The Pain Management of Frozen Shoulder

동결견에 대한 치료경험

There are many patients who complain of shoulder pain with stiffness. Sadly these patients are often neglected by many physicians. An effective treatment is necessary in clinical practice. In our pain clinic, the fifty patients who were diagnosed frozen shoulder were randomly selected and followed up from Oct. 1992 to Mar. 1993. Important factors affecting outcome include; time from onset of pain and stiffness until treatment, initial severity of the pain and stiffness. We found that appropriate treatment led overall to improved patient satisfaction. The results are as follows. For patients treated within 3 weeks of syndrome occurrence, the recovery rate was in excess of 80%. But, if the patients had suffered for more than 6 months prior to treatment, the recovery rate was below 70%. For problems present in excess of six years only slight improvement was observed. These patients were difficult to manage. If the condition of patients was class I, the recovery rate was 94.4%. But in the cases of class III, only 25% of patients were recovered. From our results, we believe that early treatment is the best choice in management of frozen shoulder patients.

동결견은 여성에게 많이 발병하며 50대에 가장 많았으며, 원인은 견과절 주위의 근근막증후군, 회전근개건염, 이두박근건초염등이 많았다. 동결견은 치료를 빨리 시작할수록 완치율이 높았으며(3개월 이내에서는 80%이상의 완치율) 또한 치료전상태가 좋을수록 완치율이 높았다(1급이면 94.4%). 따라서 동결견은 조기에 치료를 해주는 것이 바람직하며, 치료시에 환자의 상태가 좋을수록 예후가 좋다는 사실을 경험하였다.