A frozen shoulder, also known as adhesive capsulitis, is a debilitating condition that leads to stiffness, severe pain, and restricted range of motion in the shoulder joint. If left untreated, it can last for months or even years, greatly impacting quality of life. Dr. Aditya Kapoor, one of the most trusted orthopedic specialists in Hyderabad, offers comprehensive, advanced, and patient-centric treatments for frozen shoulder to ensure faster recovery and long-term relief.

Understanding Frozen Shoulder

The shoulder is made up of three bones: the humerus (upper arm bone), scapula (shoulder blade), and clavicle (collarbone). The humeral head fits into the shallow socket of the scapula, forming the shoulder joint. This joint is surrounded by a capsule of connective tissue that allows smooth, friction-free movement with the help of synovial fluid.

In a frozen shoulder, the capsule becomes thick, tight, and inflamed, restricting movement. Adhesions (bands of scar tissue) form, while synovial fluid reduces, leading to stiffness and pain.

Stages of Frozen Shoulder

Frozen shoulder progresses gradually in three clinical stages, each with distinct challenges:

1. Freezing Stage

• Characterized by intense shoulder pain that worsens with movement.

• Gradual loss of motion begins.

• Duration: 6 weeks to 8 months.

2. Frozen Stage

• Pain may lessen slightly, but stiffness remains severe.

• Activities like dressing, combing hair, or reaching overhead become extremely difficult.

• Duration: 4 to 5 months or longer.

3. Thawing Stage

• Shoulder movement gradually improves.

• Pain diminishes, though complete recovery may take 6 months to 2 years.

Causes and Risk Factors

While the exact cause of frozen shoulder remains unclear, several factors contribute:

• Immobilization: After surgery, fracture, or injury when the shoulder remains inactive for long periods.

• Diabetes: A significant risk factor; diabetics are more likely to develop frozen shoulder, with prolonged stiffness.

• Other medical conditions: Thyroid disorders, heart disease, and Parkinson’s disease increase susceptibility.

• Age and gender: Most common in adults aged 40–60 years, particularly in women.

Symptoms of Frozen Shoulder

The hallmark symptoms include:

• Dull, aching pain in the outer shoulder or upper arm.

• Restricted range of motion in daily activities.

• Pain worsening at night, disturbing sleep.

• Difficulty in performing simple tasks like lifting, stretching, or reaching behind the back.

Diagnosis by Dr. Aditya Kapoor

At his Hyderabad clinic, Dr. Aditya Kapoor conducts a comprehensive evaluation to diagnose frozen shoulder:

1. Medical history & physical examination: Assessing passive and active range of motion.

2. Imaging tests:

   • X-rays to rule out fractures and arthritis.

   • MRI or ultrasound to detect rotator cuff tears or other shoulder injuries.

This detailed assessment ensures that the correct diagnosis is made before starting treatment.

Non-Surgical Treatment Options

Most frozen shoulder cases can be effectively managed without surgery. Dr. Aditya Kapoor emphasizes conservative treatment approaches tailored to each patient’s condition.

1. Medications

• NSAIDs such as ibuprofen and aspirin reduce inflammation and pain.

• Pain management is crucial during the early stages.

2. Corticosteroid Injections

• Powerful anti-inflammatory injections directly into the shoulder joint.

• Provide quick pain relief and reduce inflammation, improving mobility.

3. Hydrodilatation (Joint Distension Therapy)

• Sterile fluid is injected into the joint to stretch the capsule.

• Performed under imaging guidance for accuracy.

4. Physiotherapy

• The cornerstone of frozen shoulder treatment.

• Customized exercises improve flexibility, mobility, and strength.

• Dr. Kapoor collaborates with skilled physiotherapists to ensure safe recovery.

Surgical Treatment for Frozen Shoulder

If non-surgical methods fail, surgery is considered, especially when daily life is severely impacted.

1. Manipulation Under Anesthesia (MUA)

• Performed while the patient is asleep.

• The orthopedic surgeon gently moves the shoulder to break adhesions and restore mobility.

2. Shoulder Arthroscopy

• A minimally invasive procedure where tiny incisions are made.

• Specialized instruments are used to cut tight joint capsules and remove adhesions.

Often, MUA and arthroscopy are performed together for maximum effectiveness.

Why Choose Dr. Aditya Kapoor for Frozen Shoulder Treatment in Hyderabad?

• Expertise in orthopedics: Over a decade of experience treating complex shoulder conditions.

• Comprehensive diagnosis: Thorough clinical and imaging evaluation to ensure accurate treatment.

• Advanced treatment options: From non-surgical therapies to arthroscopic procedures, all under one roof.

• Patient-focused care: Customized rehabilitation plans for faster recovery.

• Proven track record: High success rates with frozen shoulder treatments in Hyderabad.

Recovery and Rehabilitation

Recovery from frozen shoulder depends on the stage and chosen treatment:

• With physiotherapy and medications, improvement begins within weeks.

• After surgical procedures, rehabilitation exercises are critical for regaining full strength and motion.

• Complete recovery may take several months to a year, but patients under Dr. Kapoor’s care report significant long-term relief.

Preventing Frozen Shoulder

While not always preventable, you can lower risks by:

• Keeping the shoulder active after injuries or surgeries.

• Following early physiotherapy post-operation to prevent stiffness.

• Managing chronic conditions like diabetes and thyroid disorders effectively.

Conclusion

A frozen shoulder can severely limit daily life, but with expert care from Dr. Aditya Kapoor in Hyderabad, patients can regain mobility, reduce pain, and restore normal function. Whether through non-surgical methods like physiotherapy and injections or advanced arthroscopic procedures, his patient-centered approach ensures the best possible outcomes.

If you are experiencing symptoms of frozen shoulder, timely consultation with a specialist like Dr. Aditya Kapoor is the key to preventing long-term disability and ensuring complete recovery.