Frozen Shoulder

Restriction of ROM with no initiating factor.

common association - DM and Thyroid disease

https://www.buoyhealth.com/learn/frozen-shoulder

Stages 

    1. Painful freezing

    2. Progressive Stiffness

    3. Resolution

O/E - 

    diffuse tenderness

    both active and passive motion restricted 

 Investigations

    X-ray to differentiate primary and sceondary frozen syndrome

    Bone scan to differentiate from RSD.

    MRI - to rule out other pathology

    Arthroscopy  - therapeutic and diagnositc

     Management 

    Analgesics 

    USG/ TENS

    Steroids - I/A 

    Stretching exercises

    MUA - sequence

                FEAR (Flexion, External Rotation, Abduction, Adduction, Ext rotation, Internal Rotation)

    Arthroscopic Release 

                rotator interval , MGHL, coracohumeral ligament 

   Rehabilitation