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Frozen Shoulder is a common health problem found in people of all genders and ages, especially between 40-60 years old. This condition significantly affects daily life because patients feel pain and cannot move their shoulder joints normally, even during simple activities such as dressing, combing hair, or lifting objects, making these tasks difficult.
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Understanding the causes, symptoms, and proper treatment methods will help manage this problem effectively and prevent recurrence.
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<h2>What is Frozen Shoulder?</h2>
Frozen Shoulder (Adhesive Capsulitis) is a condition caused by inflammation and contraction of the shoulder joint capsule, causing the capsule to stick to the upper arm bone.
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<h2>Key characteristics of Frozen Shoulder include</h2>
<ul>
<li style="font-weight: 400">Limited shoulder joint movement; unable to fully raise the arm</li>
<li style="font-weight: 400">Chronic pain</li>
<li style="font-weight: 400">Reduced muscle stiffness around the shoulder joint</li>
<li style="font-weight: 400">These symptoms develop gradually and take a long time to recover</li>
</ul>
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<h2>Importance of Shoulder Function</h2>
The shoulder is the most complex and important joint in the body because it has the widest range of motion, consisting of
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Main Structures
<ul>
<li style="font-weight: 400">Scapula</li>
<li style="font-weight: 400">Humerus</li>
<li style="font-weight: 400">Clavicle</li>
<li style="font-weight: 400">Joint Capsule</li>
</ul>
<h2>Shoulder Functions</h2>
<ul>
<li style="font-weight: 400">Raising and lowering the arm (Flexion-Extension)</li>
<li style="font-weight: 400">Swinging the arm forward and backward (Abduction-Adduction)</li>
<li style="font-weight: 400">Rotating the arm inward and outward (Internal-External Rotation)</li>
<li style="font-weight: 400">Circular movement (Circumduction)</li>
</ul>
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When the shoulder does not function properly as described above, it affects basic daily activities and clearly reduces quality of life.
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<h2>What are the symptoms of Frozen Shoulder?</h2>
Symptoms of Frozen Shoulder usually develop gradually and can be divided into two main symptoms:
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1. Pain
<ul>
<li style="font-weight: 400">Chronic pain around the shoulder joint</li>
<li style="font-weight: 400">Increased pain at night</li>
<li style="font-weight: 400">Pain radiating to the arm and back</li>
<li style="font-weight: 400">Pain and soreness when moving the shoulder</li>
</ul>
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2. Limited Movement
<ul>
<li style="font-weight: 400">Unable to raise the arm</li>
<li style="font-weight: 400">Reduced arm rotation</li>
<li style="font-weight: 400">Unable to reach for objects</li>
<li style="font-weight: 400">Difficulty dressing</li>
<li style="font-weight: 400">Unable to comb hair</li>
<li style="font-weight: 400">Uncomfortable lying on the back</li>
</ul>
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Additionally, some patients may experience other symptoms such as weakness of the muscles around the shoulder, stiffness, and numbness.
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<h2>How many stages of Frozen Shoulder are there? When should you see a doctor?</h2>
Frozen Shoulder is divided into 3 stages, each with different characteristics and durations.
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Stage 1: Inflammatory Stage (Freezing Stage)
Patients experience increasing pain, especially at night. Movement begins to be limited. These symptoms last from 2-9 months.
Stage 2: Frozen Stage
Patients cannot move normally. Pain may decrease, but the shoulder becomes very stiff and difficult to move. This stage lasts 4-12 months.
Stage 3: Thawing Stage
Pain gradually decreases. Shoulder movement slowly improves and returns close to normal. This stage may take 1-2 years.
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<h2>When should you see a doctor for Frozen Shoulder?</h2>
Frozen Shoulder can heal on its own, but the process is slow. Therefore, when pain or difficulty moving begins (Stage 1), you should see a doctor for treatment to reduce the risk of severe symptoms. If you have any of the following symptoms, seek medical attention immediately:
&nbsp;
<ul>
<li style="font-weight: 400">Severe and sudden shoulder pain</li>
<li style="font-weight: 400">Severe arm weakness, unable to lift the arm at all</li>
<li style="font-weight: 400">Numbness in the arm or hand</li>
<li style="font-weight: 400">Fever along with shoulder pain</li>
</ul>
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<h2>Treatment Approaches for Frozen Shoulder Symptoms</h2>
Treatment for Frozen Shoulder varies depending on the stage and severity of the condition.
&nbsp;
<ul>
<li style="font-weight: 400">In the early inflammatory stage, patients experience severe pain and cannot undergo physical therapy. Treatment is supportive with pain relievers and anti-inflammatory medications first.</li>
<li style="font-weight: 400">When pain decreases, physical therapy should be done by stretching the shoulder to increase arm elevation. This can be done by the patient themselves, such as wall climbing exercises or sliding the hand on a table, or by consulting a doctor or physical therapist for exercise training or using devices like Ultrasound therapy, Laser therapy, and Shockwave therapy.</li>
<li style="font-weight: 400">Steroid injections into the shoulder joint reduce inflammation, helping to relieve pain and facilitate physical therapy.</li>
<li style="font-weight: 400">Arthroscopic surgery is the last resort for patients with severe Frozen Shoulder who do not improve with other treatments. The doctor will insert a scope into the shoulder joint and use instruments to remove the thickened and hardened inflamed joint capsule and manipulate the shoulder in the operating room to achieve full arm elevation.</li>
</ul>
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<h2>Can Frozen Shoulder be prevented?</h2>
The best prevention to reduce the occurrence of Frozen Shoulder is regular exercise, trying to stretch the shoulder for 5-10 minutes or doing aerobic exercise for 30 minutes to train flexibility and muscle strength.
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Additionally, overall health care should include
<ul>
<li style="font-weight: 400">Avoid lifting heavy objects overhead</li>
<li style="font-weight: 400">Change sitting positions frequently</li>
<li style="font-weight: 400">Use a shoulder pillow when sleeping</li>
<li style="font-weight: 400">Warm up before playing sports</li>
<li style="font-weight: 400">Use assistive devices for lifting heavy objects</li>
</ul>
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<h2>Summary: Frozen Shoulder Symptoms Should Be Treated and Rehabilitated Promptly</h2>
Frozen Shoulder is a health problem that significantly affects quality of life but can be prevented and treated. If symptoms occur, consult a doctor for proper diagnosis and treatment because shoulder pain is not only caused by Frozen Shoulder. Knowing the cause allows for correct treatment.
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Rehabilitation of Frozen Shoulder is a time-consuming process, but with appropriate treatment and regular exercise, patients can return to normal life and improve their quality of life.

Frozen shoulder, stiff shoulder, unable to lift the arm is a common problem. Learn the causes, symptoms, treatment methods and exercises to effectively rehabilitate the shoulder joint.

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Frozen shoulder, stiff shoulder, can't lift the arm, what should I do? What is the cause?

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