This is a tricky question because the cause of frozen shoulder is poorly understood. There are two types of frozen shoulder: primary and secondary. The cause of primary frozen shoulder is unknown. Researchers have speculated that it could be caused by changes in the immune system or hormonal imbalances, but as of yet there is no data to prove or disprove this. Some conditions appear to be contributing—or perhaps just co-occurring—factors: diabetes, hypothyroidism, hyperthyroidism, Parkinson’s disease, and cardiovascular disease. Frozen shoulder occurs more frequently in people with diabetes—about 10 to 20 percent of people with diabetes are affected by it. The condition is classified as secondary frozen shoulder when it develops as a result of a known cause. These can include: Prolonged immobilization Stiffness following a shoulder injury Fracture Surgery Conditions which seem to be contributing factors for frozen shoulder or which co-occur with frozen shoulder are: Diabetes: 10-20% of diabetics are affected. Hypothyroidism Hyperthyroidism Parkinson’s disease Cardiovascular disease Tuberculosis Secondary frozen shoulder can develop as a result of: Prolonged immobilization Stiffness after shoulder injury Fracture Surgery
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