 Hi viewers, I am Dr. Anurad Jadhav. I am a senior consultant and head of the orthopedic services at Mandipal Hospital in Bhanai. Today I am going to talk briefly about Fudhal shoulder which is a common condition affecting many people. Fudhal shoulder is actually a descriptive term which tells that the shoulder has become painful and stiff. There are various reasons for this. It is common in diabetics. It can happen after sustaining some shoulder injury or if your shoulder has been immobilized for a long period of time the shoulder becomes stiff and painful. The basic pathology here is the lining, the capsule of the shoulder joint becomes highly inflamed, it becomes thick and it becomes scarred. So effectively it is like two surfaces sticking to each other. This goes through multiple phases. Initially there is a lot of pain, then the pain subsides and then stiffness comes in and then gradually things are resolved. Fudhal shoulder is very common in diabetics. Those suffering from epilepsy, those having thyroid problems inside the hypothyroid or hypothyroid and people with cholesterol problems. So when we see such patients in opiD we do their clinical assessment, we do x-rays and MRIs which confelts the diagnosis. As far as the treatment goes, if they have any comorbidities then managing their sugar or thyroid is very important. Initially we give them painkillers, we ask them to modify certain activities of daily living and if that is not helpful we inject steroid into their shoulder and the subacromial space above the shoulder joint. Once the patient's pain settles down then we start physiotherapy for them. A common mistake is to start physiotherapy while the pain is on. That is counterproductive and the patient's pain aggravates because of such measures. In those patients who are refusing to settle down with painkillers, injections and physiotherapy, we advise surgery for them. We do keyhole surgery which is called as orthostopic capsular release wherein we loosen the joint capsule which leads to increased movement and reduction of the pain. Sometimes it works like magic. Next day the patient's release is very happy but to get a good result the patient must carry on their own physiotherapy for as long as 4 to 6 months. Having said that it is important to realize that for the shoulder doesn't have a quick fix. It takes time. No matter what route you have taken it will take you at least 6 to 9 months to settle down. So if you have any shoulder related problems or any joint related problems, do visit us at Manipal Hospital Thank you