain to a great extent. A spoonful should be soaked overnight and consumed the next day along with the water.
10. Speedy and long term benefits are seen through reflexology and acupuncture.
Causes & Risk Factors
The precise cause of Frozen Shoulder is unknown. It can occur after a single traumatic injury to the shoulder, especially in the area of the joint capsule; overuse injuries or repetitive stress such as in competitive sports; prolonged immobilization of the shoulder as in the case of a fracture. Women and people over 40 are more likely to develop this condition. Moreover, certain statistical relationships have been observed that raise interesting questions. People with diabetes have a higher risk of developing this problem than the general population. The same is true for people with chronic fatigue syndrome, people with history of heart disease or strokes, and people with hypo- or hyperthyroidism. In view of these statistical relationships, adhesive capsulitis has been considered by researchers to have an autoimmune component, meaning that the body’s immune system may attack the healthy parts of the body, in this case the capsule and connective tissue of the shoulder.
Relubrication For Periarthritis Shoulder
Tendonitis/ Bursitis: Shoulder bursitis and tendonitis are common causes of shoulder pain and stiffness. They indicate swelling (inflammation) of a particular area within the shoulder joint. The shoulder joint is kept stable by a group of muscles called the rotator cuff as well as the bicipital tendon (the tendon that keeps the upper arm bone within the shoulder socket). When the rotator cuff tendon or the bicipital tendon becomes inflamed and irritated it is called rotator cuff tendonitis or bicipital tendonitis.
An area called the subacromial bursa lies in the space between the shoulder tendons. The bursa is what protects these tendons. Subacromial bursitis occurs when the bursa becomes inflamed. Both conditions (shoulder bursitis and tendonitis) can cause pain and stiffness around the shoulder and may exist together.
How is this treated?
Treatment goals include reduction in pain and inflammation, as well as preserving mobility and preventing disability and recurrence. The treatment recommendations may include a combination of rest, splints, heat and cold application. You may need more advanced treatments including:
- Corticosteroid injections from your health care provider. They work quickly to decrease the inflammation and pain.
- Physical therapy that includes range of motion exercises and splinting. This can be very beneficial.
- Surgery, if you are not responding to other treatments.