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1 results

  • Chapter 19 - Adhesive Capsulitis of the Shoulder

  • from Part V - Extremities
  • Edited by Omar Viswanath, Creighton University, Omaha, Ivan Urits, Southcoast Brain & Spine Center, Wareham
  • Book:
    Cambridge Handbook of Pain Medicine
    Published online:
    01 December 2023
    Print publication:
    14 December 2023, pp 146-156

  • Summary

    Adhesive capsulitis is a common cause of shoulder pain and disability, affecting nearly 2% of the general population. It is present in approximately 20% of all diabetics, highly correlated with several other systemic conditions and predispositions, yet is still idiopathic in etiology. Diffuse, insidious onset of shoulder pain with no known trauma is seen in early disease, while symptoms of later disease are dominated by a progressive stiffening that restricts multiple planes of movement. Adhesive capsulitis is primarily managed conservatively with oral anti-inflammatories, local injections, and physical therapy, and the majority of patients achieve spontaneous resolution of symptoms within one to three years. While not conclusively superior to less invasive measures, manipulation under anesthesia and arthroscopic capsulotomy are viable alternatives to patients refractory to conservative therapies.