Treatment Of Frozen Shoulder
DOI:
https://doi.org/10.53089/medula.v12i1.326Keywords:
adhesive capsulitis, frozen shoulder, management, treatmentAbstract
Frozen shoulder (adhesive capsulitis) is a disease characterized by a decrease in the range of motion (ROM) both actively and passively in the glenohumeral joint accompanied by pain. Frozen shoulder is classified into primary and secondary. Frozen shoulder has 3 phases, namely freeze (painful), frozen (adhesive) and resolution. Patients with frozen shoulder typically experience shoulder stiffness, pain that is often worse at night, and passive and active rotation of the shoulder. The purpose of this paper is to determine the management of frozen shoulder patients. The method used is a literature review by looking for frozen shoulder, adhesive capsulitis, management, treatment at Google Scholar and Pubmed. Searching the literature from both national and international journals then summarizes the discussion and comparison of the results presented in the article. From what has been done, the management of frozen shoulder patients is divided into Conservative treatment (non-operative) and operativ. Conservative treatment includes pharmacotherapy, physiotherapy, and hydrodilation. Operative includes manipulation under anesthesia and arthroscopic capsular release. Pharmacotherapy management can use NSID, oral steroids and steroid injections. Physiotherapy is good for increasing ROM in frozen shoulder patients, but physiotherapy is usually combined with several other therapies. Hydrodilation is a non-surgical radiological intervention whose greatest benefit is felt 3 months after intervention. Manipulation under anesthesia and arthroscopic capsular release are operative treatments that provide increased ROM and reduced pain.
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