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Centers for Advanced Orthopaedics - Maryland
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    • John Christoforetti, MD, FAAOS
    • Gary Feldman, DPM, FACFAS
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Conditions Treated Shoulder Frozen Shoulder

Frozen Shoulder

Frozen shoulder, also known as adhesive capsulitis, is a condition characterized by stiffness, pain, and limited range of motion in the shoulder joint. It typically develops gradually and progresses through three distinct stages: the freezing stage, during which shoulder pain and stiffness worsen; the frozen stage, marked by persistent shoulder stiffness and limited mobility; and the thawing stage, in which symptoms gradually improve and range of motion begins to return.

The exact cause of adhesive capsulitis is not fully understood, but factors such as immobilization, inflammation, and scar tissue formation within the shoulder joint capsule are believed to contribute to its development.

Most Common Causes of Frozen Shoulder

Adhesive Capsulitis

Clinically termed adhesive capsulitis, shoulder stiffness arises from the gradual thickening and tightening of the shoulder capsule, the fibrous tissue encasing the shoulder joint. This progressive constriction leads to a pronounced reduction in the joint's range of motion, accompanied by stiffness and persistent pain. While the precise etiology of adhesive capsulitis often remains elusive, certain predisposing factors heighten the risk of its development. Immobility resulting from prolonged periods of inactivity post-injury or surgery can significantly contribute to the onset of frozen shoulder. Additionally, individuals with underlying medical conditions such as diabetes or thyroid disorders are more prone to experiencing adhesive capsulitis.

Although the exact mechanisms linking these conditions to frozen shoulder are not fully understood, they are believed to exacerbate inflammation and disrupt the normal healing process of the shoulder capsule. Understanding and addressing these risk factors are pivotal in both the prevention and management of this condition.

Immobilization or Inactivity

Prolonged immobilization or inactivity of the shoulder joint, often necessitated by injury, surgery, or medical conditions, can precipitate the development of frozen shoulder. When the shoulder remains stationary for extended periods, the surrounding soft tissues and capsule gradually lose their flexibility and elasticity. As a result, the joint's mobility becomes progressively restricted, leading to stiffness and discomfort. Individuals who undergo procedures such as shoulder surgery or sustain injuries requiring immobilization, such as fractures or dislocations, are particularly susceptible to this form of shoulder dysfunction.

Trauma or Injury

Trauma or injury to the shoulder, whether from fractures, dislocations, or soft tissue damage, can instigate a cascade of events that culminate in the development of frozen shoulder. Following trauma, the body initiates a reparative process that involves the formation of scar tissue within the injured tissues, including the shoulder capsule. While scar tissue is essential for wound healing, its excessive accumulation can lead to adhesions within the shoulder joint, impairing its mobility and function. Consequently, individuals who experience shoulder trauma may subsequently develop symptoms of frozen shoulder, such as stiffness, pain, and diminished range of motion.

  • Christopher S. Raffo, MDChristopher S. Raffo, MD
    Board-Certified Surgeon & Orthopedic & Sports Medicine Specialist
  • James s. Gardiner, MDJames S. Gardiner, MD
    Board-Certified Surgeon & Orthopedic & Sports Medicine Specialist
  • John Christoforetti, MD, FAAOSJohn Christoforetti, MD, FAAOS
    Board-Certified Surgeon & Orthopedic & Sports Medicine Specialist

Specialized Treatment for Frozen Shoulder in Montgomery County, Maryland

Discover specialized care for frozen shoulder at The Centers for Advanced Orthopaedics: Maryland Orthopedic Specialists Division. Our dedicated team of shoulder specialists offers advanced treatment options tailored to alleviate your symptoms and restore mobility. Whether you're experiencing stiffness, pain, or limited range of motion, we're here to help you find relief and regain function. Contact us at (301) 515-0900 or schedule your appointment online to start your journey toward recovery and improved shoulder health.

Orthopedic doctor examining his younger male patient's shoulder and elbow.

Other Shoulder Conditions

  • Rotator Cuff Injuries
  • Frozen Shoulder
  • Shoulder Instability
  • Clavicle Fracture
  • Humerus Fracture
  • Biceps Tendonitis
  • Shoulder Impingement
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Explore Other Conditions We Treat

  • Hand & Wrist

    Hand & Wrist

  • Elbow

    Elbow

  • Shoulder

    Shoulder

  • Spine

    Spine

  • Hip

    Hip

  • Knee

    Knee

  • Foot & Ankle

    Foot & Ankle

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Bethesda Office
6710 A Rockledge Dr., Suite 130
Bethesda, MD 20817

Germantown Office
19847 Century Boulevard, Suite 205
Germantown, MD 20874

Rockville Office
1071 Seven Locks Rd.
Rockville, MD 20854

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The Centers for Advanced Orthopaedics: Maryland Orthopedic Specialists Division is your premier orthopedic clinic located in Germantown, Bethesda, and Rockville, MD, offering comprehensive care for a wide range of orthopedic conditions through PRP Therapy, Orthopedic Surgery, X-Ray, Acute Injury Management, Osteoarthritis Treatment, Dupuytren’s Contracture Management, Custom Durable Medical Equipment, Hand/Occupational Therapy, Ultrasound, Joint Injections, Physical Therapy, and Epidural Steroid Injections.