Shoulder capsulitis ?
Shoulder capsulitis, also known as frozen shoulder, is a condition characterised by inflammation and stiffness of the shoulder joint. This inflammation causes the joint capsule to shrink, considerably limiting shoulder movement.
What causes capsulitis?
The exact causes of capsulitis are still poorly understood, but several risk factors have been identified:
- Age: It mainly affects people aged between 40 and 60.
- Gender: Women are more often affected than men.
- Diseases: Diabetes, thyroid disease and certain heart conditions can increase the risk.
- Prolonged immobilisation: Immobilisation of the shoulder following an injury or surgery can encourage the development of capsulitis.
What are the symptoms?
The symptoms of capsulitis develop in several phases:
- Painful phase: Progressive, intense pain, especially at night.
- Freezing phase: Stiffness of the shoulder, difficulty performing simple movements such as getting dressed or picking up objects.
- Thaw phase: Gradual improvement in pain and mobility.
How is capsulitis diagnosed?
The diagnosis is made by a doctor after a clinical examination and sometimes additional tests:
- X-ray: To rule out other causes of shoulder pain.
- MRI: To visualise the inflammation of the capsule.
What treatments are available?
Treatment for capsulitis depends on the stage of the disease and the severity of the symptoms. It may include :
- Physiotherapy: To maintain mobility and strengthen the shoulder muscles.
- Medication: Non-steroidal anti-inflammatory drugs to relieve pain.
- Infiltrations: Corticosteroid injections to reduce inflammation.
- Manipulation under anaesthetic: To break up adhesions in the joint capsule.
- Surgery: In the most serious cases, surgery may be required.
How can capsulitis be prevented?
There is no foolproof way of preventing capsulitis, but maintaining good shoulder mobility and treating any injury promptly can help reduce the risk.
In summary, shoulder capsulitis is a painful and disabling condition, but one that can be treated effectively in most cases. If you think you have capsulitis, consult your doctor.
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