Open AccessCurrent concepts of natural course and in management of frozen shoulder: A clinical overview
Author(s) -
Wojciech Konarski,
Tomasz Poboży,
Martyna Hordowicz,
Kamil Poboży,
Julia Domańska
Publication year - 2021
Publication title -
orthopedic reviews
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.412
H-Index - 13
eISSN - 2035-8237
pISSN - 2035-8164
DOI - 10.4081/or.2020.8832
Subject(s) - natural history , intervention (counseling) , medicine , limiting , range of motion , disease , phase (matter) , natural (archaeology) , frozen shoulder , physical therapy , conservative treatment , surgery , physical medicine and rehabilitation , intensive care medicine , nursing , pathology , engineering , history , chemistry , mechanical engineering , organic chemistry , archaeology
Frozen Shoulder (FS) by many specialists is still considered a benign, self-limiting condition, which usually resolves without intervention. This concept originated in the 70’, stating that FS will proceed from “the freezing” phase, with the predominance of inflammation and pain to “the frozen” phase with marked stiffness in the joint and “the thawing” phase, with a progressive return to the normal Range Of Motion (ROM) and function. Nevertheless, numerous authors have recently challenged this concept, arguing that most patients with FS will never fully recover, and suffer from residual pain and loss of function. Lack of early intervention, when a patient does not improve with conservative treatment, might lead to disability. We have discussed the recent concepts in the natural course of the disease and discussed both noninvasive and surgical methods in the treatment of FS.