7 Ways to Understand the Causes of Frozen Shoulder and How to Avoid Them

Frozen shoulder is also known as adhesive capsulitis. It is a condition that causes stiffness, pain, and limited range of motion in the shoulder joint.

Imagine waking up to a shoulder that feels encased in ice. Every movement, from reaching for a coffee mug to combing your hair, becomes painful. This is the pain of the one who suffers with a frozen shoulder. It is a condition that turns a once strong joint into a stiff, aching prison.

While its exact cause often remains elusive, its impact is undeniably profound. From affecting daily activities to disrupting sleep, the condition diminishes quality of life. Learning about it helps to prevent it.

In this article, Dr. Marouane Bouloudhnine, a renowned orthopedic surgeon with over 30 years of experience, provides insights into the causes of frozen shoulders. He also offers strategies to avoid them.

1. Understanding the Anatomy of the Shoulder

Did you know the shoulder is a ball-and-socket joint, one of the most mobile joints in the body?

The shoulder is a complex joint. It comprises the humerus (upper arm bone), scapula (shoulder blade), and clavicle (collarbone). The joint is enclosed in a flexible connective tissue capsule, allowing a wide range of motion. In cases of frozen shoulder, this capsule thickens and tightens, restricting movement. This tightening leads to the formation of scar tissue bands, known as adhesions, within the capsule.

 

2. Primary Causes of Frozen Shoulder

Frozen Shoulder arises from primary (idiopathic) causes, which occur without an apparent reason, or secondary causes linked to underlying conditions.

Primary Frozen Shoulder

• Autoimmune Response: Some studies suggest a Frozen Shoulder may be linked to an autoimmune response, where the immune system mistakenly attacks healthy shoulder tissue.
• Genetic Predisposition: A family history of a Frozen Shoulder may increase the likelihood of developing the condition.

Secondary Frozen Shoulder

• Injury or Surgery: Shoulder trauma from fractures or surgeries can immobilize the joint. It increases the risk of stiffness and frozen shoulder.
• Diabetes: Diabetics are at higher risk, with Frozen Shoulder affecting 10% to 20% of those with the condition.
• Other Conditions: Cardiovascular disease, thyroid disorders, and Parkinson’s disease also increase the risk of frozen shoulder.

3. Role of Inflammation

Frozen Shoulder starts with inflammation in the shoulder capsule, leading to pain and stiffness. It is often unnoticed until motion is severely restricted.

Inflammatory Triggers:

• Overuse: Repetitive shoulder movements or heavy lifting leads to inflammation.
• Injury: Even minor injuries, such as a strain or sprain, triggers inflammation. If left untreated, it develops into a frozen shoulder.
• Autoimmune Conditions: Autoimmune disorders cause systemic inflammation affecting the shoulder joint.

4. The Impact of Age and Gender

Frozen shoulder is common in people aged 40-60.

According to a study published in the Journal of Shoulder and Elbow Surgery, women are 1.5 times more likely to develop a Frozen Shoulder than men. Hormonal changes during menopause may contribute to this increased risk in women.

5. Lifestyle Factors Contributing to Frozen Shoulder

Certain lifestyle factors increase the risk of a Frozen Shoulder. Understanding and adjusting these factors can help prevent it.

Sedentary Lifestyle:

• Lack of Physical Activity: Lack of physical activity weakens muscles and reduces joint mobility, raising the risk of a Frozen Shoulder. Regular exercise, especially shoulder movements, maintains flexibility and strength.

Poor Posture:

• Impact of Posture: Bad posture and inactivity cause muscle imbalances and stress on the shoulder, increasing the likelihood of a Frozen Shoulder over time.

6. Neurological Conditions

Certain neurological conditions, such as stroke or spinal cord injury, affect the nerves controlling the shoulder muscles. This leads to weakness, decreased range of motion, and an increased risk of frozen shoulder.

7. Psychological Factors:

The mind-body connection is undeniable. Stress, anxiety, and depression contribute to chronic pain conditions, including a Frozen Shoulder. These factors influence the body’s inflammatory response and pain perception.

 

Preventive Measures: How to Avoid Frozen Shoulder

Preventing a Frozen Shoulder involves maintaining a healthy lifestyle. One needs to be proactive in managing any underlying health conditions.

Regular Exercise:

• Shoulder-Specific Exercises: Regular shoulder exercises maintain joint flexibility and strength. Swimming, yoga, and resistance training help keep the shoulder mobile.

Seek Medical Advice Early:

• If you have shoulder pain or stiffness, prompt medical advice is crucial. Early intervention can prevent progression and reduce the risk of a Frozen Shoulder.

Manage Underlying Conditions:

• Control Diabetes: Maintaining good blood sugar levels is vital for diabetics to reduce the risk of a Frozen Shoulder. Regular check-ups and managing other chronic conditions are also key.

 Advanced Treatments for Frozen Shoulder

If a Frozen Shoulder does develop, early and effective treatment is crucial. Dr. Marouane Bouloudhnine specializes in advanced treatments for frozen shoulder, which may include:

Physical Therapy:

• Targeted Exercises: A physical therapist creates a program to restore motion and reduce stiffness. Dr. Marouane Bouloudhnine recommends passive stretching and active movements for pain relief and recovery.

Pain Management:

• Medications and Injections: Anti-inflammatory medications or corticosteroid injections are used to reduce pain and inflammation.

Minimally Invasive Procedures:

• Hydrodilatation: This procedure involves injecting sterile fluid into the shoulder joint to stretch the capsule. It breaks down adhesions. It is a leading treatment option today.

Physical therapy and hydro dilatation give up to 90% improvement in movement and pain relief.

Conclusion

Frozen Shoulder is a frustrating and often painful condition impacting the quality of life. While its exact cause remains elusive, understanding potential risk factors is crucial for prevention.

Early diagnosis and treatment are crucial for effective management.

Dr. Marouane Bouloudhnine’s expertise in advanced treatments for Frozen Shoulder ensures that patients receive the highest standard of care.

If you’re experiencing shoulder pain or stiffness, don’t wait—seek expert advice and take control of your joint health.

FAQs about Frozen Shoulder

1. What is the most common cause of frozen shoulder?
   Prolonged shoulder immobility, often from injury, surgery, or underlying conditions, can also occur without a clear cause.
2. Can a frozen shoulder be prevented?
   Yes, regular exercise, good posture, and managing health conditions help.
3. How long does it take to recover from a frozen shoulder?
   Recovery can take a few months to several years, depending on severity and treatment.
4. Is frozen shoulder more common in certain age groups?
   People aged 40 to 60, particularly women, are more susceptible.
5. What are the treatment options for frozen shoulder?
   Options include physical therapy, pain management with medications or injections, and sometimes hydrodilatation.

Are you experiencing shoulder pain or stiffness?

Schedule a consultation with Dr. Marouane Bouloudhnine today and explore advanced, proven treatments to restore your shoulder