3 Mount Elizabeth, #08-05 Mount Elizabeth Medical Centre, Singapore 228510 | Tel: +65 6733 4565 | Mobile: +65 9766 4565 | Email: clinic@orionortho.sg

Conditions

Frozen Shoulder

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How Do I Know If I Have A Frozen Shoulder?

Shoulder pain and stiffness can be severe and debilitating. It affects your daily function, quality of life as well as mental health. Regardless of how long you have been experiencing shoulder pain, its underlying cause should not be underestimated. A frozen shoulder may be the cause of it.

A frozen shoulder can manifest as the following symptoms:

Symptoms/Pain Points
• Shoulder pain
• Shoulder stiffness or loss of flexibility
• Difficulty putting on clothes, especially T-shirts and brassiere.
• Shoulder pain when lying on your side to sleep
• Associated neck and upper back pain

Frozen shoulder is a condition which affects women more often than men, patients in their 40s to 60s and are more common in patients with the following medical conditions:

- Diabetes
- Autoimmune thyroid disease
- Depuytren’s disease
- Cervical disc disease
- Previous trauma or upper limb surgery

Symptoms may vary from person to person.

How Would My Shoulder Be Examined, Diagnosed, And Treated?

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Examination and assessment
Your orthopaedic surgeon will assess your shoulder symptoms and how it has been affecting your daily life. He will also determine if there is an associated cause for it such as diabetes or previous trauma.
 
A thorough examination of both your shoulders will be done to assess for flexibility, pain and other associated symptoms. Your neck and upper back will also be examined to exclude referred pain.

Diagnosis
Frozen shoulder is a condition that is diagnosed clinically. This means that your surgeon will make this diagnosis based on your clinical history and the outcome of the clinical examination of your shoulder. X-rays and MRI scans of your shoulder are not crucial unless they are used to exclude other conditions such as fractures, arthritis or rotator cuff tears.

Treatment
While frozen shoulder is essentially a self limiting condition, it is more prevalent with worse outcomes in diabetic patients. The painful and sift phase of frozen shoulder may last anywhere from 6 weeks to 9 months. The stiff phase of it may last for another 5 to 9 months while the thawing phase where patients range of motion gradually returns may take another 6 to 12 months.

It is important to therefore manage the pain and stiffness of frozen shoulder adequately and supplement anti-inflammatory medication with long-term physiotherapy and stretching exercises. Shoulder joint injections with a combination of local anaesthetic and steroid has been used for decades and proven to be very effective in breaking the vicious cycle of shoulder pain and stiffness.
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Surgery for frozen shoulder may be performed in severe cases where all previous methods have failed over a reasonable amount of time. Key hole or arthroscopic surgery is done to release the thick and contracted shoulder capsule to enable patients more flexibility in their shoulder.
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Same-Day Appointments Available

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Prompt Examination And Diagnosis

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Minimally-Invasive & Non-Surgical Options

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Surgery Only When Necessary

How Are The Shoulder Treatments Performed?

Treatment 1

Anti-inflammatory medication and physiotherapy

Treatment 2

Shoulder joint local anaesthetic and steroid injection

Treatment 3

Key-hole surgery to release the tight shoulder capsule

Anti-inflammatory medication and physiotherapy are conservative treatment techniques which provide significant relief from shoulder pain and stiffness. They must be followed for several months by a motivated patient to see the benefits of the treatment.

Shoulder joint local anaesthetic and steroid injection may be instituted early on to prevent escalatin of the shoulder pain and stiffness. It allows rapid relief of shoulder pain and enables patients to perform better quality stretching and physiotherapy exercises to accelerate their healing.

Key-hole surgery to release the tight shoulder capsule is the last resort after failure of other conservative methods for 3 to 6 months.

How Long Will It Take For My Shoulder To Recover?

