Use Streptococcus Pneumoniae and try Streptococcus Pyogenes and Streptococcus Mitis programs. See Stiff Shoulder, and Adhesive Capsulitis programs.Encyclopedia Entry for Frozen Shoulder :Frozen shoulder - aftercare. The capsule of the shoulder joint is made of strong tissue (ligaments) that hold the shoulder bones to each other. When the capsule becomes inflamed, the shoulder bones cannot move freely in the joint. This condition is called frozen shoulder. Frozen shoulder may develop with no known cause. It can also occur in people who: Have thyroid disease, diabetes, or are going through menopause Have a shoulder injury Have had a stroke that makes them unable to use their arm Have a cast on their arm that holds their arm in one position.Symptoms of frozen shoulder often follow this pattern: At first, you have a lot of pain, which can come on abruptly even without an injury or trauma. Your shoulder can become very stiff and hard to move, even when the pain lessens. It becomes hard to reach over your head or behind you. This is the freezing phase. Finally, the pain goes away and you can use your arm again. This is the thawing phase and can take months to end. It can take a few months to go through each stage of frozen shoulder. The shoulder can get very painful and stiff before it starts to loosen. It can take as long as 18 to 24 months for complete healing. To help speed healing, your health care provider will likely do the following: Teach you exercises to restore motion in your shoulder joint. Refer you to a physical therapist. Prescribe medicines for you to take by mouth. These include drugs to reduce pain and inflammation in the shoulder joint. You may also receive a shot of anti-inflammatory drug or steroid directly into the joint. Most people have a full recovery with full range of motion without surgery.Using moist heat on your shoulder 3 to 4 times a day may help relieve some pain and stiffness. For pain, you can use ibuprofen (Advil, Motrin), naproxen (Aleve, Naprosyn), or acetaminophen (Tylenol). You can buy these pain medicines at the store. Talk with your provider before using these medicines if you have heart disease, high blood pressure, kidney disease, or have had stomach ulcers or internal bleeding in the past. DO NOT take more than the amount recommended on the bottle or by your provider.Get help setting up your home so that you can get to everything you need without reaching above your shoulders or behind your back. Keep the clothes that you wear most often in drawers and shelves that are between your waist and shoulder level. Store food in cupboards, drawers, and refrigerator shelves that are between your waist and shoulder level. Get help with house cleaning, taking out the garbage, gardening, and other household tasks. DO NOT lift heavy things or do activities that require a lot of shoulder and arm strength.You will learn some simple exercises and stretches for your shoulder. At first, try to do these exercises once every hour, or at least 4 times a day. It is more important to do the exercises often than to do them for a long time each time you do them. Use moist heat before the exercises to help lessen pain and increase movement. The exercises should focus on stretching of the shoulder and range of motion. Avoid exercises to strengthen your shoulder until the range of motion has returned. Some of the exercises are: Shoulder stretches Pendulum Wall crawl Rope and pulley stretches Movements to help with internal and external rotation, such as hand behind back Your doctor or physical therapist will show you how to do these exercises.Call your doctor if: The pain in your shoulder is getting much worse even if you take pain medicine You re-injure your arm or shoulder Your frozen shoulder is making you feel sad or depressed.Adhesive capsulitis - aftercare; Frozen shoulder syndrome - aftercare; Pericapsulitis - aftercare; Stiff shoulder - aftercare; Shoulder pain - frozen shoulder.Krabak BJ. Adhesive capsulitis.Encyclopedia Entry for Frozen Shoulder :Frozen shoulder. The capsule of the shoulder joint has ligaments that hold the shoulder bones to each other. When the capsule becomes inflamed, the shoulder bones are unable to move freely in the joint. Most of the time, there is no cause for frozen shoulder. Risk factors include: Diabetes Thyroid problems Changes in your hormones, such as during menopause Shoulder injury Shoulder surgery Open heart surgery Cervical disk disease of the neck Women 40 to 70 years old are most affected.Main symptoms of a frozen shoulder are: Decreased motion of the shoulder Pain Stiffness Frozen shoulder without any known cause starts with pain. This pain prevents you from moving your arm. This lack of movement can lead to stiffness and even less motion. Over time, you are not able to do movements such as reaching over your head or behind you.Your health care provider will ask about your symptoms and examine your shoulder. A diagnosis is often made when you are not able to rotate your shoulder. You may have x-rays of the shoulder. This is to make sure there is no other problem, such as arthritis or calcium deposits. Sometimes, an MRI exam shows inflammation, but these types of imaging tests are not needed to diagnose frozen shoulder.Pain is treated with NSAIDs and steroid injections. Steroid injections and physical therapy can improve your motion. It can take a few weeks to see progress. It may take as long as 6 to 9 months for complete recovery. Physical therapy is intense and needs to be done every day. Left untreated, the condition often gets better by itself within 2 years with little loss of motion. Risk factors for frozen shoulder, such as diabetes or thyroid problems, should also be treated. Surgery is recommended if nonsurgical treatment is not effective. This procedure ( shoulder arthroscopy ) is done under anesthesia. During surgery the scar tissue is released (cut) by bringing the shoulder through a full range of motion. Arthroscopic surgery can also be used to cut the tight ligaments and remove the scar tissue from the shoulder. After surgery, you may receive pain blocks (shots) so you can do physical therapy. Follow instructions on caring for your shoulder at home. .Treatment with physical therapy and NSAIDs often restores motion and function of the shoulder within a year. Even untreated, the shoulder may get better by itself in 2 years. After surgery restores motion, you must continue physical therapy for several weeks or months. This is to prevent the frozen shoulder from returning. If you do not keep up with physical therapy, the frozen shoulder may come back.Complications may include: Stiffness and pain continue even with therapy The arm can break if the shoulder is moved forcefully during surgery.If you have shoulder pain and stiffness and think you have a frozen shoulder, contact your provider for referral and treatment.Early treatment may help prevent stiffness. Call your provider if you develop shoulder pain that limits your range of motion for an extended period. People who have diabetes or thyroid problems will be less likely to get frozen shoulder if they keep their condition under control.Adhesive capsulitis; Shoulder pain - frozen.Rotator cuff exercises Rotator cuff - self-care Shoulder surgery - discharge.Shoulder joint inflammation Shoulder joint inflammation.Finnoff JT. Upper limb pain and dysfunction.