You have trouble lifting an arm, getting dressed, your shoulder locks at the slightest movement… you are probably suffering from adhesive capsulitis.Often confused with tendonitis, capsulitis of the shoulder is painful.You have to be patient, but you get over it.Causes, symptoms and treatments: explanations from a rheumatologist and a physiotherapist.The disease evolves in several phases, the process can be spread over several months, sometimes two years.At first, pain of moderate intensity appears in the shoulder, during ordinary gestures."It's a phase of uncertainty", according to Dr Éric Noël.At this point, the pain can be mistaken for tendonitis and treated as such.Consequence: the patient continues to move his joint without precaution, which only aggravates the pain. After a few weeks or months, he enters the “hot” phase of the disease.The capsule, the covering of the joint, becomes inflamed.The pain intensifies, day and night, and the shoulder begins to lock."The affected area is very innervated, and that's why the inflammation is so painful," observes Frédéric Srour, physiotherapist. This inflammation will then disappear to give way to a very embarrassing stiffness in the shoulder.It becomes impossible to comb your hair or to fasten your bra.This “cold” phase is explained by a loss of elasticity, fibrosis and retraction of the capsule.Imaging examinations (X-ray or ultrasound) show nothing abnormal.But when the doctor mobilizes the patient's arm, he notices a blockage in all directions.The causes of capsulitis are only clearly identified in 50% of cases.It can be triggered after a shoulder trauma or taking certain medications (barbiturates, HIV tritherapies, etc.).Other contributing factors: diabetes, thyroid disease, breast surgery with lymph node dissection or surgery in the rib cage.Finally, capsulitis often occurs in a context of stress, without it being known whether anxiety is the cause or the consequence.80-85% of patients with shoulder capsulitis are women.Symptoms most often appear between the ages of 45 and 55.Capsulitis is treated in two stages.“We must first relieve the patient and then soften the shoulder,” explains Dr. Noël.As a priority, the inflammation is treated by infiltrating corticosteroids into the joint.Two sessions (sometimes three), under radiographic control, are necessary, each two or three weeks apart.In order not to wake up the pain, it is then necessary to spare his shoulder, without immobilizing it.Stretching exercises are recommended.Once the pain has subsided, rehabilitation can begin.The goal: to recover the mobility of the joint.“We combine manual mobilizations, stretching and, gradually, muscle strengthening,” explains Frédéric Srour.Balneotherapy sessions in water at 34-35°C can also help gently remobilize your arm.The resumption of sport will be done gradually, following the advice of the physiotherapist.But a tennis or badminton player, two sports which strongly mobilize the shoulder, will have to be patient before finding the same level.Capsulitis almost always heals, although it can leave behind stiffness and sometimes affect the other shoulder.Never twice the same."The treatment is long, but it is a benign pathology", systematically reminds Frédéric Srour to his patients.The information concerning you is intended for the sending of newsletters in order to provide you with its services, personalized information and practical advice.They are kept for a period of three years from the last contact.This information may be used for automated decision-making to assess your preferences or personal interests.In accordance with the French law "Informatique et Libertés" n ° 78-17 of January 6, 1978 as amended and European Regulation 2016/679, you can request access to the information which concerns you, to have it rectified, modified, or deleted, for object to their processing by email to dpo@uni-medias.com or by post to the following address: Uni-médias, for the attention of the DPO, 22 rue Letellier - 75015 - Paris, or to request their portability, by writing by post to the following address: Uni-médias, for the attention of the DPO, 22 rue Letellier - 75015 - Paris or by email to dpo@uni-medias.com.You can also define the conditions of use, storage and communication of your personal data in the event of death.For any request relating to your personal data, you can contact the data protection officer at the following email address: dpo@uni-medias.com, or file a complaint with the Commission Nationale Informatique et Libertés.Cervical cancerSexual disorders in men