Understanding and Managing Frozen Shoulder: Causes, Symptoms, and Treatment

2023-08-22 11:01:00

[서울=뉴시스] According to the medical community on the 22nd, frozen shoulder is also called frozen shoulder or adhesive capsulitis, which means a phenomenon in which the movement of the shoulder is limited. (Photo = provided by Seran Hospital) 2023.08.23. photo@newsis.com *Resale and DB prohibited

[서울=뉴시스]Reporter Song Jong-ho = As the heat continues, more and more people are unable to sleep at night. In particular, frozen shoulder patients with chronic pain and movement disorders in the shoulder joint experience greater pain during tropical nights.

According to the medical community on the 22nd, frozen shoulder patients have severe nighttime pain, making it difficult not only to move but also to lie down, and cold wind to avoid the heat sometimes aggravates the pain.

If the cold wind from an air conditioner or fan directly touches the shoulder to get rid of the heat, the shoulder becomes stiffer due to blood circulation disturbance, and the pain becomes severe.

Frozen shoulder is also called frozen shoulder or adhesive capsulitis, which means a phenomenon in which the movement of the shoulder is limited. Frozen shoulder is characterized by chronic pain and movement disorders in the shoulder joint, especially a decrease in both active and passive range of motion.

Not only is my shoulder movement limited by myself, but even if someone grabs my arm and tries to move my shoulder, it doesn’t move anymore. Frozen shoulder is one of the common diseases caused by regarding 2% of the total population. According to the statistics of the Health Insurance Review and Assessment Service, the number of frozen shoulder patients increased from 790,000 in 2020 to 870,000 in 2021.

When frozen shoulders develop, movement disorders occur, making it difficult to simply lift and lower the arms, and patients complain that their shoulders are stiff and do not move. In patients with diabetes or thyroid disease, the symptoms are more severe and treatment is difficult.

Not only the movement of raising and lowering the arm, but also rotation in various directions is restricted. When symptoms worsen, some complain that it is difficult to brush their hair or change clothes.

Fifty shoulders do not necessarily occur only in the 50s. The number of patients is increasing even following the age of 40, when degeneration is in full swing, and theoretically, it occurs in all age groups except those in their teens. Pain and discomfort are often worse in the lying position, and this pain may cause sleep disturbance.

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In addition to environmental factors such as air conditioning, there is also a study that says that the hormone melatonin, which is secreted a lot at night, promotes the secretion of cytokines, an inflammatory substance that is pointed out as the main cause of shoulder pain, so that people suffer from night pain.

Frozen shoulder is generally known to heal spontaneously within 2 to 3 years, but in the case of patients with severe symptoms, there are great restrictions on daily life and secondary problems may occur due to pain.

Since most of them are symptoms caused by aging or lifestyle, it is more important to treat them with lifestyle changes and stretching rather than surgery.

Bae Seung-ho, head of the shoulder joint center at Seran Hospital, said, “After taking an MRI scan, the exact problem area is identified, ultrasound-guided injection is given to the area, and self-exercise is performed to treat frozen shoulders without hospitalization or sequelae.” can be maximized,” he said.

Manager Bae said, “The proportion of female patients aged 50 or older was high for frozen shoulders, but recently, the number of young patients in their 30s and 40s is increasing due to lifestyle and excessive exercise.” Because it can be more painful, active treatment is needed,” he explained.

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