Adhesive Capsulitis of Shoulder - Management

Management

Management of this disorder focuses on restoring joint movement and reducing shoulder pain, involving medications, physical therapy, and/or surgical intervention. Treatment may continue for months, there is no strong evidence to favor any particular approach. Surgical evaluation of other problems with the shoulder, e.g., subacromial bursitis or rotator cuff tear may be needed.

Medications frequently used include NSAIDs; corticosteroids are used in some cases either through local injection or systemically. Physiotherapy may include massage therapy and daily extensive stretching.

If these measures are unsuccessful manipulation of the shoulder under general anesthesia to break up the adhesions is sometimes used. Hydrodilatation or distension arthrography is controversial.Surgery to cut the adhesions (capsular release) may be indicated in prolonged and severe cases; the procedure is usually performed by arthroscopy.

Read more about this topic:  Adhesive Capsulitis Of Shoulder

Famous quotes containing the word management:

    Why not draft executive and management brains to prepare and produce the equipment the $21-a-month draftee must use and forget this dollar-a-year tommyrot? Would we send an army into the field under a dollar-a-year General who had to be home Mondays, Wednesdays and Fridays?
    Lyndon Baines Johnson (1908–1973)

    The Management Area of Cherokee
    National Forest, interested in fish,
    Has mapped Tellico and Bald Rivers
    And North River, with the tributaries
    Brookshire Branch and Sugar Cove Creed:
    A fishy map for facile fishery....
    Allen Tate (1899–1979)

    The care of a house, the conduct of a home, the management of children, the instruction and government of servants, are as deserving of scientific treatment and scientific professors and lectureships as are the care of farms, the management of manure and crops, and the raising and care of stock.
    Catherine E. Beecher (1800–1878)