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冻结肩

解除肩关节粘连 - 恢复活动自如 马六甲

Adhesive capsulitis that locks your shoulder. Physio shortens recovery from 18 months to 6-9 months with targeted stretching protocols.

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症状

  • Gradual loss of active and passive shoulder movement
  • Deep aching pain, worse at night and on the bad side
  • Unable to reach behind the back or overhead
  • External rotation reduced before abduction

常见原因

  • Idiopathic capsular fibrosis
  • Post-surgery or post-injury immobilisation
  • Diabetes (higher risk, slower healing)
  • Thyroid disease and hormonal factors

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参考文献

  • Page 2014: Page MJ, Green S, Kramer S, et al. Manual therapy and exercise for adhesive capsulitis (frozen shoulder). Cochrane Database Syst Rev. 2014;(8):CD011275.

常见问题

Without treatment: 18–24 months. With physio: 6–9 months.

Steroid injection halves pain in 2 weeks but needs physio to restore range.

In frozen shoulder passive and active range are both limited. In a rotator cuff tear passive range is preserved.

Diabetics have 2–4× higher risk; tight glucose control speeds recovery.

Expect 16–24 sessions at RM90–RM160 each; daily home exercise is required.

病患故事:冻结肩

★★★★☆
Frozen shoulder for nine months - I couldn't reach the seatbelt or hang washing. The first GP gave me painkillers, the second sent me for a steroid jab. The physio in Klebang did joint mobilisation and a structured stretching plan; in 11 weeks I had my full overhead range back.
S.L. · 30-44 Full overhead range restored in 11 weeks

Representative case based on common patient outcomes — not a specific named patient.

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