EXERCÍCIOS OMBRO Capsulite Adesiva e Lesão do Supra Espinhal COACH em Fisioterapia Dr. Robson Sitta

▼ (11)2528.4661 Call and schedule your appointment Rua Coriolano 1480 - Vila Romana (Lapa), SP. Dr. Robson Sitta Physiotherapy Clinic ▼ SUBSCRIBE to our YouTube channel and receive all the news in real time: https://www.youtube.com/channel/UCb7a... ▼ Visit the official website and learn more: www.fisiositta.com.br ▼ LIKE Dr. Robson Sitta Physiotherapy Clinic on Facebook: https://www.facebook.com/fisiositta?f... ▼ ADD Robson Sitta on LinkedIn:   / robson-sit.  . ▼ FOLLOW on INSTAGRAM:   / robson.sitta   PHYSIOTHERAPY SPECIALIZED in ORTHOPEDICS & MANUAL THERAPY Physiotherapy Treatment Exercise Protocol for Adhesive Capsulitis / Frozen Shoulder / Tendinopathy of the Supraspinatus (partial injury) What is adhesive capsulitis or frozen shoulder? Adhesive capsulitis, popularly known as frozen shoulder, is a disease that causes inflammation in the shoulder joint capsule and causes pain followed by limitation of shoulder movement. The cause of adhesive capsulitis is related to genetic factors and autoimmune reactions, but it is not known exactly how it originates. It is known that it is much more frequent in patients with hormonal diseases, such as diabetes and thyroid diseases (hypo or hyperthyroidism), but it can occur in individuals without these alterations. It can also occur in patients who remain with their shoulder immobilized for a prolonged period or in patients with a cervical disc herniation. Adhesive_capsulitis_frozen_shoulder01.jpg How does adhesive capsulitis occur and what happens? Adhesive capsulitis begins with inflammation, but unlike bursitis and tendonitis, it occurs in the joint capsule, which is the tissue that covers the entire joint. There may be a "trigger" for the development of capsulitis, such as a minor trauma or repetitive strain. However, it can occur without any apparent cause. Adhesive capsulitis occurs in 3 different phases, with different characteristics. When this inflammation in the capsule occurs, the first phase of capsulitis begins, which is the inflammatory phase. The pain may be mild at first, but within a few days or weeks it progresses to very severe and extremely limiting pain. Unlike tendonitis, bursitis and impingement syndrome, any movement can generate pain, not just movements with the arms raised. During this phase, shoulder movement, although painful, may still be normal. This painful phase can last up to 9 months. Then, the stiffness or freezing phase begins, in which there is a progressive loss of shoulder movement. There may still be pain during this phase, but of lesser intensity. The individual feels that the shoulder is shorter, cannot reach high places that it previously could, and does not lose rotational movements, being unable to put its hand behind its back, reach for the seat belt or fasten its bra. This phase of stiffness can last up to 12 to 18 months. Finally, there is the thawing phase, with a very variable duration, in which shoulder movement improves progressively, with the resolution of the disease. Natural history of adhesive capsulitis or frozen shoulder Adhesive capsulitis has always been described as a self-limiting disease. However, there are no studies of its true natural history, since some type of treatment is performed in all published articles. It is known that most patients present satisfactory shoulder function after 2 years of the disease, as published in some older scientific studies. However, this does not mean that all patients present spontaneous improvement, and it is also not indicated what the degree of this satisfactory function is, mainly according to the demands of each age group. Some studies show that 30% of patients are unable to perform more intense functions after long-term follow-up, such as placing an object on a shelf or carrying a 10kg object with the affected arm. Other studies also show that up to 50% of patients followed for a long period of time (4 to 7 years) have some residual limitation of movement or mild pain. What is the treatment for adhesive capsulitis or frozen shoulder? The treatment is non-operative in the vast majority of cases and can achieve excellent results when performed correctly. There are several treatment options for each phase of capsulitis. As a general principle, in the painful phase, treatments should be performed to reduce pain and inflammation, and in the stiff phase, treatment is focused on stretching and improving movement.