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317787 tn?1473358451

Frozen shoulder

Hello, about 5 months ago I started having problems when I would reach forward in a sudden movement and suffer excruiating pain in the bicep.  I thought I had injured in a fall so started ice, heat, ultrasound, etc.
Then the pain started happening in the shoulder when I would reach behind me.  I just thought it was spreading, It worsened over time until it seemed to be hurting all the time.
I went to a chiropractor who thought I had ripped the labrum and possibly rotator cuffs, he advised an MRI.  I was sent to an orthopedic yesterday.  Upon examination he determined that I had a frozen shoulder.  He admitted that it was not really known how these started however I do have diabetes (which I read is 3 times more likely to get a frozen shoulder).  He said I do not need an MRI as he knows my shoulder is frozen.
His answer for me is to start physical therapy to break up the adhesion's and scar tissue.  I am trying to find out as much information as I can.  While I understand the pain starts then a person slowly loses their range of motion but wonder why this happens and where the pain comes from.  Can anyone help me with more information?
Is ice or heat better? Can ultrasound help? I am starting PT this morning and am nervous as to how much this will hurt.  Oh he gave me a cortisone shot as well.  While I am happy it is not ripped, I do have some fear that if he is wrong I will be making it worse.
Thank you for an advice
Best Answer
351246 tn?1379682132
MEDICAL PROFESSIONAL
Hi!
I am sorry to hear about your medical problems.  Frozen shoulder is a condition that causes restriction of motion in the shoulder joint. It causes pain on all movements of the joint and pain may be felt over the outer part of shoulder and upper arm. For reasons poorly understood, the capsule surrounding the shoulder joint contracts and forms scar tissue. The treatment is by combination of exercises, anti-inflammatory, cortisone injections, physical therapy and application of moist heat (not ice). If this does not help then you may be taken up for manipulation of the joint under anesthesia or for arthroscopy to release the scar tissue.
Usually clinical exam is enough to diagnose the condition, but if you have a doubt, please talk to your doctor. MRI can be done for a confirmed diagnosis. Take care!

The medical advice given should not be considered a substitute for medical care provided by a doctor who can examine you. The advice may not be completely correct for you as the doctor cannot examine you and does not know your complete medical history. Hence this reply to your post should only be considered as a guiding line and you must consult your doctor at the earliest for your medical problem.
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317787 tn?1473358451
It's been a long time since I have been here. I ended up with frozen shoulder in the other arm in Aug 2014.  While I was able to get it partially moving, it was never the same. I could not raise my arms above my head. I did get an MRI for the second "frozen shoulder" and was diagnosed with labral tear, tendinitis, bursitis, I was a mess but was told at my age, this was to be expected. PT was recommended again.
I did the PT with the second just like the first.

In March 2017 I had a deep tissue massage. The pain went away after that massage; for the first time since 2014 I am able to raise my arm above my head.
I wanted to come back to share in case there is someone else suffering.
I feel very blessed to be able to once again be able to use my arms.
Helpful - 0
317787 tn?1473358451
I wanted to come back to say I now have frozen shoulder in the other arm.  This is a nightmare that won't end
Helpful - 0
317787 tn?1473358451
Dear Doctor Mathur, thank you so very much for coming back to answer my question.  I am very grateful.

The orthopedic feels it is frozen shoulder due to a fall that may have triggered it as I fell with all my weight on this arm with my hand outstretched.  He also said it could be a combination of things my age, diabetes, low thyroid, post menopause and other endocrine matters.

When evaluated by the PT she agreed with the doctor as I have strength in my arms when she examined me. She did not feel my muscles were in danger.

I feel so much better after your answer.
Thank you again
D
Helpful - 0
351246 tn?1379682132
MEDICAL PROFESSIONAL
yes, could be muscle spasms, neurofibromas, lipomas or ganglion cysts.
Helpful - 0
317787 tn?1473358451
I am sorry to ask for more information, I have these lumps in my upper arm, bicep area.  It hurts so badly I want to go to an ER.
One doctor said he was concerned that my muscled were pulling away from the bone.  The ortho said it is frozen shoulder as the pain is there as well.

Could these be muscle spasms?

Thank you
Helpful - 0
317787 tn?1473358451
Thank you again, I just noticed moist heat, I have just been using a heating pad.  Also my second post was not meant for here sorry
Helpful - 0
317787 tn?1473358451
Thank you so much for your response, I did not realize I had lost range of motion, I only knew is was very painful.
Thank you again for your help
Helpful - 0
317787 tn?1473358451
I just remembered my first Hep doc freaked out when he saw my pinky was contracted, it happened when I cut a tendon many years ago.
I just remembered that and wondered why he panicked when he saw it.
It seems that there is a connection between fingers contracting and HCV so I am searching, I found this and wanted to come back to share this information
I am hoping it is ok to give this site, I thought it was informative as it shows a connection between joint problems etc and rheumatology.

http://www.rheumatology.org/Practice/Clinical/Patients/Diseases_And_Conditions/HCV_and_Rheumatic_Disease/
Helpful - 0
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