Frozen Shoulder pain
June 24, 2015
Mrs. K 65 year old, housewife, came to Cura physiotherapy with complaints of right shoulder pain, it was acute onset and she had lot of difficulty in performing daily chores especially overhead. Lifting objects from top shelf in kitchen was giving her tears. Taking right shoulder behind her back was almost impossible for her, this was so painful that wearing cloths was a big task for her. The symptoms had actually started 3 weeks back but she delayed the physiotherapy visit thinking, pain will reduce on its own.
On her first consultation, we recorded capsular tightness- the shoulder ranges were very restricted and painful. There was no history of trauma or fall. But just lot of stiffness and pain in shoulder. We also asked her to go for blood sugar level (BSL) check up, as many times capsulitis (shoulder pain and restriction) is related to high blood sugar level or diabetes. This unfortunately in her case came positive. Now she needed treatment from both diabetologist and physiotherapist.
In physiotherapy treatment, we planned for electrotherapy for pain relief as pain was really bad to start off with and we couldn’t have started with any exercises. After 3 sessions of electrotherapy, when pain was manageable we introduced capsular stretches and pendulum exercises. In next 4-5 days, her pain & stiffness was much better when we discontinued with electrotherapy and moved on to next phase of rehabilitation i.e. muscle strengthening with resistance bands and postural stabilization exercises. She was given a set of home exercise program for continuation.
Now after 3 weeks of physical therapy, she is much better. We are so happy that she can do overhead activities, can reach top shelf easily. She can wear cloths comfortably without much of difficulty. But we still strongly recommend her to continue with her home exercise program for next one month for full-fledged recovery. Also, she needs to keep her blood sugar levels in control for her well-being. We wish her all the best!