Yu sholda kin fil lɛk se i stif? Dis na wetin yu min wit ‘frozen sholda’?

Sɔntɛnde, i nɔ kin izi fɔ yu fɔ es yu sholda ɔ muv yu an? I kin fil lɛk se yu sholda dɔn stɔp ɔ i dɔn stɔp? Yu tink se i kin at we yu tray fɔ chenj klos, kɔm yu ia, ɔ es yu an fɔ pik sɔntin? If dɛn tin ya kin apin to yu, den yu kin gɛt wan sik we dɛn kɔl ‘Frozen Shoulder’ , ɔ lɛk aw dɔktɔ dɛn kin kɔl am ``Adhesive Capsulitis'' . So, yu tink se wi go tɔk bɔt dis smɔl mɔ tide?

Wetin na ‘Frɔzɛn Sɔlda’?

Fɔ tɔk am simpul wan, we yu sholda dɔn frɔz na tin we kin mek yu fil pen ɛn we kin apin na yu sholda jɔyn. I kin bi se yu nɔ kin ebul fɔ muv yu sholda smɔl smɔl. spεshal wan, di strכng kכnektiv tisu we de rawnd yu sכlda jכint (dεn kכl am di Sכlda Jכint Kכpsul) de tik, stif, εn inflamed.

Imajin yu sholda joyn lεk wan bon we shep bכl (dεn kכl am di humeral ed) we fit insay כda bon we shep bכl (dεn kכl am glenoid). Dis na wetin wi kɔl bɔl-ɛn-sɔkɛt jɔyn. di kapsul we de rawnd da joyn de gεt di ligament dεm we de kכnekt di כp an bon to di sכlda bled.

so we dis `(Capsule)` tik εn tayt, i kin at fכ muv di sכlda. Yu kin ridyus di yus fɔ di sholda bak bikɔs ɔf di pen. We yu nɔ yuz am, dat `(Capsule)` de tik ɛn tayt. εn tεm, di sכlda kin bi "frכz" na wan ples. Na dat mek dɛn kɔl am ‘frɔzɛn’ sholda.

Wetin na di sayn dɛm fɔ dis? Aw i kin divɛlɔp?

Dɔktɔ dɛn kin sheb di sayn dɛm fɔ dis ‘frɔzɛn sɔldɔm’ kɔndishɔn to tri stej.

1. Di “Freezing” Stej

Dis na di fɔs stej. Insay dis tɛm, yu sholda go stif smɔl smɔl ɛn i go de fil pen fɔ muv. Di pen go bɔku smɔl smɔl. Di pen kin wɔs na nɛt. I go at fɔ muv yu sholda smɔl smɔl bak . Dis stej kin te frɔm siks wik to lɛk nayn mɔnt.

2. Di “Frɔzɛn” Stej

We yu rich di sɛkɔn stej, di pen kin stɔp smɔl. Bɔt di sholda go rili stif ɛn lɔk. Dis kin mek i nɔ izi fɔ du ɛvride wok lɛk fɔ wɛr klos ɔ fɔ kɔm yu ia. Dis stej kin te frɔm tu to siks mɔnt.

3. Di “Thawing” Stej

Dis na di las stej fɔ mek pɔsin wɛl. insay dis tεm, di pen kin dכn εn di ebul fכ muv di sכlda kin bכku sכmtεm. di sכlda kin gεt ful כ nia ful trεnk εn rεnj fכ muv. Dis stej kin te frɔm siks mɔnt to lɛk tu ia.

Imajin, sɔm pipul dɛn gɛt fɔ gɛt ɔl dɛn tri tin ya: fɔs, dɛn kin stɔp wit pen, dɔn dɛn kin stɔp pan ɔl we di pen kin stɔp, ɛn leta, dɛn kin wɛl smɔl smɔl.

Wetin na di men rizin we mek ‘frɔzɛn sholda’ kin apin?

Infakt, di wan dɛn we de stɔdi bɔt dis stil nɔ no bɛtɛ bɛtɛ wan wetin kin mek di sholda kin frɔz. Bɔt wi no se di sik kin kam bikɔs di kapsul na di sɔl jɔyn kin inflam, tik, ɛn stif. as tεm de go, di ska tisu we dεn kכl adheshon de fכm insay di kapsul. di sinovial fluid we de εp di sכlda jכint fכ wok fayn fayn wan de dכn bak. Dis kin mek di sholda nɔ ebul fɔ muv ɛn rɔta fri wan.

