Periarthritis
Periarthritis
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What is Periarthritis?
What is Periarthritis?
Periarthritis is characterized by a gradual, painful loss of shoulder motion. It is an insidious painful condition that persists more than 3 months duration.
Alternative Names
Alternative Names
Adhesive Capsulitis (AC)
Frozen Shoulder
Cause
Cause
It is proposed that inflammation is an important event that leads to stiffness, pain and capsular fibrosis
Who are at risk for developing frozen shoulder?
Who are at risk for developing frozen shoulder?
Periarthritis occurs in approximately 2–5% of the general population.
Age: 40 and 70 years
Gender: Women > Men
Risk Factors
Diabetes Mellitus : High prevalence in Diabetic patients (27.5%). Very often first time diagnosis of DM is made when patient presents with Periarthritis
Immobility or reduced mobility
Stroke
Recovery from surgery
Hyperthyroidism
Hypothyroidism(10.9%)
Cardiovascular disease
Parkinson's disease
What are the signs and symptoms of frozen shoulder?
What are the signs and symptoms of frozen shoulder?
Main symptoms of a frozen shoulder are:
Decreased motion of the shoulder
Pain
Stiffness
How is frozen shoulder diagnosed?
How is frozen shoulder diagnosed?
History and Physical examination
Imaging studies - X Ray to exclude fracture, MRI to exclude Rotator Cuff Syndrome
What are the treatments for Periarthritis?
What are the treatments for Periarthritis?
PMR (Physiatry) provides a variety of treatment options to our patients depending on their symptoms, medical history and severity .
We Physiatrists usually suggest a combination of treatment facilities which includes analgesics, anti inflammatory agents, exercises, application of physical agents like heat, electromagnetic radiations or infiltration with local anaesthetics and other agents over the tender points, according to the indication.
It is important to control of co morbidities also.
Prognosis
Prognosis
The majority of patients will improve with conservative management alone.
The recovery period can last up to a few months.
Reference
Reference
Kingston K, Curry EJ, Galvin JW, Li X. Shoulder adhesive capsulitis: epidemiology and predictors of surgery. J Shoulder Elbow Surg. 2018 Aug;27(8):1437-1443. doi: 10.1016/j.jse.2018.04.004. Epub 2018 May 25. PMID: 29807717.
Mezian K, Coffey R, Chang KV. Frozen Shoulder. [Updated 2023 Aug 28]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2024 Jan-. Available from: https://www.ncbi.nlm.nih.gov/books/NBK482162/
Pandey V, Madi S. Clinical Guidelines in the Management of Frozen Shoulder: An Update! Indian J Orthop. 2021 Feb 1;55(2):299-309. doi: 10.1007/s43465-021-00351-3. PMID: 33912325; PMCID: PMC8046676.
Article written by Dr Greeshma, Physiatrist, Sree Gokulam Medical College, Trivandrum
Are you a doctor who routinely encounters patients with shoulder pain?
Are you a doctor who routinely encounters patients with shoulder pain?
It could be Frozen Shoulder
The prevalence of Frozen Shoulder is as high as 2 - 5 % in the general population and 27.5 % among patients with Diabetes Mellitus !!!
You can play a pivotal role in its recognition and management
You can play a pivotal role in its recognition and management
Stay informed about the latest diagnostic techniques and treatment modalities for improved patient outcome by attending "GET SET REHAB"
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