Physiotherapy clinic in Tambaram
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Physiotherapy clinic in Tambaram
Are you Looking for Physiotherapy Treatment in Tambaram, Sunshine Super Speciality Physiotherapy Clinic, We Provide Electrotherapy, Exercise and Manual Therapy, Orthopedic, Neuro, Cardio, Pediatric, Sports and Geriatric Rehabilitation, Post Operative Physiotherapy Treatment, Fracture Rehabilitation, pain free movement.

### **Frozen Shoulder (Adhesive Capsulitis): Description**

Frozen shoulder, also known as **adhesive capsulitis**, is a condition characterized by pain, stiffness, and limited range of motion in the shoulder joint. It occurs when the connective tissue surrounding the shoulder joint (the capsule) becomes inflamed, thickened, and tight, leading to restricted movement. The condition typically progresses in three stages:

1. **Freezing Stage (Painful Stage)**:
- Gradual onset of shoulder pain.
- Pain worsens with movement and at night.
- Range of motion begins to decrease.

2. **Frozen Stage (Stiffness Stage)**:
- Pain may decrease, but stiffness increases.
- Significant loss of shoulder mobility.
- Difficulty performing daily activities like reaching overhead or behind the back.

3. **Thawing Stage (Recovery Stage)**:
- Gradual improvement in range of motion.
- Pain and stiffness slowly resolve.
- Recovery can take months to years.

### **Causes and Risk Factors**:
- **Idiopathic**: Often occurs without a clear cause.
- **Secondary Causes**: Injury, surgery, or prolonged immobilization of the shoulder.
- **Risk Factors**: Age (40–60 years), diabetes, thyroid disorders, cardiovascular disease, and Parkinson’s disease.

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### **Physiotherapy Treatment for Frozen Shoulder**

Physiotherapy is a key component of managing frozen shoulder. It focuses on reducing pain, improving mobility, and restoring function. Treatment is tailored to the stage of the condition:

#### **1. Freezing Stage (Painful Stage)**:
- **Pain Management**:
- Use of **heat or ice therapy** to reduce pain and inflammation.
- **Transcutaneous Electrical Nerve Stimulation (TENS)** for pain relief.
- **Gentle Range of Motion Exercises**:
- Pendulum exercises to maintain mobility without stressing the joint.
- Passive stretching with the help of a therapist.
- **Activity Modification**:
- Avoid activities that exacerbate pain.
- Educate the patient on proper posture and shoulder mechanics.

#### **2. Frozen Stage (Stiffness Stage)**:
- **Stretching Exercises**:
- Passive and active-assisted stretches to improve flexibility.
- Examples: Cross-body stretch, towel stretch, and wall climbs.
- **Strengthening Exercises**:
- Light resistance exercises for the shoulder and surrounding muscles.
- Focus on the rotator cuff, deltoids, and scapular stabilizers.
- **Joint Mobilization**:
- Manual therapy techniques to improve joint mobility and reduce stiffness.
- **Hydrotherapy**:
- Exercises in a warm pool to reduce pain and improve movement.

#### **3. Thawing Stage (Recovery Stage)**:
- **Progressive Strengthening**:
- Increase resistance in exercises to rebuild shoulder strength.
- Examples: Resistance bands, light weights, and functional movements.
- **Functional Training**:
- Focus on restoring normal shoulder function for daily activities.
- Simulate tasks like reaching, lifting, and carrying.
- **Postural Correction**:
- Address any postural imbalances that may contribute to shoulder dysfunction.

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### **Additional Interventions**:
- **Corticosteroid Injections**: May be used in the early stages to reduce inflammation and pain.
- **Surgery**: Rarely needed, but in severe cases, arthroscopic surgery may be considered to release the tight capsule.

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### **Prognosis**:
- With consistent physiotherapy and adherence to exercises, most patients recover fully, though it may take **6 months to 2 years**.
- Early intervention and a structured rehabilitation program can significantly improve outcomes.

If you or someone you know is experiencing symptoms of frozen shoulder, consult a **physiotherapist** or healthcare professional for a personalized treatment plan. Let me know if you need further details!

SUNSHINE ®
SUPER SPECIALITY PHYSIOTHERAPY CLINIC -

#DrParthiban #Sunshinephysioclinic.in #Physiotherapyclinicintambaram #Physiotherapyclinicnearme
DR.M.P. PARTHIBAN.M.P.T (Ortho),
Chief Orthopedic Physiotherapist,
Call for Appointments: - 9345122177
East Tambaram, CHENNAI