Shoulder

• A specific entity
• Unknown etiology
• Women > men
• 40-60 years
• Risk factors
  • DM,x5 more
  • Thyroid diseases
  • Cervical disc disease

• Freezing: pain ++ lose ROM 6 weeks to 9 months
• Frozen: pain decreases but stiffness+ 4-6 months
• Thawing: ROM slowly improves 6 months to 2 years

• Drugs- analgesics and NSAIDs, etc
• Steroid injections
• Physical therapy
• Manipulation under anesthesia
• Arthroscopic release
• ESWT/ RSWT

• Middle aged woman
• Painful stiffness left shoulder
• Night pains
• Cannot do her ADL
• Episodic excruciating pain not relieved with drugs
• DM with hypertension
• Exercise aggravates her pains

This patient from Punjab working in ONGC had severe pain in left shoulder on abduction and overhead activities. His imaging showed calcific tendinopathy of supraspinatus. He showed remarkable improvement after shockwave therapy and went back to his normal working schedule as calcification got absorbed along with reduction of pain.