Name of the Condition

• Common Name: Frozen Shoulder
• Medical Term: Adhesive Capsulitis of Left Shoulder
• ICD Code: M75.02

Summary

Adhesive capsulitis of the left shoulder, commonly known as a frozen shoulder, is a condition characterized by stiffness and pain in the shoulder joint. This condition typically progresses slowly and can significantly impact a person’s range of motion.

Causes

The exact cause of adhesive capsulitis is not fully understood, but it is believed to occur when the shoulder joint capsule thickens and tightens around the shoulder joint, restricting its movement. It may also arise after shoulder injuries or surgeries.

Risk Factors

• Age: More common in people aged 40-60.
• Gender: Higher prevalence in women.
• Systemic conditions: Diabetes, thyroid disorders.
• History of shoulder immobilization: Due to surgery, injury, or other conditions.

Symptoms

• Gradual onset of shoulder pain.
• Decreased range of motion.
• Stiffness worsening over time.

Diagnosis

• Physical examination to assess movement and pain levels.
• Imaging tests like X-rays (to rule out other conditions).
• MRI or ultrasound may be used for detailed assessment.

Treatment Options

• Physical therapy: To restore movement and strength.
• Medications: NSAIDs for pain and inflammation.
• Corticosteroid injections: To reduce inflammation and pain.
• Surgery: In rare cases, procedures such as arthroscopic capsular release are considered if other treatments are ineffective.

Prognosis and Follow-Up

• Most patients experience gradual improvement over months to several years.
• Regular follow-up with a healthcare provider is essential to monitor progress and adjust treatment plans.

Complications

• Persistent pain and stiffness.
• Long-term loss of shoulder mobility if not properly managed.

Lifestyle & Prevention

• Engage in regular, gentle shoulder exercises to maintain range of motion.
• Avoid prolonged immobilization of the shoulder.
• Manage underlying health conditions, such as diabetes, effectively.

When to Seek Professional Help

• Severe shoulder pain after an injury.
• Noticeable decrease in shoulder range of motion.
• Symptoms persist despite home care efforts.

Additional Resources

• American Academy of Orthopaedic Surgeons (AAOS): orthoinfo.aaos.org
• National Institute of Arthritis and Musculoskeletal and Skin Diseases (NIAMS): niams.nih.gov

Tips for Medical Coders

• Ensure laterality is specified: Left shoulder should be coded as M75.02.
• Double-check the patient's medical history for consistency with the staging of the condition.
• Avoid confusion with similar conditions like rotator cuff disorders; verify details in medical notes.