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Frozen Shoulder Health Feed

Hi Doctor, I read about periarthritis of shoulder which os also called as frozen shoulder. But in that case there is stiffness in the shoulder but I don't have any stiffness. Also the pain starts from shouldEr blade to the left hand. Could you please tell me what exercises I can do to heal it?

Dr. Vishwas Virmani 91% (18136 ratings)
MPT, BPT
Physiotherapist, Noida
Hi Doctor, I read about periarthritis of shoulder which os also called as frozen shoulder. But in that case there is ...
• Contrast bath---It is a form of treatment shoulder is applied warm water followed by the immediate application of the shoulder with ice water. This procedure is repeated several times, alternating hot and cold. Note that the treatment should always end in the ice water, as heat will induce the body's inflammatory response, while cold helps to decrease inflammation.
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Frozen Shoulder: Ways to Treat it!

Dr. Saurabh Mathur 87% (10 ratings)
MBBS Bachelor of Medicine & Bachelor of Surgery, MS - Orthopaedics, Fellow Sports Medicine SGH Singapore, Fellow Shoulder surgery
Orthopedist, Jaipur
Frozen Shoulder: Ways to Treat it!

Adhesive capsulitis is the medical term for a frozen shoulder, which can be caused due to a variety of reasons. Scar tissues can grow in the shoulder joint when the said joint becomes thicker. This development keeps the shoulder from rotating in a normal manner, which can lead to a frozen shoulder. The most common symptoms of this condition include severe pain and stiffness as well as inflammation. Here are the causes and ways to treat this condition.

Causes: A frozen shoulder can be caused due to a sports injury as well as an accident. Also, a hormonal imbalance can cause this condition. A weak immune system may cause inflammation in various joints of the body, which makes motion difficult. Also, diabetes can give rise to a frozen shoulder as a side effect. If you have a sedentary lifestyle and do not exercise often enough, or have just been through surgery which has led to a prolonged period of inactivity, then you can be prone to this condition. Surgery will also leave your tissue and adhesions sensitive to inflammation. Scar tissue may end up forming in very extreme cases, over a period of at least nine months. This can limit your motion.

Risk Factors: Besides diabetes, hormonal changes and inactivity, people who have been through a stroke or surgery are most susceptible to this condition. Also, patients who are suffering from thyroid disorders can end up developing a frozen shoulder too.

Physical Therapy: One of the most recommended ways to deal with this condition is with physical therapy. This kind of therapy will help you in stretching your shoulder so that you get back some motion over a period of time. This process can take anywhere between a few weeks to a few months, depending on the severity of your condition. You must ask your doctor about other treatment options if this kind of therapy does not show results even after six months of intense and regular practice. Physical therapy can also be practiced at home, once you have learnt the technique from a physiotherapist.

Medication: One of the other ways to deal with a frozen shoulder is with the help of medication. Anti-inflammatory and pain relieving medicines can soothe the discomfort. These include aspirin, ibuprofen, as well as naproxen sodium. Also, if you are undergoing a lot of pain, the doctor can administer a steroid injection in the shoulder joint.

Surgery: If medication and physical therapy do not help in treating the condition effectively, then one can go in for an arthroscopic surgery to remove the scar tissue with a small incision and other kinds of surgery for breaking the adhesions as well.

2 Best Chiropractic Stretches for Frozen Shoulder

Dr. Vishwas Virmani 91% (18136 ratings)
MPT, BPT
Physiotherapist, Noida
2 Best Chiropractic Stretches for Frozen Shoulder

I  Overhead Shoulder Reach

How many times a day do you reach overhead? Chances are it’s not many,our surroundings have become so convenient. The more you practice this movement, the easier common tasks like reaching for a high cabinet door become.

1.Standing with your feet shoulder width apart, reach your right arm straight up toward the ceiling until you feel a stretch in the shoulder along the right side. Then switch arms and reach high with your left arm.

2. For the final movement, reach both arm sup over your head toward the ceiling until you feel a stretch on both sides of your body.

II  Backhand and Forehand Swing

Sports such as golf, tennis, and badminton require excellent shoulder flexibility and strength. Use this dynamic movement as part of an active warm-up. Begin slowly and allow the weight of your arm to gradually increase speed and range of motion.

