Esta web utiliza cookies para mejorar la experiencia del usuario. Puede obtener más información acerca del uso de cookies en el apartado Sobre las Cookies. Se hicieron búsquedas en el Registro Cochrane Central de Ensayos Controlados . Terapia manual y ejercicio para el hombro congelado (capsulitis adhesiva). Adhesive capsulitis of the shoulder: treatment with hydraulic distention and local anesthesia. Rev Cubana Ortop Traumatol [online]. , vol, n

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The shoulder, as outlined previously, is a ball-and-socket joint which enables a great deal of mobility but also suffers from great instability. As in other joints in the human body, there is capsuitis layer which surrounds the joint as a whole forming the joint capsule and which stabilises the dd among other features.

Adhesive capsulitis, more commonly known as frozen shoulder, is a process which is characterised by the swelling and retraction of this joint capsule, causing pain and above all restricted shoulder movement.

Capsulitis Retráctil | Patologías del Hombro | Unidad de Cirugía Artroscópica

Currently the aetiology of this complaint is not known. However, it is known that it affects women more than men and that the disorder rarely occurs in the unders dee the overs. Adhesive capsulitis tends to occur alone and to be a long process evolving over between 12 and 24 months depending on the treatment provided. Very rarely and after some time it may occur in the counter-lateral joint and never on the same xapsulitis.

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Capsulitis adhesiva del hombro: tratamiento con distensión hidráulica y anestesia local

Metabolic and endocrinal diseases: Bridgman identified a significant increase in adhesive capsulitis in patients with diabetes, especially in insulin-dependent patients. Prolonged immobilisation of the shoulder: This is a complication of other processes: The onset of the disease is insidious and there is no known trigger factor.

First there is increasing pain, due to a swollen capsule, and then increasingly constrained capsulitix which compromises regular everyday actions. The disease tends to spread in phases and when it is not treated it may even be two years before spontaneous restitution takes place.

Intervenciones fisioterapéuticas para el dolor del hombro

Phase I months: Phase II months: Phase III months: In the first phase the treatment will only involve pain relief with pharmaceutical resources, and physiotherapy, using pain relief techniques such as TENS Transcutaneous Electrical Nerve Stimulationultrasound scans, acupuncture, myofascial capssulitis therapy, etc. Later on there will be mobilization and hydrotherapy.


It is very important that nothing that is undertaken in general or by the physiotherapist increases the pain as this would result in a greater spasm in the joint capsule.

In rare cases, surgical treatment hoombro be used yet only in cases where patients suffer limited mobility despite having undergone a long period of conservative treatment 12 months.

The surgery, known as “arthrolysis”, involves a series of therapeutic actions such as capsulotomy, debridement and surgical removal of adhesions under arthroscopic control, ending with forced mobility under anaesthetics and followed up with a specific prolonged rehabilitation programme. The Arthroscopic Surgery Unit is an Orthopedic Surgery and Trauma Injury service offering multi-discipline treatment for musculoskeletal system pathologies. There are certain factors which influence the onset of adhesive capsulitis: High level of triglycerides.

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