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Question: Adhesive Capsulitis in the Shoulders
| Zena
- Fri Dec 22, 2006 4:33 am |
Are there any new "cutting edge" theories about what exactly causes bursitis to turn into adhesive capsulitis in shoulders (assuming that there has not been any known injury)? I know that some sort of inflammation is involved in the process. I experienced this malady in both shoulders three years ago.
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| Dr. Wafaa Abdel-Hadi
- Thu Dec 28, 2006 8:01 pm |
Dear Zena,
Any joint in our body is surrounded by a capsule...what seperates the capsule from the bone itself is a special fluid called (synovial fluid) it resesmbles and feels like the egg white,
very slimy to help the bone glide easily and there would be no friction in movements.
The bursae are small sacs of these fluids that help with this process as well.
Imagine that this fluid or the capsule surrounding the joint is inflammed for any reason,
and has not been treated properly! The body's defensive mechanism will attack vigorously and causes alot of immune complexes (cells) to be deposited in these small spaces, that inturn will adhere and impair the movements.
To prevent that,
proper management of bursitis or capsulitis should be obtained...and if for any reason it has been neglected /misdiagnosed/ mistreated, the patient should be put on nonsteroidal Anti-inflammatory medicaction and after resolution of the symptoms he is encouraged to do physiotherapy which aims to tear the adhesions and regain the shoulder's maximum movement range (ofcourse it will be painful during exercises)
I hope that has helped, and we are here for you if you have further questions.
Best regards,
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