1.Place your left hand on a wall and extend the arm fully. Reach your right arm across your chest and under your left shoulder by dropping your right shoulder until you feel the stretch in the back of the shoulder.

2.  Complete the backhand by swinging the right arm back through the start position and allowing the momentum to raise the extended arm as high over the right shoulder as possible.

The Importance of Good Posture While Stretching Muscles

The Importance of Good Posture

Good posture is one of the most important and overlooked elements of successful stretching. It not only serves an aesthetic purpose, but good posture aids breathing and physical health, and prevents joint and soft tissue damage.

It’s important to keep a neutral spine while stretching. It’s often easy to arch your back or strain your neck to complete a stretch, but the reality is that you’re compromising the stretch and placing a strain on your joints.

The good standing posture looks like the hips,shoulders, and spine are all aligned and vertical. This is often referred to as ''standing tall''.

2 Best Stretches for Frozen Shoulder

Dr. Vishwas Virmani 91% (18136 ratings)
MPT, BPT
Physiotherapist, Noida
2 Best Stretches for Frozen Shoulder

I  Shoulder Circle Progression

Your shoulder has the greatest range of motion of any joint. It’s also one of the most often injured, thanks to a complex arrangement of ligaments, tendons,bursa sacs, and bones. To keep this joint mobile, it’s critical to stretch your shoulder through its full range of motion every day. This dynamic movement is an excellent way to improve shoulder mobility.

1.Standing with your feet shoulder width apart and your core tightened, start with small circles one arm at a time.Rotate forward 5 circles and backward 5 circles. Switch arms and repeat.

2.  Next make medium size circles. Rotate forward 5 circles and backward 5 circles, and gradually increase the size of the circle as you go. Switch arms and repeat.

3. For the final flow of the movement, progress to the largest circles possible. Rotate forward and then backward 5 to 10 times in each direction.

II  Standing Rotator Cuff

Your rotator cuff is a group of muscles and tendons attached to the bones in the shoulder joint. The combination provides stability to the joint while giving the shoulder 360 degrees of motion. This functional warm-up is a good stretch to prepare for strength training or other fitness activities.

1. Stand tall with your abdominals drawn in and glutes tight. With your elbows at 90 degrees,position your upper arms parallel to the ground. Your palms are facing forward with fingers pointing to the ceiling.

2. Gradually rotate your arms downward until you feel resistance. Slowly return to the start position until you again feel resistance. Continue using controlled momentum in a pain-free zone for one set of 5 to 10 reps.

TIP-- Your shoulders are the most mobile joint in your body. The trade off is they are also the most unstable,which makes them vulnerable to injuries or simple strains. A strong,yet flexible, joint is your first defense.

Treat Frozen Shoulder With Ayurvedic Therapy!

Dr. Sandeep Nirmal 87% (152 ratings)
Bachelor of Ayurveda, Medicine and Surgery (BAMS), Diploma In Panchkarma
Ayurveda, Jhalawar
Treat Frozen Shoulder With Ayurvedic Therapy!
To get faster and better results of the ayurvedic therapies, a change in lifestyle is beneficial. True or False. Take this quiz to know now!
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Exercises That Can Help Treat Frozen Shoulder!

Dr. Grishma Gaikwad 85% (10 ratings)
Bachelor of Physiotherapy
Physiotherapist, Nagpur
Exercises That Can Help Treat Frozen Shoulder!

Frozen shoulder (also known as adhesive capsulitis) is a condition in which the shoulder is stiff, painful, and has limited motion in all directions. A person suffering from a frozen shoulder can be pretty uncomfortable.

Frozen shoulder treatment should be done immediately once it has been detected. Stretching exercises are considered as the best-frozen shoulder treatment exercises. A proper warm up becomes very necessary before any exercise.

Making the area warm by using a heating pad is one of the warm-up methods. However, a warm shower covers it all.