A frozen shoulder is a self-limiting condition but will take several months to improve. It goes through several phases in which patients feel stiffness and pain before finally regainine some range of motion. Some patients with severe frozen shoulders may take a year or two to recover while some may not fully recover.

The shoulder treatments at Orion Orthopaedics are designed to optimise your rehabilitation and improve your shoulder function with multiple techniques and approaches. Dr. Mizan will customise your treatment plan and enable you to return to your active lifestyles and activities.

With Over 10 Years of Orthopaedic Experience - Dr Mizan Marican

dr-mizan

Dr. Mizan Marican

Consultant Orthopaedic Surgeon & Medical Director

MBBS, MRCS, MMed, FRCS

Dr Mizan Marican is a fellowship-trained orthopaedic surgeon with a special interest in sports injuries as well as hip and knee surgeries. He is trained in the direct anterior approach (DAA) hip replacement surgery.

He is proficient in a wide spectrum of knee preservation techniques and knee replacement surgeries including partial and total knee replacements, as well as the use of navigated and robot-assisted techniques.

Over the years, Dr Mizan has amassed a wealth of surgical experience in a wide spectrum of conditions aimed at restoring a better quality of life and maintaining an active lifestyle for all his patients.

Read his full profile here.

Our Location

  • 3 Mount Elizabeth, #08-05 Mount Elizabeth Medical Centre, Singapore 228510
  • +65 6733 4565
  • +65 9766 4565
  • Mon-Fri 8:30am - 5:30pm
    Sat 8:30am - 12:30pm
    Sun/Ph Closed

Contact Form

Our Location

  • 3 Mount Elizabeth, #08-05 Mount Elizabeth Medical Centre, Singapore 228510
  • +65 6733 4565
  • +65 9766 4565
  • Mon-Fri 8:30am - 5:30pm
    Sat 8:30am - 12:30pm
    Sun/Ph Closed

Contact Form

FAQs About Frozen Shoulder And Shoulder Injuries

How do I know if I have a frozen shoulder or if I have torn my rotator cuff?

Frozen shoulder leads to global stiffness and pain in all parts of your shoulder with restricted movement in all directions. A torn rotator cuff may cause a specific pain over the lateral or outside edge of your shoulder with pain with moving in specific directions only (shoulder abduction)

How do I know if my shoulder injury/frozen shoulder is serious?

Serious or severe conditions affect your daily activities, quality of life and mental health if they are persistent or get worse. This may occur despite medication or physiotherapy. You are advised to seek professional medical assistance if you are experiencing these symptoms. It is important to get an accurate diagnosis and begin effective rehabilitation for it.

Can I claim insurance for my shoulder injury?

Shoulder injuries are insurance claimable. We do advise our patients to check with their personal or corporate insurance plans and representatives. We are also able to help them with this if required.

What should I do right now while waiting for my appointment and treatment?

You are advised to take simple medication such as anti-inflammatories and do both passive and active stretching exercises of your neck, shoulder and upper back. These methods are important in managing your shoulder pain and stiffness.

I have more questions, how can I speak to a doctor?

Pls call us at +65 6733 4565 (during office hours), or drop us a text or WhatsApp message at +65 9766 4565. We will reply to your queries as soon as we get them. You may also call to make an appointment to see Dr Mizan for your ankle injury.

Have more questions?

Our Location

  • 3 Mount Elizabeth, #08-05 Mount Elizabeth Medical Centre, Singapore 228510
  • +65 6733 4565
  • +65 9766 4565
  • Mon-Fri 8:30am - 5:30pm
    Sat 8:30am - 12:30pm
    Sun/Ph Closed

Contact Form

Our Location

  • 3 Mount Elizabeth, #08-05 Mount Elizabeth Medical Centre, Singapore 228510
  • +65 6733 4565
  • +65 9766 4565
  • Mon-Fri 8:30am - 5:30pm
    Sat 8:30am - 12:30pm
    Sun/Ph Closed

Contact Form