Periarthritis is a condition characterised by in and progressive limitation of some movements of the shoulder joint occurring in the elderly.
The patient, past middle age, presents with fuse pain in the shoulder with radiation down the middle of the upper arm. It occurs in two types- A primary idiopathic type for which the cause is not known and secondary type occurring in patients with diabetes, tuberculosis, cardiac ischaemia and hemiplegia. On examination there will be tenderness in the sub acromial region and in the anterior joint line. There is marked limitation of abduction and external rotation of the shoulder with free flexion and extension movements.
When the condition involves the whole rotator cuff, it results in total restriction of all movements of the joint. The condition is then termed " Frozen shoulder or Adhesive Capsulitis "
Radiograph of the shoulder is normal. Pain controlled by analgesics and short wave diathermy or wax bath. Mobilisation is done by external rotation and abduction exercises.
TREATMENT AT DR. SOHAN LAL CLINIC
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