Frozen shoulder Retractile capsulitis occurs when the shoulder joint capsule (the membrane that surrounds the shoulder joint) "shrinks" and thickens, causing pain and loss of movement to gradually develop progressive shoulder in all directions resulting in Shoulder Pain Treatment New Jersey. This condition is most prevalent in individuals between 40 and 60 years of age and is more common in women. The causes The exact cause of retractile capsulitis is not known: it therefore tends to manifest itself for no apparent reason. It should also be noted that retractile capsulitis is often associated with certain pre-existing medical conditions, including diabetes, heart disease, thyroid disorders and cervical pathologies as in Shoulder Pain Treatment Nj. Symptoms and course of retractable capsulitis The capsulitis retractile evolves in three main phases and the symptoms vary according to the stage reached. Phase 1: lasting from 1 to 4 months, this phase is characterized by significant pain , i.e. diffuse pain in the shoulder area, which can radiate to the elbow or the neck resulting in Neck Pain Treatment New Jersey; it is present at rest and during sudden movements and particularly in the evening and at night. Phase 2: lasting from 3 to 12 months, it is characterized by a stiffening of the affected shoulder (hence the nickname "frozen shoulder") and a decrease in range of motion. The pain becomes intermittent and less intense than during phase 1. Note that the range of motion is very limited in all directions. Phase 3: The third phase of the condition is the start of recovery and can last from six months to two years. It is characterized by a decrease in pain and a gradual increase in movements. Treatment Medical component (as appropriate): Taking oral anti-inflammatory Injection of corticosteroids Distensive arthrography, which is the injection into the shoulder of saline or air (under local analgesia) to promote the return of the capsule to its normal state. Physiotherapy Component, In the shoulder area, physiotherapy treatments are designed to reduce pain, improve mobility, and restore function: Manual therapy (soft tissue massage, joint mobilization, contraction and relaxation) Passive stretching Postural correction Exercise program to do at home. Rapid management and early treatment of capsulitis (medical and physiotherapy) can significantly reduce the harmful consequences of this pathology and reduce the recovery time. In addition, Pain Physician Nj suggest that the most effective treatment combination for reducing pain, regaining mobility and recovering function during capsulitis is a combination of manual therapy, home exercise and infiltration either corticosteroids or Distensive arthrography. The use of the laser is a modality that is effective in reducing pain during the first stage of capsulitis. Given the rather long history of this condition, it is important to consult a Pain Physician Clifton promptly if you experience unexplained shoulder pain, whether or not accompanied by loss of movement. You could reduce the severity of symptoms and promote faster recovery. Prognosis Although the prognosis is favourable for the majority of people affected, the complete recovery can be long; the recovery time can range from one to two years. In addition, some mobility restrictions may persist, particularly with regard to range of motion. Contact us immediately to get the right diagnosis, promote optimal recovery and avoid long-term complications.