Rick Wright, MD, the author of this blog, is a sports medicine physician at Washington University Orthopedics in St. Louis and the head team physician for the St. Louis Blues. He specializes in the treatment of sports-related injuries, and has special interests in knee ACL and revision ACL injuries, meniscus injuries, articular cartilage injuries of the knee, shoulder instability, rotator cuff disease, and total knee replacements. Your comments and feedback are encouraged.
Friday, January 12, 2018
Frozen Shoulder Treatment
Frozen shoulder or Adhesive Capsulitis is a condition seen in middle aged men and women predominantly. It is more common in diabetics. A trivial shoulder injury can initialize the process which is fibrosis and scar formation in the shoulder making it is stiffer and stiffer. The natural history is increasing stiffness for 1-2 years followed by a natural return to normal range of motion that may take another year. Obviously, patients do not want to wait this long. The past several years I have been using a cortisone injection into the joint which seems to stop the process and reversed the stiffness when done in conjunction with physical therapy. Since adopting this approach I have not had to operate on someone with frozen shoulder for several years. A recent study in the American Journal of Sports Medicine highlighted a randomized trial that corroborated my impression. You can find details HERE