Diagnosing Adhesive Capsulitis

To help your doctor or orthopedic surgeon achieve a proper diagnosis, he/she will begin with a medical history about you, your current condition and symptoms. He/she will inquire about the intensity of your present pain, the duration of your symptoms and the limitations you are experiencing. Details about what instigated the problem, when it started, and whether or not you have ever had treatments for this or a similar condition in the past, are very helpful in assessing your injury.

A physical examination will be performed to determine if you have any signs of adhesive capsulitis or other shoulder injury. Your doctor will visually assess and press on the bones and soft tissue in both your shoulders to evaluate sameness (symmetry) and recognize differences. This will identify any abnormalities, such as mild or severe inflammation, tenderness, fluid, bone or tissue deformity, weakened muscles, redness and/or warmth on the skin. He/she may ask you to complete a series of arm movements, such as raising your arms to the front, back and side, to measure your range of motion and see what causes pain and tightness.

Some of these will be performed by you and others will be performed by the doctor. Generally you will not be able to move your arm in any direction at all (or just slightly) if you have adhesive capsulitis ­ whether you try to move it or your doctor tries to move it. If you have movement when your doctor moves your arm, you may be tested for other shoulder conditions.

Most Common Shoulder Diagnostic Tests:

Diagnostic tests will often help to obtain more detailed information about your shoulder condition.

X-rays provide an image of the overall structure of the shoulder, and are helpful in identifying abnormal bone shapes and/or spurs, arthritis, or calcific tendonitis.	MRIs or CT scans will provide more detailed information and will help to evaluate soft tissue (muscle, tendons, ligaments, connective tissue) injuries such as fluid in the shoulder, tendonitis and/or tears.

Arthrogram contrasts are special x-rays that show details of the shoulder capsule, such as a decrease in size (in a normal shoulder the capsule is rounded, but in a frozen shoulder the capsule is squat, square and contracted).

Blood testing can be done if the doctor suspects the primary reason for your frozen shoulder is a result of a systemic disorder