Capsulitis is one of the most complex and complicated pathologies to treat because of its very slow progression and the need for fine adjustments, tailored to each patient, particularly during the initial inflammatory phase where each patient reacts differently. So much so that frustration can set in on the side of the patient as well as the therapist. The use of different tools makes it possible to break this pattern. The use of hands-free devices (Game Ready or teslatherapy, or even Winback for the active mobilization part) or devices that permit very rapid treatment (R-SHOCK) frees up time when treating this pathology, which is very time-consuming for the therapist.
Adhesive capsulitis of the shoulder is a retraction and thickening of the lower and anterior parts of the joint capsule. This results in a progressive limit in the range of motion, associated with pain.
Common after the age of 40, capsulitis often develops spontaneously, but can also be the result of trauma (contusion, fracture, dislocation), particularly if it has been followed by prolonged immobilization. Spontaneous healing occurs within 12 to 24 months. Its evolution always follows the same three-stage process: an initial inflammatory phase with pain that is worse during the night, then a second phase corresponding to the retraction of the capsule, and finally a third phase of recovery (often complete or partially complete) (Redler et al., 2019). In 50% of cases, the causes are not clearly identified. However, we know that stress and fatigue are factors influencing its onset, which would explain the current upsurge in demand for physiotherapy care for this pathology.