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Adhesive Capsulitis

WHAT YOU NEED TO KNOW:

Adhesive capsulitis happens when tissues in your shoulder tighten and swell. The condition is often called frozen shoulder because the swollen tissues cause pain and decrease your shoulder movement.

DISCHARGE INSTRUCTIONS:

Return to the emergency department if:

  • You have new or increased trouble moving your arm.

Contact your healthcare provider if:

  • You have worse pain and stiffness in your shoulder.
  • You have questions or concerns about your condition.

Medicines:

  • Prescription pain medicine may be given. Ask your healthcare provider how to take this medicine safely. Some prescription pain medicines contain acetaminophen. Do not take other medicines that contain acetaminophen without talking to your healthcare provider. Too much acetaminophen may cause liver damage. Prescription pain medicine may cause constipation. Ask your healthcare provider how to prevent or treat constipation.
  • NSAIDs help decrease swelling and pain or fever. This medicine is available with or without a doctor's order. NSAIDs can cause stomach bleeding or kidney problems in certain people. If you take blood thinner medicine, always ask your healthcare provider if NSAIDs are safe for you. Always read the medicine label and follow directions.
  • Take your medicine as directed. Contact your healthcare provider if you think your medicine is not helping or if you have side effects. Tell him of her if you are allergic to any medicine. Keep a list of the medicines, vitamins, and herbs you take. Include the amounts, and when and why you take them. Bring the list or the pill bottles to follow-up visits. Carry your medicine list with you in case of an emergency.

Physical therapy:

A physical therapist teaches you exercises to help improve movement and strength, and to decrease pain.

Stretches to do at home:

  • Doorway stretch: Stand in a doorway with your painful arm bent at the elbow. Place your hand on the door frame and turn your body away from the door frame. Hold this position for 30 seconds. Relax and repeat.
    Shoulder Flexion Stretch
  • Forward stretch: Lie on your back with your legs straight out. Use your healthy arm to push your painful arm up over your head until you feel a gentle stretch. Hold this position for 15 seconds. Slowly lower your arm to the starting position. Relax and repeat.
    Arm Stretches Lying 1
    Arm Stretches Lying 2
  • Crossover stretch: Use your healthy arm to gently pull your painful arm across your chest just below your chin. Pull until you feel a gentle stretch. Hold this position for 30 seconds. Relax and repeat.
    Crossover Arm Stretch

Apply ice as directed:

Ice helps decrease pain and swelling. Apply ice to help ease pain after stretching. Use an ice pack, or put crushed ice in a plastic bag. Cover it with a towel before you apply it to your shoulder. Apply ice for 15 to 20 minutes every hour, or as directed.

Apply heat as directed:

Heat helps relax muscles and may help improve shoulder movement. Use a heat pack, or soak a small towel in warm water. Wring out the extra water before you apply the towel to your shoulder. Apply heat for 20 to 30 minutes every hour, or as directed.

Follow up with your healthcare provider as directed:

Write down your questions so you remember to ask them during your visits.

© 2017 Truven Health Analytics Inc. Information is for End User's use only and may not be sold, redistributed or otherwise used for commercial purposes. All illustrations and images included in CareNotes® are the copyrighted property of A.D.A.M., Inc. or Truven Health Analytics.

The above information is an educational aid only. It is not intended as medical advice for individual conditions or treatments. Talk to your doctor, nurse or pharmacist before following any medical regimen to see if it is safe and effective for you.

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