Periarthritis Shoulder


In periarthritis shoulder we can’t able to move our shoulder around like we used to means there is a resriction of some movements in periarthritis but when it become complicated and freezing of the joint takes place means all the movements get restricted then its Frozen Shoulder. Periarthritis is the Early stage of the Frozen Shoulder. it hurts to move your shoulder when its become” Frozen”



Sign and symptom -


You are able to move your shoulder in all directions without pain. We can test by doing this-

• Reach up toward the sky with both arms.
• Reach your arms out straight in front of you.
• Raise your arms out to the sides of your body.
• Pretend that you are trying to unzip the back of your dress or pull your wallet from the back pocket of your pants.

If there is pain or stiffness in your shoulder when u do these things, It can be Periarthritis.

There are several stages as the scar tissue forms


• The painful stage. At first, your shoulder may ache and feel stiff. Then it may get very painful. This stage may last about 3 to 8 months.
• The adhesive stage. During the second stage, you may not actually have as much pain, but your shoulder keeps getting stiffer. This stage usually lasts about 4 to 6 months.
• The recovery stage. The final stage, which usually lasts about 1 to 3 months, isn't very painful. It becomes very hard to move your shoulder even a little bit. Then after a while, the stiffness slowly goes away. You can move your shoulder again. Although you may not get the full movement of your shoulder back, you should be able to do many more activities. As your shoulder movement increases, you may still have pain at times.

Physiotherapy treatment Aim-


• To reduce stiffness.
• To increase extensibility of the thickened and contracted capsule of the joint.
• To improve mobility of the shoulder joint.
• To improve strength of the muscles.
• To increase joint range of motion.

Treatment-


• Reduce pain through advance modalities.
• Give Moblization to the patient to increase joint range of motion (manual therapy)
• Heating Pads or Ice packs for reduce pain.
• stretching of muscles
• Reduce tightness
• Reduce spasm of the muscle
• postural guidance and re-education
• Home Programme.