FROZEN

SHOULDER Deepesh
Gurjar
MPT First
 Frozen shoulder

Painful and stiffness

Later Progression

Restricted Active And Passive

Glenoehumeral Joint Range of
 CAUSES

Primary Secondary
Cause
Idiopathic Cause
Cause Systemic Cause
Known
Extrinsic Cause
Unknown Cause Disorders
Intrinsic Cause
 SECONDARY
KNOWN DISORDERS
CAUSE
Systemic Extrinsic Intrinsic
-Diabetes -Cardiopulmonary Disease -Rotator Cuff Pathologies

-Mellitus -Stroke -Biceps Tendinopathy

-Hypothyroidism -Humerus Fracture

-Hyperthyroidism -Parkinson
 STAGES OF FROZEN
SHOULDER
1. Freezing Phase
DEVELOP PAIN IN YOUR SHOULDER
ANY TIME YOU MOVE IT.

IT SLOWLY GETS WORSE OVER

TIME AND IT MAY HURT MORE AT
 STAGES OF FROZEN
SHOULDER
2. Frozen Phase
YOUR PAIN GET MIGHT BETTER BUT
YOUR STIFFNESS GET WORSE.
MOVING SHOULDER BECOMES DIFFICULT
AND IT EFFECTS ACTIVITIES IN DAILY
PROGRESSIVE LOSS OF GLENOHUMERAL
LIVING
JOINT MOTION IN CAPSULAR PATTERN.
 STAGES OF FROZEN
SHOULDER
3. Thawing Phase
SPONTANEOUS PROGRESSIVE
IMPROVEMENT IN FUNCTIONAL
RANGE OF MOTION.
YOUR RANGE OF MOTION STARTS
TO GO BACK TO NORMAL.
 SYMPTOMS & SIGNS
SYMPTOM
S:
• Pain in shoulder, uper arm
• Severe aching pain
• Restricted shoulder movement
• Dificulty in routine activities e.g. wearing shirts, combing hairs

SIGNS :
• Restricted flexion, extension, abduction
• Uniform impairment of all shoulder movements
 INVESTIGA
TION

X Ray MRI Ultrasound

 TREAT
Conservative
Treatment MENT
MEDICATION( NSAIDS )
Non -Conservative Treatment

ROTATOR CUFF
SURGERY
CORTICOSTEROID INJECTION ARTHROSCOPIC
SHOULDER
SURGERY
PHYSIOTHERAPY TOTAL SHOULDER
REPLACEMENT
PHYSIOTHERAPY
TREATMENT
Thank You