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Adhesive capsulitis of right shoulder
ICD10CM code
#### Name of the Condition
- Common Name: Frozen Shoulder
- Medical Term: Adhesive Capsulitis of Right Shoulder
- ICD Code: M75.01
#### Summary
Adhesive capsulitis of the right shoulder, commonly referred to as frozen shoulder, is a condition characterized by stiffness and pain in the shoulder joint. Over time, the shoulder becomes increasingly difficult to move.
#### Causes
The exact cause of adhesive capsulitis is not fully understood. It may develop after shoulder injury, surgery, or due to prolonged shoulder immobility. It can also be idiopathic, where no specific cause is identified.
#### Risk Factors
- Age: Most common in people aged 40 to 60.
- Gender: More prevalent in women than men.
- Health conditions: Higher occurrence in individuals with diabetes, thyroid disorders, and cardiovascular diseases.
- Immobility: Prolonged immobility of the shoulder, often after surgery or fracture.
#### Symptoms
- Gradual onset of shoulder pain and stiffness.
- Limited range of motion in the shoulder.
- Difficulty performing daily activities that involve lifting the arm.
#### Diagnosis
- Physical Examination: Assessment of shoulder movement and pain.
- Imaging Tests: X-rays or MRI to rule out other issues like arthritis or rotator cuff tears.
- Clinical History: Evaluation of symptoms and any prior shoulder injuries.
#### Treatment Options
- Physical Therapy: Exercises to improve range of motion.
- Medications: Pain relievers and anti-inflammatory drugs to reduce discomfort.
- Steroid Injections: Corticosteroids to decrease pain and swelling.
- Surgery: In severe cases, arthroscopic surgery may be considered to release the joint capsule.
#### Prognosis and Follow-Up
- Most individuals recover with time and treatment, though full recovery can take months to years.
- Regular follow-up with a healthcare provider to monitor progress and adjust treatment plans is critical.
#### Complications
- If untreated, it may lead to chronic pain and permanent restriction of shoulder movement.
- Potential for long-term disability affecting quality of life.
#### Lifestyle & Prevention
- Maintaining flexibility and range of motion with regular exercise.
- Early mobilization after shoulder surgery or injury to prevent stiffness.
- Control of underlying health conditions, like diabetes, to reduce risk.
#### When to Seek Professional Help
- Persistent shoulder pain and stiffness.
- Significant reduction in the ability to move the shoulder.
- Symptoms not improving with initial treatment methods.
#### Additional Resources
- [American Academy of Orthopaedic Surgeons](https://orthoinfo.aaos.org/en/diseases--conditions/frozen-shoulder/)
- [National Institute of Arthritis and Musculoskeletal and Skin Diseases](https://www.niams.nih.gov/health-topics/frozen-shoulder)
#### Tips for Medical Coders
- Ensure the coding reflects the specific shoulder involved (right shoulder here).
- Validate the diagnosis aligns with clinical documentation.
- Avoid common errors such as coding for unspecified shoulder when laterality is known.