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Chapter 19 - Adhesive Capsulitis of the Shoulder

from Part V - Extremities

Published online by Cambridge University Press:  01 December 2023

By
Kevin Bennett  and
Riki Patel
Edited by
Omar Viswanath  and
Ivan Urits
Omar Viswanath
Affiliation:
Creighton University, Omaha
Ivan Urits
Affiliation:
Southcoast Brain & Spine Center, Wareham
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Summary

Adhesive capsulitis is a common cause of shoulder pain and disability, affecting nearly 2% of the general population. It is present in approximately 20% of all diabetics, highly correlated with several other systemic conditions and predispositions, yet is still idiopathic in etiology. Diffuse, insidious onset of shoulder pain with no known trauma is seen in early disease, while symptoms of later disease are dominated by a progressive stiffening that restricts multiple planes of movement. Adhesive capsulitis is primarily managed conservatively with oral anti-inflammatories, local injections, and physical therapy, and the majority of patients achieve spontaneous resolution of symptoms within one to three years. While not conclusively superior to less invasive measures, manipulation under anesthesia and arthroscopic capsulotomy are viable alternatives to patients refractory to conservative therapies.

Keywords

adhesive capsulitisshoulder painrange of motionshoulderdisability
Type
Chapter
Information
Cambridge Handbook of Pain Medicine , pp. 146 - 156
Publisher: Cambridge University Press
Print publication year: 2023

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References

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