Frozen Shoulder
Frozen shoulder, also known as adhesive capsulitis, is a condition characterized by stiffness, pain, and limited range of motion in the shoulder joint. It typically develops gradually and progresses through three distinct stages: the freezing stage, during which shoulder pain and stiffness worsen; the frozen stage, marked by persistent shoulder stiffness and limited mobility; and the thawing stage, in which symptoms gradually improve and range of motion begins to return.
The exact cause of adhesive capsulitis is not fully understood, but factors such as immobilization, inflammation, and scar tissue formation within the shoulder joint capsule are believed to contribute to its development.
Most Common Causes of Frozen Shoulder
Adhesive Capsulitis
Clinically termed adhesive capsulitis, shoulder stiffness arises from the gradual thickening and tightening of the shoulder capsule, the fibrous tissue encasing the shoulder joint. This progressive constriction leads to a pronounced reduction in the joint's range of motion, accompanied by stiffness and persistent pain. While the precise etiology of adhesive capsulitis often remains elusive, certain predisposing factors heighten the risk of its development. Immobility resulting from prolonged periods of inactivity post-injury or surgery can significantly contribute to the onset of frozen shoulder. Additionally, individuals with underlying medical conditions such as diabetes or thyroid disorders are more prone to experiencing adhesive capsulitis.
Although the exact mechanisms linking these conditions to frozen shoulder are not fully understood, they are believed to exacerbate inflammation and disrupt the normal healing process of the shoulder capsule. Understanding and addressing these risk factors are pivotal in both the prevention and management of this condition.
Immobilization or Inactivity
Prolonged immobilization or inactivity of the shoulder joint, often necessitated by injury, surgery, or medical conditions, can precipitate the development of frozen shoulder. When the shoulder remains stationary for extended periods, the surrounding soft tissues and capsule gradually lose their flexibility and elasticity. As a result, the joint's mobility becomes progressively restricted, leading to stiffness and discomfort. Individuals who undergo procedures such as shoulder surgery or sustain injuries requiring immobilization, such as fractures or dislocations, are particularly susceptible to this form of shoulder dysfunction.
Trauma or Injury
Trauma or injury to the shoulder, whether from fractures, dislocations, or soft tissue damage, can instigate a cascade of events that culminate in the development of frozen shoulder. Following trauma, the body initiates a reparative process that involves the formation of scar tissue within the injured tissues, including the shoulder capsule. While scar tissue is essential for wound healing, its excessive accumulation can lead to adhesions within the shoulder joint, impairing its mobility and function. Consequently, individuals who experience shoulder trauma may subsequently develop symptoms of frozen shoulder, such as stiffness, pain, and diminished range of motion.
- Christopher S. Raffo, MD
Board-Certified Surgeon & Orthopedic & Sports Medicine Specialist - James S. Gardiner, MD
Board-Certified Surgeon & Orthopedic & Sports Medicine Specialist - John Christoforetti, MD, FAAOS
Board-Certified Surgeon & Orthopedic & Sports Medicine Specialist
Specialized Treatment for Frozen Shoulder in Montgomery County, Maryland
Discover specialized care for frozen shoulder at The Centers for Advanced Orthopaedics: Maryland Orthopedic Specialists Division. Our dedicated team of shoulder specialists offers advanced treatment options tailored to alleviate your symptoms and restore mobility. Whether you're experiencing stiffness, pain, or limited range of motion, we're here to help you find relief and regain function. Contact us at (301) 515-0900 or schedule your appointment online to start your journey toward recovery and improved shoulder health.