| Many middle aged people complain of shoulder | | | | Pain accompanies stiffness in early stages and is |
| stiffness. They have tried some physiotherapy | | | | worse on sleeping on the affected side. Sleep is |
| without success and are disabled in their daily | | | | disturbed and the patient may become depressed |
| activities. Some have accepted it and carry on. | | | | due to chronic pain. |
| The causes of shoulder stiffness can be one out | | | | Treatment- Physiotherapy under the supervision |
| of four | | | | of an able person is the mainstay and primary |
| 1) Adhesive capsulitis syn Frozen shoulder | | | | treatment. It can be carried out as part of a |
| 2) Stiffness in diabetics | | | | home exercise program. When there is no |
| 3) Stiffness following some internal fixation of | | | | success, your shoulder surgeon may advise a |
| fracture | | | | manipulation under anesthesia. After being put to |
| 4) Osteoarthritis of the shoulder. | | | | sleep, your arm will be put through a range of |
| Stiffness in diabetics is the most commonly | | | | movement. After the procedure, continuous |
| encountered one and is particularly difficult to | | | | passive motion will be started. |
| treat. | | | | An Arthroscope is a pencil like instrument which |
| Idiopathic shoulder stiffness is a rare condition. It | | | | carries a source of light and a camera into a joint |
| occurs without a known cause. Tears of the | | | | to visualize the interior. Other instruments like |
| rotator cuff may be seen in a small proportion of | | | | shavers, punches, radio frequency, Laser can be |
| these people. | | | | introduced inside and tight structures can be |
| Stiffness after internal fixation occurs in those | | | | release. |
| people who had sustained a fracture of the upper | | | | Arthroscopic release of a stiff shoulder is |
| humerus and undergone internal fixation. | | | | particularly rewarding and can be accomplished |
| Osteoarthritis of the shoulder is a rare condition. | | | | through tiny key-hole incisions. Only the tight |
| Symptoms-The affected arm cannot reach | | | | structures are divided with an instrument under |
| behind the back commonly. Lifting the arm | | | | direct visualization of the arthroscope. The |
| forward (elevation) and turning it out (external | | | | amount of pain is less after this surgery. |
| rotation) may be hampered to a variable degree. | | | | |