Adhesive capsulitis: current concepts

Area of Science:

• Orthopedics
• Rheumatology
• Physical Medicine and Rehabilitation

Background:

• Adhesive capsulitis (frozen shoulder) is a debilitating condition causing significant shoulder pain and restricted motion.
• It commonly affects individuals aged 40-60 and impacts daily life, with multifactorial causes including diabetes and thyroid disorders.
• Current understanding highlights the need for timely diagnosis and tailored management strategies.

Purpose of the Study:

• To provide a comprehensive review of current diagnostic and management approaches for adhesive capsulitis.
• To highlight advancements in both conservative and surgical treatment modalities.
• To discuss potential complications and emerging techniques for improved patient outcomes.

Main Methods:

• Review of current literature on adhesive capsulitis diagnosis and treatment.
• Analysis of conservative management strategies including physical therapy, analgesics, and corticosteroid injections.
• Evaluation of surgical interventions like arthroscopic capsular release and emerging techniques.

Main Results:

• Conservative management, including physical therapy and corticosteroid injections, is the primary approach.
• Suprascapular nerve blocks show promise in pain reduction and rehabilitation facilitation.
• Early intervention and individualized plans are crucial for optimizing treatment efficacy.

Conclusions:

• Adhesive capsulitis management requires a personalized, evidence-based approach.
• Both conservative and surgical treatments have roles, with surgery reserved for refractory cases.
• Focus on early intervention, pain management, and comprehensive rehabilitation enhances quality of life.