https://www.healthinthebay.com.au/wp-content/uploads/2012/04/shoulder-pain.jpg 200 200 Andrew https://www.healthinthebay.com.au/wp-content/uploads/2017/03/HITB_Horizontal_Header_Logo_Colour.png Andrew2012-04-12 02:24:172016-06-25 13:43:47Frozen Shoulder (Adhesive Capsulitis)
- Frozen shoulder is characterised by stiffness and restriction of movement leading to a high degree of shoulder joint immobilisation (passive and active movements).
- In most cases there is also some localised pain that can also cause secondary pain in the neck and trapezius muscle.
- Patients are generally unable to raise their arm above 45 degrees and often any movement that involves external shoulder rotation inhibits pain.
- Pain at night is often more severe, and a secondary side effect of frozen shoulder is insomnia.
- It is most common over the age of 40 and more prevalent in woman.
- Symptoms can often last from 5 months to 3 years, but healing time can be reduced with appropriate therapy, stretching and preventative techniques.
- It is most commonly caused by thickening and contraction of the joint capsule – the connective tissue around the bony structures of the shoulder joint. There can also be a lack of synovial fluid in the joint
- Can be caused by injury, however, it may also be a secondary symptom of thyroid, metabolic disease, stroke and auto-immune disease. Higher incidence in smokers. In many cases, there is no recognisable cause.
- In Eastern medicine – deficient cases, there is a lack of nourishment (Ying Qi), leading to tendon/muscular weakness. In excess cases, wind/cold/damp/injury penetrates the shoulder joint causing local Qi/Blood stagnation in the channels (often Colon/Small Intestine channels). Can also include Gall Bladder, Lung, Triple Heater and Pericardium channels.
- Aims to reduce pain, increase recovery time, increase range of movement and prevent worsening of symptoms.
- Western medicine treatment aims to reduce pain and inflammation with anti-inflammatory drugs, and if particularly severe, steroid injections are used. Chronic painful issues are sometimes treated with surgery.
- The most effective method of recovery is to continue a full range of movement within the joint to prevent further joint stiffness and muscle loss/weakness. Therefore, physical therapy generally involves range-of-motion exercises. Functional exercises should include moving the diseased shoulder in abduction, adduction, internal rotation and external rotation – morning and night.
- Other therapies that can be effective are massage, acupuncture, herbal linaments and stretching. Common acupuncture points include SI9,10, LI4, 11, 14, 15.