Frozen Shoulder, shalya Tantra

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The exact cause is not clearly undrstood. Many causes have been put forward viz. , bicipital tinosinovitis, injury or overuse causing degeneration of tendon of supraspinatus or low grade chronic inflamation , leading to adhesions and formation of fibrous tissue etc.

Clinical Features-
  • History of trauma which many times maybe minor.
  • pain around shoulder joint.
  • Pain is felt above the greater tuberosity, whichh then radiates along the  outer tuberosity, which then radiates along the outerside of arm and forearm.
  • gradualy pain becomes severe, especially during nights.
  • Gradually, as the pain reduces stiffness increases.
  • Gradually, the stiffness reduces, to restore the normal range of movement.
Management-
  • Infra-red heat thearpy.
  • Anti inflamatory analgesics.
  • Active and regular exercise.
  • Injection of local anesthesia and hydrocortisone.

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