Help = Park Yoon-hong, director of Wirye branch of Goodborn Rehabilitation Medicine Clinic
[바이오타임즈] The exact disease name of frozen shoulder is adhesive capsulitis, and since it usually occurs in people in their 50s, the disease has been attached to the disease. However, if degenerative changes or other damage to the tissues around the shoulder joint appear, care should be taken as it can develop early regardless of age.
As the name suggests, frozen shoulder is a disease in which the joint capsule surrounding the shoulder becomes inflamed and the joints adhere. In the early stages of the disease, shoulder pain due to inflammation is prominent. As the disease progresses, the joint angle is restricted due to adhesions.
The exact cause of frozen shoulder is still unknown. However, it is said to be related to chronic diseases such as aging and diabetes. In addition, if the shoulder is fixed for a long time through surgery, etc., symptoms of frozen shoulder may appear secondary.
Frozen shoulder is divided into the 1st stage inflammatory stage causing severe shoulder pain due to inflammation, the 2nd stage freezing stage where the pain is severe as well as the restriction of the joint angle, and the 3rd stage thawing stage in which the shoulder joint angle gradually recovers as the pain is gradually relieved. .
The symptoms of aggravation of shoulder pain are prominent mainly at night, and more severe clinical aspects are seen when lying on the painful side while sleeping at night. In addition, the range of motion of the shoulder joint is limited because the arm is not raised or the manse motion is not performed properly. In fact, when frozen shoulder occurs, it becomes difficult to perform activities such as washing the face, brushing hair, raising hands behind the back, and lifting objects on the shelf.
The important point is that there are many unfortunate cases in which frozen shoulder treatment is considered belatedly in a state where the shoulder joint is greatly reduced. In fact, it is widely believed that the diagnosis of frozen shoulder is possible only when the range of motion of the shoulder in all directions is reduced by more than 50%.
A 50% decrease in shoulder joint movement in all directions means that inflammation has spread throughout the joint capsule. It is known that it takes about 6 months for this to happen. Of course, these clinical aspects can be the criteria for diagnosis of frozen shoulder, but it also causes the problem of missing the treatment period for frozen shoulder in the early stage. If the initial diagnosis of frozen shoulder is missed, it is highly likely that the inflammatory tissue of the joint membrane has become thicker and worsened. In order to normalize it again, a longer treatment period and more difficult treatment methods are inevitable.
Goodborn Rehabilitation Medicine Wirye Branch Director Park Yoon-hong said, “When symptoms such as shoulder pain and movement restrictions are found, it is good to visit an orthopedic surgeon for a precise diagnosis and start appropriate treatment. The main treatment methods are injection therapy, manual therapy, and extracorporeal shock wave. He said, “It is also essential to make steady efforts in rehabilitation treatment to normalize the function of the joint membrane and restore the range of motion.”
[바이오타임즈=최진주 기자] news@biotimes.co.kr
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2023-08-16 03:28:57
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