Adhesive Capsulitis (Frozen Shoulder)

Pt > age 40 with h/o DM, thyroid d/o, previous shoulder surgery presents with diffuse shoulder pain. Gradual onset of pain and stiffness, pain present at night. Decreased active/passive ROM in all planes, pain with movement on exam.

• Obtain HbA1c, TSH, free T4

• Consider shoulder x-ray

• Refer to PT and start acetaminophen vs NSAID

• Consider intra-articular corticosteroid injection

• Refer to orthopedics if no improvement in 6-12 weeks

• Pt advised that condition will most likely resolve spontaneously within 1-2 years