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The frozen shoulder: myths and realities

PainSci » bibliography » Nagy et al 2013
updated
Tags: diagnosis, treatment, etiology, pro

Five pages on PainSci cite Nagy 2013: 1. Why Do Muscles Feel Stiff and Tight?2. Does Fascia Matter?3. Complete Guide to Frozen Shoulder4. The Role of “Spasm” in Frozen Shoulder5. Shrunk not stuck: the naming of frozen shoulder

original abstract Abstracts here may not perfectly match originals, for a variety of technical and practical reasons. Some abstacts are truncated for my purposes here, if they are particularly long-winded and unhelpful. I occasionally add clarifying notes. And I make some minor corrections.

Frozen shoulder is a common, disabling but self-limiting condition, which typically presents in three stages and ends in resolution. Frozen shoulder is classified as primary (idiopathic) or secondary cases. The aetiology for primary frozen shoulder remains unknown. It is frequently associated with other systemic conditions, most commonly diabetes mellitus, or following periods of immobilisation e.g. stroke disease. Frozen shoulder is usually diagnosed clinically requiring little investigation. Management is controversial and depends on the phase of the condition. Non-operative treatment options for frozen shoulder include analgesia, physiotherapy, oral or intra-articular corticosteroids, and intra-articular distension injections. Operative options include manipulation under anaesthesia and arthroscopic release and are generally reserved for refractory cases.

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