II. Pathophysiology
- Reflex Neurovascular Dystrophy
- Related to reflex Sympathetic stimulation
- Associated with recent acute medical illness
- Myocardial Infarction
- Cerebrovascular Accident (CVA)
- Respiratory disease
III. Epidemiology
- Age over 50 years more commonly affected
IV. Symptoms
- Shoulder Pain and swelling
- Shoulder stiffness
- Vasomotor phenomena in involved extremity
V. Differential Diagnosis
- See Shoulder Pain
VI. Management
- Active Exercise program
- Shoulder Range of Motion Exercises
- Physical Therapy
- Analgesics
- Short trial of Prednisone 10-20 mg/day
- Stellate Ganglion block
VII. Prognosis
- Resolves spontaneously over several months
VIII. Complications
- Frozen Shoulder (common)