Which existing medical conditions should be noted in the history and evaluation of suspected frozen shoulder syndrome (FSS) (adhesive capsulitis)?

Updated: Nov 12, 2020
  • Author: Jefferson R Roberts, MD; Chief Editor: S Ashfaq Hasan, MD  more...
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Answer

The patient should also be queried about any existing medical conditions, particularly diabetes mellitus, thyroid disease, Parkinson disease, stroke, and heart disease. Given the strong association of adhesive capsulitis with diabetes, it is imperative to screen any new patient presenting with possible frozen shoulder syndrome for diabetes or prediabetes. [22] Adhesive capsulitis has also been reported in patients with hyperthyroidism, hypothyroidism, and ischemic heart disease. Questions should be directed toward any upper extremity neurologic complaints, including cervical radiculopathy. Any history of cervical pain or radiculopathy should be thoroughly evaluated during the clinical examination to exclude a diagnosis of cervical spondylosis or cervical disc disease.


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