| Frozen Joint Syndrome (Adhesive Capsulitis) |
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What is "frozen joint syndrome?"Frozen joint syndrome, technically known as adhesive capsulitis, is a painful disorder that results from the chronic inflammation, scarring, thickening and shrinkage of the capsule that surrounds the involved joint, classically occurring in the shoulders or knees. What are the causes?The syndrome is often seen following prolonged immobilization (or markedly reduced motion) of the affected joint, especially after extensive surgery. Fibrous bands of tissue, called adhesions, develop between the immobilized joint surfaces. A decrease in the joint's natural lubricant, synovial fluid, may also contribute to loss of function. Is frozen joint syndrome preventable?Yes, the prevention of frozen joint absolutely depends on increasingly vigorous physical reconditioning of the joints to include the associated muscles, tendons and ligaments. It is the process of movement of the joint through gradually increasing range of motion which prevents tight adhesions, thus preventing adhesive capsulitis. What treatment options are available?
The good news is that this disorder is largely curable. Excellent pain management is a must, accompanied by graded physical therapy with increasing range of motion of the affected joint. Sometimes the pain of therapy responds to a simple combination of oral and topical analgesics; however, joint anesthetic injections prior to therapy sessions, and even continuous anesthetic blockade, may be necessary to yield a level of comfort required to exercise. When should I call PainCare?
Once the diagnosis has been established and treatment of little value, ask your primary care provider to make an appointment to see one of our specialists. We can coordinate on-site physical therapy in conjunction with management of the associated pain so that your frozen joint can be "thawed."
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