140. Frozen Shoulder: Present and Future w/ Filip Struyf
Mar 19, 2024
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Expert in frozen shoulder, Filip Struyf, discusses signs, symptoms, risk factors, diagnosis, prognosis, and treatment options for frozen shoulder. The podcast explores the complexity of frozen shoulder, diagnostic imaging, patient education, management strategies, timeline, prognosis, surgical interventions, and psychological challenges associated with the condition.
Diagnosing frozen shoulder involves assessing range of motion restrictions exceeding 25% in specific planes, notably in external rotation.
Various risk factors for frozen shoulder include diabetes, obesity, inflammatory diseases, neurological conditions, and age-related susceptibility.
Treatment of frozen shoulder emphasizes patient education, exercise, pharmacological options, and surgery for non-responsive cases, with future research focusing on central pain mechanisms and psychological impacts.
Deep dives
Key Points on Frozen Shoulder Definition and Diagnosis
Frozen shoulder, also known as adherent capsulitis, is characterized by a gradual onset of severe pain that can be prominent at night along with specific range of motion restrictions. Diagnosis is often based on a loss of range of motion exceeding 25% in certain movement planes, particularly in external rotation, lasting for at least a month.
Risk Factors and Populations for Frozen Shoulder
Factors such as diabetes, hyperlipidemia, obesity, inflammatory diseases, neurological conditions like Parkinson's, and effects of medications or vaccinations can increase the risk of developing frozen shoulder. The condition typically peaks around the age of 50, though individuals across various age groups can be affected.
Management Strategies Including Physiotherapy and Pharmacological Options
Management approaches for frozen shoulder include patient education, encouraging physical activity, and tailored exercises to improve range of motion and strength. Pharmacological options like corticosteroids and NSAIDs can help manage pain, particularly in the early stages. Surgical interventions are reserved for cases that do not respond to conservative treatments, with procedures like arthroscopic capsule release being considered.
Future Perspectives in Frozen Shoulder Research and Management
Future research directions in frozen shoulder include exploring central pain mechanisms and interventions targeting metabolic issues through diet and exercise. Virtual reality and novel pharmacological strategies are being investigated for their potential in improving outcomes. Additionally, focus on patient education, psychological impacts, and empathetic care are essential aspects of managing frozen shoulder.
Overall Impact and Psychological Considerations in Frozen Shoulder Management
Frozen shoulder can have significant impacts on sleep, cognitive function, emotional well-being, and social engagement. Patients may experience anxiety, depression, and frustration, requiring strong therapeutic relationships with healthcare professionals. Understanding the psychological effects, providing empathy, and addressing patient struggles are crucial aspects of holistic frozen shoulder management.
Chris sat down with Filip Struyf to discuss all things Frozen Shoulder. We dive into a variety of topics including: the most common signs and symptoms of frozen shoulder, identifying specific risk factors, differential diagnosis, prognosis, and treatment options.