Physiotherapy for frozen shoulder includes various exercises that should be first confirmed by a doctor. There are a number of exercises for frozen shoulder. Some very important frozen shoulder exercises are listed below:

  1. Pendulum Stretch: To start with, you can do the pendulum stretch. This dictates that the shoulders should be in a state of relaxation, initially, following which the arm which is affected should be allowed to hang down slightly. Once this is done, the arm is to be swung in a small circle i.e. about a foot in diameter. This is to be done consistently so that there can be a gradual improvement in the condition. As there is an improvement, the size of the circle can be increased and once the shoulder can take sufficient weight again, minor weights (up to five pounds) can be used.
  2. Finger Walk: A simple exercise which can be done almost anywhere is the finger walk. What this exercise entails is that the person stands about three-fourths of an arm’s length away from a wall and then places his or her fingers on the wall itself, at around the level of the waist. The fingers are to crawl or walk up the wall till the point that it becomes a little uncomfortable. While this is just one repetition, after the fingers have been lowered, it is to be done again. In order to have the best results in combating frozen shoulder, the finger walk exercise is to be repeated about twenty times in a day.
  3. Towel Stretches: Towels do not serve a greater role apart from drying up post a bath or over the course of a visit to the spa, right? Well, this is not really true due to the fact that they can be used to even help with frozen shoulder! Indeed, towel stretches done by holding the towel with each hand across one’s back. The arm which is normal should then pull the affected arm so it is stretched. As is the case with the finger walk, about 20 repetitions a day is ideal for good results.

If one goes a step forward and follows a regime of with all these exercises, the person suffering due to frozen shoulder will be back to normal in almost no time at all! In case you have a concern or query you can always consult an expert & get answers to your questions!

2832 people found this helpful

Frozen Shoulder - 9 Factors That Can Put You At Risk!

Dr. Sanjay Bansal 89% (153 ratings)
MBBS, MS - Orthopaedics, Fellowship Joint Replacement Surgery
Orthopedist, Delhi
Frozen Shoulder - 9 Factors That Can Put You At Risk!

Frozen shoulder is a condition where the patient encounters continuous shoulder stiffness and pain. It could last for several weeks. Inflammation around the shoulder increases the inability to move or stretch properly. This happens when somebody is recovering from an injury. Frozen shoulder can also occur when somebody is wearing a sling or a cast. It also occurs if someone is recovering from surgery or experiencing joint pain. It may also be experienced as a symptom of thyroid, joint disorders or diabetes.

Some of the causes and risk factors for creating a frozen shoulder are as follows:

  1. If you are 40 years or older, your chances of a frozen shoulder are higher than others
  2. Recovering from a damage or surgery
  3. Hormonal imbalance
  4. Ladies are more prone to a frozen shoulder
  5. Cervical disc infection that influences the nerves around the shoulder
  6. Not moving your arm because of other pain or wounds
  7. Having a previous medical condition like diabetes or other heart diseases
  8. Open-heart surgery or spinal surgeries
  9. Poor diet and unhealthy lifestyle

The most widely recognized symptoms of a frozen shoulder include:

  1. Stiffness around the shoulder: this usually happens in one shoulder at a time (not both) and will probably return in the same shoulder. Muscle, joint and bone agony in and around the shoulders or arms may be experienced.
  2. Restricted scope of movement
  3. Having difficulty moving and using the shoulders or arms ordinarily, (for example, experiencing difficulty in getting dressed, driving, holding objects before you, and gestures.)

Treatment:

  1. Stretch the Shoulder: Before beginning shoulder exercises for a frozen shoulder, try to warm up your shoulder by doing a few warm up exercises. This will improve the blood supply in the affected area and avoid future injuries by making your body more comfortable with the motion. The best approach is to extend and warm up the shoulder by applying heat for 10 to 15 minutes, scrubbing down or showering with Epsom salt.
  2. Non-intrusive treatment: While these activities mentioned above can be easily performed at home, if pain continues and makes it difficult to move around or work ordinarily, see a physiotherapist who can appoint particular activities and can enhance your scope of movement, flexibility and strength.
  3. Acupuncture: Acupuncture is considered one of the best treatment choices for any joint and nerve related problem. The treatment is based on focusing on the trigger points of the pain and putting pressure on them via needles. The treatment is not painful and is known to produce good results in the long run.
  4. Dietary Supplements: Various supplements can be taken with the recommendation of a doctor, in order to improve recovery. Alfaifa (horse feed) and turmeric are two of the most regularly recommended elements that relieve swelling and repair the tissue in the shoulder. In case you have a concern or query you can always consult an expert & get answers to your questions!
3761 people found this helpful

How Physiotherapy Helps Manage Shoulder Impingement?

