Chronic capsulitis, better known as frozen shoulder, is a painful condition that progressively limits movement of the shoulder joint. This condition mainly affects women between the ages of 40 and 50, although the exact causes often remain unknown. Pain can be intense, to the point of disrupting sleep, particularly when changing position at night.
The three phases of chronic capsulitis
The evolution of chronic capsulitis is divided into three distinct phases:
Phase 1: Acute phase
During this first stage, which lasts from 1 to 4 months, pain predominates. It manifests as diffuse pain in the shoulder, which may radiate as far as the elbow. This pain is present at rest, during sudden movements and intensifies at night, making sleep difficult. Sleeping on the affected shoulder often becomes impossible.
Phase 2: The chronic phase
This phase, which extends over 3 to 12 months, is marked by progressive stiffness of the shoulder. The pain becomes intermittent and less intense than in the acute phase, but the limitation of movement worsens. The shoulder loses joint amplitude in all directions, hence the term “frozen shoulder”.
Phase 3: Recovery
This final phase, which can last from 6 months to 2 years, corresponds to the regression of symptoms. Pain gradually diminishes and range of motion slowly improves.
Treatments and approaches to relieve Chronic Capsulitis
Several types of massage therapy can help reduce pain and improve shoulder mobility:
- Swedish massage: Promotes blood circulation, releases muscle tension and reduces inflammation.
- Deep tissue massage: Works deep down to target affected ligaments and tendons.
- Myofascial massage: Relaxes the fascia, the membranes surrounding the muscles, to improve joint mobility.
The importance of physiotherapy
Physiotherapy is strongly recommended to maximize recovery. Advanced techniques such as joint mobilization, strengthening exercises and electrotherapeutic modalities can accelerate the healing process.
Conclusion
Chronic capsulitis can be a long and painful condition, but with appropriate management it is possible to gradually regain good shoulder mobility. Massage therapy and physiotherapy play an essential role in reducing symptoms and improving quality of life.
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