Phansopkar Pratik, Qureshi Moh'd Irshad
Musculoskeletal Physiotherapy, Ravi Nair Physiotherapy College, Datta Meghe Institute of Medical Sciences, Wardha, IND.
Neuro-Physiotherapy, Ravi Nair Physiotherapy College, Datta Meghe Institute of Medical Sciences, Wardha, IND.
Cureus. 2022 Sep 20;14(9):e29362. doi: 10.7759/cureus.29362. eCollection 2022 Sep.
Frozen shoulder (FS) is a common condition affecting the population between the ages of 30 and 60; the causative agent is idiopathic, sedentary lifestyle, post-traumatic, or secondary to any pathological conditions. The pathology of FS is characterized by cytokine-mediated synovial inflammation with fibroblastic proliferation. The clinical features of FS vary depending on the phase in which the individual is present. The common clinical features are pain, and reduction in the range of motion in the capsular pattern. The available treatment options are medical therapy such as corticosteroid injection, physical therapy, joint mobilization, joint mobilization under anesthesia, and mirror therapy. When all the conservative methods fail then surgical procedures are used which include the surgical release of the restriction formed in the capsule. In conclusion, steroid injection along with physical therapy shows significant improvement in the range of motion and reduction in pain in the shoulder.
肩周炎(FS)是一种常见病症,影响30至60岁人群;其致病因素为特发性、久坐不动的生活方式、创伤后因素或继发于任何病理状况。肩周炎的病理特征是细胞因子介导的滑膜炎症伴成纤维细胞增殖。肩周炎的临床特征因个体所处阶段而异。常见临床特征为疼痛以及关节囊模式下活动范围减小。现有的治疗选择包括药物治疗,如皮质类固醇注射、物理治疗、关节松动术、麻醉下关节松动术和镜像疗法。当所有保守方法均无效时,则采用外科手术,包括手术松解关节囊形成的粘连。总之,类固醇注射联合物理治疗可使肩部活动范围显著改善,疼痛减轻。