Dr. Ajay Rao 85% (31 ratings)
MBBS, DNB - Orthopedics, Fellowship in Upperlimb and Limb Reconstruction (Australia)
Orthopedist, Bangalore
How Physiotherapy Helps Manage Shoulder Impingement?

Shoulder impingement occurs due to bursitis, tendinitis or bony impingement. Repeated overhead exercises or intense physical activity concentrated around your shoulder is a common risk factor for shoulder impingement. The examples of such activity would include playing outdoor sports like tennis, swimming etc. or painting for long hours. 

How it may affect your daily life?
Shoulder impingement pain is severe in many cases and may affect your everyday activities. In fact, any activity, which involves your shoulders can cause intense pain. You should consult a doctor or a professional medical facility to get relief from pain as well as to avoid aggravating the injury.

Symptoms of shoulder impingement:

  1. You will have difficulty in completing tasks which involve your back.
  2. There may be a weakness in your shoulder muscles.
  3. Pain associated with overhead use of your arm. Anytime you lift your arm there would be pain and would make many day to day activities difficult.
  4. Intense injury to the tendons can cause them to tear into two and would result in a rotator cuff injury and would make your arm movements next to impossible.

Diagnosis of shoulder impingement:
Physical exam and review of medical injury previously sustained on some other occasion is the first step of treatment. Your doctor may also diagnose shoulder impingement by X-rays or MRI of shoulder to see changes in the bone that may indicate any injury. Other changes in the normal contour of the bone may also be checked which may help in further diagnosis and treatment.

Treatment of shoulder impingement:

It should not be given in partial or complete tear of the rotator cuff tendon. NSAIDs are anti-inflammatory medicines that are commonly prescribed for shoulder impingement syndrome. These are prescribed for two weeks. Shoulder impingement requires a long time to heal and would require regular consultation with your doctor. If the medications fail to provide any relief in a span of maximum two weeks it may compel your doctor to change the course of treatment. Shoulder impingement is a serious injury and requires proper rest for your shoulder as well as patience as it may take quite some time to come back to normal.

Corticosteroid injection is helpful in relevant pain as it reduces inflammation. It should not be given in partial or complete tear of the rotator cuff tendon.

In the shoulder, they are particularly useful in the management of:

  1. Rotator cuff disease (degenerative tendonosis, impingement, subacromial bursitis)
  2. Adhesive capsulitis (or ‘frozen shoulder’)
  3. Glenohumeral osteoarthritis
  4. Acromioclavicular joint disease (osteoarthritis or osteolysis)

Physiotherapy for Impingement:

Physiotherapy is usually the first line of treatment for subacromial impingement (tendonitis, bursitis) of the shoulder; along with anti-inflammatories and analgesia. It is very successful in treating shoulder impingement syndrome. You will work with your physical therapist to devise a treatment plan that is specific to your condition and goals. Your individual treatment program may include:

  1. Pain Management
  2. Manual techniques, such as gentle joint movements, soft-tissue massage, and shoulder stretches to get your shoulder moving properly.
  3. You will learn exercises and stretches to help your shoulder and shoulder blade move properly.
  4. Strengthening Exercises
  5. The therapist will teach you the proper posture which is an important part of rehabilitation
  6. ultrasound Massage

And in case physiotherapy fails, arthroscopic sub acromial decompression is the best treatment option. 

2694 people found this helpful

Frozen Shoulder - 4 Common Ways It Can Be Treated!

Dr. Rakesh Kumar 90% (109 ratings)
MS - Orthopaedics, MBBS
Orthopedist, Delhi
Frozen Shoulder - 4 Common Ways It Can Be Treated!

Frozen shoulder is a condition where the patient encounters continuous shoulder stiffness and pain. It could last for several weeks. Inflammation around the shoulder increases the inability to move or stretch properly. This happens when somebody is recovering from an injury. Frozen shoulder can also occur when somebody is wearing a sling or a cast. It also occurs if someone is recovering from surgery or experiencing joint pain. It may also be experienced as a symptom of thyroid, joint disorders or diabetes.

