Inflammation of the shoulder capsule, followed by shoulder stiffness

Causes
This condition may be caused by an accident, such as a fall on the shoulder, or systemic diseases, such as diabetes mellitus, or metabolic diseases (thyroid od metabolic disorders).

Symptoms
Typically, the initial stage of frozen shoulder causes extreme pain that progressively reduces the range of movement. When completely "frozen", the shoulder joint is completely stiffend up and resists even strenuous manual therapy attempts to regain its mobility; the shoulder remains totally blocked.

Possible therapies
Treatment depends on the stage of the condition. In general, it can be said that the condition is self-limiting and the symptoms will no longer last than 12 to 18 months. A possible non-surgical treatment is taking cortisone in gradually reduced doses for four weeks (oral cortisone gradation plan). In advanced stages of this condition, Dr Braune uses arthroscopic surgery, removing the inflamed mucous membrane and partially dissecting the
joint capsule under cautious mobilization of the shoulder.