Udat de pan ay risk fɔ gɛt ‘frɔzɛn sɔldɔm’?

Sɔm pipul dɛn kin gɛt dis sik. Lɛ wi tek wan luk pan udat dɛn bi:

• Ej: Dis kin apin mɔ pan big pipul dɛn we ol bitwin 40 ɛn 60 ia.
• Jɛnda: Dis sik kin apin mɔ pan uman dɛn pas man dɛn.
• Injury na yu sholda i nɔ tu te yet: If yu dɔn gɛt injury na yu sholda (fɔ ɛgzampul, rotator cuff tear, fracture of the sholder blade, collarbone, or upper arm bon), ɔpreshɔn, ɔ immobilization of yu sholda (fɔ ɛgzampul, we yu wɛr sling), yu de pan big risk fɔ gɛt dis kɔndishɔn. dis na biכs di kapsul kin tεnd fכ tayt we dεn nכ de yuz di sכlda.
• Dayabitis: Bitwin 10% ɛn 20% pan di pipul dɛm wae gɛt shuga kin gɛt frɔzɛn sholda.
• Ɔda wɛl bɔdi prɔblɛm dɛn: Dɛn wan ya na strok, haypo tayroyd, haypa tayroyd, Pakinsin sik, ɛn at sik. Strɔk kin mek yu nɔ ebul fɔ muv yu an ɛn yu sholda, ɛn dis kin mek yu sholda frɔz. Risach pipul dɛm nɔr shɔ aw ɔda tin dɛm kin afɛkt dis.

Aw dɔktɔ dɛn kin no di sik we dɛn kɔl ‘frɔzɛn sholda’ kɔrɛkt wan?

If yu gɛt dɛn sik ya, we yu go to dɔktɔ, dɛn go aks yu fɔs bɔt yu sik ɛn tek yu mɛdikal histri. Dɔn dɛn go du wan ɛgzam fɔ yu an ɛn yu sholda dɛn. Na sɔm tin dɛn we dɛn go du:

• Dɛn go muv yu sholda frɔm wan say to di ɔda say fɔ chɛk fɔ rεnj fɔ muv ɛn pen. dεn kכl dis "passive range of motion" tεst we di dכkta de muv yu an.
• Neks, dεn go aks yu fכ shrug yu sholda fכ si aw yu "Active Range of Motion" de.
• Dɛn kin kɔmpia dɛn tu rɛnj ya fɔ muv. Pipul dεm we gεt ‘frozen sholda’ gεt כl tu di limited aktiv εn pasiv rεnj dεm fכ muv.

Bɔku tɛm, yu dɔktɔ go ɔda fɔ mek dɛn tek ɛkstrem rayt na yu sholda fɔ no ɔda tin dɛn lɛk at at sik. Bɔku tɛm, di shɔlda we dɔn frɔz nɔ kin nid fɔ du MRI ɔ ɔltra saund. Bɔt if yu dɔktɔ sɔspɛkt ɔda tin lɛk we di rotator cuff tear, dɛn kin ɔda fɔ du dɛn tɛst ya bak.

Wetin na di bɛst tritmɛnt fɔ ‘frɔzɛn sholda’?

Di tritmɛnt fɔ di shɔlda we dɔn frɔz kin mek yu nɔ fil pen na di fɔs tɛm. If di muvmɛnt nɔ kam bak lɛk aw i bin de, i kin nid fɔ gɛt fyzikal tritmɛnt ɔ ɔpreshɔn.

Na sɔm simpul tritmɛnt dɛn ya:

• Ɔt ɛn kol kɔmprɛs: Dɛn tin ya kin ɛp fɔ ridyus di pen ɛn swɛlin.
• Di mɛrɛsin dɛn we de mek pɔsin fil pen ɛn we de swel: Dɛn wan ya na di mɛrɛsin dɛn we nɔ de mek pɔsin fil pen (NSAID), lɛk ibuprofen ɛn acetaminophen. Yu dɔktɔ kin gi yu ɔda mɛrɛsin dɛn bak we de mek yu nɔ fil pen/anti-inflammatory. Dɛn kin yuz stɛroyd injɛkshɔn fɔ kɔntrol di bad bad pen ɛn swɛlin. Yu dɔktɔ go injɛkt wan kɔtikosterɔyd, lɛk kɔtizɔn, dairekt insay yu sholda jɔyn.
• Fizik Tɛrapi: Wan pɔsin we de mɛn yu bɔdi go tich yu fɔ strɛch ɛn fɔ du ɛksɛsayz fɔ mek yu ebul fɔ muv.
• Progrɛm fɔ Ɛksesaiz na Os: Yu dɔktɔ ɔ pɔsin we de mɛn yu bɔdi kin tich yu ɛksesaiz dɛn we yu kin du na os.
• TENS (Transcutaneous Electrical Nerve Stimulation) therapy: Dis na fɔ yuz smɔl tin we dɛn de yuz batri fɔ blok di nerve impulses ɛn ridyus pen.

