CASE REPORT ON FROZEN SHOULDER
Keywords:
frozen shoulder, adhesive capsulitis, diabetes mellitus, physiotherapy, shoulder painAbstract
Frozen shoulder (adhesive capsulitis) is a common musculoskeletal disorder
characterized by chronic pain and progressive limitation of both active and passive
shoulder range of motion, leading to functional impairment. This case report describes
a 70-year-old male with a history of type 2 diabetes mellitus who presented with left
shoulder pain and restricted movement for six months. The pain was severe (VAS 9) and
aggravated by overhead activities, accompanied by significant limitation in daily
functions. Physical examination revealed tenderness, muscle spasm, and decreased
range of motion, with a positive Apley test. The diagnosis was established clinically
based on typical findings. The presence of diabetes mellitus was identified as a major
risk factor contributing to disease severity and prolonged course. Management included
a combination of non-pharmacological and pharmacological approaches, such as
physiotherapy modalities (TENS, ultrasound, joint mobilization, and therapeutic
exercises), activity modification, nonsteroidal anti-inflammatory drugs, and
corticosteroids. Patient education and glycemic control were also emphasized. This
comprehensive management aimed to reduce pain, improve joint mobility, and restore
functional ability. Frozen shoulder requires early recognition and appropriate
intervention to prevent long-term disability, although recovery may take several months
to years, particularly in patients with comorbid conditions.
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