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Causes of Frozen shoulder

Frozen shoulder, also known as adhesive capsulitis, is a condition characterized by stiffness and pain in the shoulder joint. The exact cause of frozen shoulder is not fully understood, but several factors are known to contribute to its development. Here are the main causes and risk factors:

1. Immobilization

  • Injury or Surgery: Frozen shoulder can develop after an injury or surgery that limits the movement of the shoulder, such as a fracture or rotator cuff tear. Immobilization for an extended period can lead to stiffening of the joint capsule.

2. Medical Conditions

  • Diabetes: Diabetic patients have a higher risk of developing frozen shoulder. The exact reason is unclear, but it might be related to abnormal collagen repair or inflammation processes.
  • Thyroid Disorders: Both hyperthyroidism and hypothyroidism are associated with an increased risk of frozen shoulder.
  • Cardiovascular Disease: Some cardiovascular conditions are linked with the development of frozen shoulder.
  • Parkinson's Disease: This neurological condition can also be a risk factor.

3. Inflammatory Processes

  • Autoimmune Reactions: Inflammatory responses within the shoulder joint can contribute to the development of frozen shoulder. This may involve an overactive immune response attacking the shoulder tissues.

4. Age and Gender

  • Age: People between the ages of 40 and 60 are more commonly affected.
  • Gender: Women are more likely to develop frozen shoulder than men.

5. Other Factors

  • Prolonged Inactivity: Extended periods of inactivity, due to illness or other reasons, can lead to a decrease in shoulder mobility and an increased risk of frozen shoulder.
  • Cervical Spine Disorders: Conditions affecting the neck and upper back can influence shoulder movement and contribute to frozen shoulder.
  • Dupuytren's Contracture: This hand condition is associated with the development of frozen shoulder, possibly due to similar underlying pathological mechanisms.

Mechanism of Development

The condition typically develops in three stages:

  1. Freezing Stage: Gradual onset of pain and stiffness, leading to decreased range of motion.
  2. Frozen Stage: Pain may diminish, but the shoulder becomes increasingly stiff.
  3. Thawing Stage: Gradual improvement in the range of motion and reduction of stiffness.

Prevention and Management

  • Early Mobilization: Encouraging early movement and physical therapy after an injury or surgery can help prevent frozen shoulder.
  • Medical Management: Managing underlying conditions like diabetes and thyroid disorders effectively.
  • Physical Therapy: Exercises aimed at maintaining shoulder mobility and strength can be beneficial.
  • Medications: Anti-inflammatory drugs and corticosteroid injections may help reduce pain and inflammation.
Rich in vitamin B12 natural supplements is good for Frozen Shoulder.
can help to improve the function of the rotator cuff muscles and prevent future injuries with a frozen shoulder.
plant milk, such as soy, almond, oat, cashew, coconut milk, breakfast cereals, nutritional yeast
tofu, fruit juice, dairy-free yogurt.
Almonds- Almonds are versatile and crunchy nuts.
Pistachios- Pistachios are green vibrant nuts.
Cashews- Cashews are very delicious having a creamy buttery taste. 
Dates- Dates are famous as they contain natural sweetness and chewy texture. 
Raisins. Pumpkin Seeds, Sunflower, Seeds, Figs.

frozen shoulder is most often caused by inflammation (swelling, pain and irritation) 
of the tissues surrounding the joint. The tissue that envelops the joint and holds it together is called the capsule.
A Group of Tissues that envelops the joint and holds together is called capsule.

Frozen Shoulder Treatment Options
1.Activity modification.
2.Anti-inflammatory medication.
3.Corticosteroid injection into the shoulder joint with consult to doctor
5.Range-of-motion exercises/physical therapy.

Workout for Frozen Shoulders
Pendulum Exercises or Movements (Straight, Front /side to side, Clockwise and Anticlockwise)

Isometric Exercises   1. Push the wall behind with forearm keeping the elbow straight
                                    2. Push the back palm keeping elbow straight
Towel Stretch
Finger Walk
Cross-Body Stretch
Armpit Stretch
Outward Rotation
Inward Rotation

Tips for Success
  • Warm-Up: Always warm up your shoulder with a gentle activity like a warm shower or light stretching before starting exercises.
  • Consistency: Perform these exercises daily to see gradual improvements in mobility and pain reduction.
  • Patience: Recovery from frozen shoulder can be slow. Be patient and persistent with your exercises.
  • Pain Management: If an exercise causes significant pain, stop and consult with a healthcare provider. It is normal to feel some discomfort, but severe pain should be avoided.

Understanding the causes and risk factors of frozen shoulder can aid in early detection and prevention, reducing the impact of this painful and limiting condition.

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