If yu pen ɛn yu sholda stiff nɔ bɛtɛ afta lɛk wan ia we yu dɔn du tritmɛnt we yu nɔ gɛt ɔpreshɔn, yu dɔktɔ kin tɛl yu fɔ du ɔda tritmɛnt dɛn. Dɛn tin ya na:

• Manipulation Under Anesthesia: Insay dis prosidur, di dɔktɔ go put yu na slip ɛn fos yu fɔ muv yu sholda. Dis go strɛch ɔ te yu jɔyn kapsul, we go mek di stiffness lɔs. Dis go mek yu ebul fɔ muv mɔ ɛn mɔ.
• Sɔlda Atroskɔpi: Insay dis prɔsidyu, yu dɔktɔ go kɔt ɛn pul di tayt pat dɛn na yu jɔyn kapsul (kapsul rilis). Dɛn go put smɔl smɔl tin dɛn we tan lɛk pensil tru smɔl smɔl say dɛn we dɛn kɔt rawnd yu sholda.

Bɔku tɛm, dɔktɔ dɛn kin yuz dɛn tu we ya togɛda fɔ mek dɛn gɛt bɛtɛ tin fɔ du.

Wetin na di lukin-grɔn fɔ ‘frɔzɛn sholda’? Yu tink se i go wɛl?

Bɔku tɛm, simpul tritmɛnt lɛk pen kil ɛn ɛksesaiz na di sholda, sɔm tɛm dɛn kin jɔyn am wit kɔtizɔn injɛkshɔn, kin mek di sɔl muv bak ɛn wok bak insay wan ia ɔ smɔl pas dat. Sɔntɛnde, ivin if dɛn nɔ gɛt ɛni tritmɛnt, di say we di sholda de muv ɛn di we aw i de wok kin bɛtɛ smɔl smɔl as tɛm de go, bɔt i kin rili slo. Bɔrku tɛm, i kin tek lɛk tu ia fɔ mek pɔrsin wɛl ɔlsay ɔr kin dɔn nia fɔ wɛl.

Yu tink se dɛn kin mek shɔlda nɔ frɔz?

Yɛs, te to sɔm mak. If yu gɛt injury na yu sholda we de pen ɔ we at fɔ muv, yu kin ridyus yu risk fɔ gɛt frɔz sholda bay we yu bigin fɔ du fizik tritmɛnt kwik kwik wan . Yu ɔtpidik sajin ɔ fizik tɛrapist kin mek wan ɛksɛsayz program we fit yu nid.

Fɔ dɔn, a fɔ se... (Tek-Home Message)

Frozen Shoulder (Adhesive Capsulitis) kin bi wan rili tranga sik wae kin afɛkt yu ɛvride layf. Di pen ɛn stif we yu sholda jɔyn kin mek i nɔ izi ɔ i nɔ kin izi fɔ du ɛvride tin dɛn we yu bin de du we yu nɔ bin gɛt ɛni prɔblɛm.

De tin wae impɔtant pas ɔl na fɔ go to dɔktɔ wae yu nɔr de bia wit de pen if yu gɛt dɛn sik ya.

If tritmɛnt na os, lɛk fɔ rɛst ɛn mɛrɛsin fɔ mek yu fil pen nɔ ɛp, go to dɔktɔ. Dɛn kin se dɛn fɔ gi yu bɔdi tritmɛnt ɔ ɔda tritmɛnt dɛn we nɔto ɔpreshɔn fɔs. Ɔpreshɔn na opshɔn bak fɔ frɔzɛn sholda we nɔ de wɛl fɔ lɔng tɛm. Yu dɔktɔ kin ɛp yu fɔ pik di tritmɛnt we go fayn fɔ yu. So, nɔ fred fɔ go to dɔktɔ we nɔ de te.

` Frɔzɛn Sɔlda, Sɔlda Pen, Sɔlda Stifnɛs, Adhesive Kapsul, Sɔlda Ɛksesaiz, Fizik Tɛrapi, Atraytis