Some of the causes and risk factors for creating a frozen shoulder are as follows:

  1. If you are 40 years or older, your chances of a frozen shoulder are higher than others
  2. Recovering from a damage or surgery
  3. Hormonal imbalance
  4. Ladies are more prone to a frozen shoulder
  5. Cervical disc infection that influences the nerves around the shoulder
  6. Not moving your arm because of other pain or wounds
  7. Having a previous medical condition like diabetes or other heart diseases
  8. Open-heart surgery or spinal surgeries
  9. Poor diet and unhealthy lifestyle

The most widely recognized symptoms of a frozen shoulder include:

  1. Stiffness around the shoulder: this usually happens in one shoulder at a time (not both) and will probably return in the same shoulder. Muscle, joint and bone agony in and around the shoulders or arms may be experienced.
  2. Restricted scope of movement
  3. Having difficulty moving and using the shoulders or arms ordinarily, (for example, experiencing difficulty in getting dressed, driving, holding objects before you, and gestures.)

Treatment:

  1. Stretch the Shoulder: Before beginning shoulder exercises for a frozen shoulder, try to warm up your shoulder by doing a few warm up exercises. This will improve the blood supply in the affected area and avoid future injuries by making your body more comfortable with the motion. The best approach is to extend and warm up the shoulder by applying heat for 10 to 15 minutes, scrubbing down or showering with Epsom salt.
  2. Non-intrusive treatment: While these activities mentioned above can be easily performed at home, if pain continues and makes it difficult to move around or work ordinarily, see a physiotherapist who can appoint particular activities and can enhance your scope of movement, flexibility and strength.
  3. Acupuncture: Acupuncture is considered one of the best treatment choices for any joint and nerve related problem. The treatment is based on focusing on the trigger points of the pain and putting pressure on them via needles. The treatment is not painful and is known to produce good results in the long run.
  4. Dietary Supplements: Various supplements can be taken with the recommendation of a doctor, in order to improve recovery. Alfaifa (horse feed) and turmeric are two of the most regularly recommended elements that relieve swelling and repair the tissue in the shoulder.

Frozen Shoulder - Physiotherapy For It?

Dr. Anuradha Sharma 91% (14348 ratings)
MPT - Orthopedic Physiotherapy, BPTh/BPT
Physiotherapist, Noida
Frozen Shoulder - Physiotherapy For It?

Frozen shoulder is a condition when somebody encounters continuous shoulder stiffness and pain. It could last for weeks. It is likely to occur when swelling increases around the shoulder which reduces inability to move or stretch properly. This ordinarily happens when somebody is recovering from an injury. Frozen shoulder at times happens when somebody is wearing a sling or a cast. It also occurs, if someone is recovering from surgery, experiencing joint pain or facing restraint of movement for other reasons.

A frozen shoulder can go on from a couple of months to as much as 3 years and the precise cause is unknown. Physiotherapy is often to treat this condition. It has been found that posture plays a huge part in your recovery from a frozen shoulder. The urgent goal is to get the shoulder join moving once again. The sooner this is done, the better are the odds of a quick recovery. Anti-inflammatory medicines, heat application and delicate stretching activities are performed with the assistance of a physiotherapist.

Physiotherapy is very crucial for a frozen shoulder since it is very difficult to get movement in the stiff joint without any exercise, stretching or other methods used by a physiotherapist. It is mostly crucial to get physiotherapy to:

  1. To reduce pain in the shoulder
  2. To increase the flexibility and strength of the shoulder
  3. To enhance movement of the shoulder.
  4. To increase endurance of the muscles

Physiotherapy treatment for a frozen shoulder depends on the stage you are on and is customized according to the needs of your condition. Physiotherapy treatments for a frozen shoulder include:

  1. Pain relief: Pain diminishing techniques including gentle shoulder movement exercises, muscle releases, needle therapy, dry needling and kinesiology taping for pain can help during the painful swelling phase.
  2. Defrosting: Shoulder mobilization and stretching are the best in order to achieve a full shoulder recovery. As your scope of movement increases, your physiotherapist will then be able to give you muscle strengthening exercises to control and keep up your recently found range of movement.
  3. Warm Up: Before beginning shoulder exercises for a frozen shoulder, try to warm up your shoulder keeping in mind the end goal. That is to help blood supply in the affected area and avoid future injuries. The best approach is to extend and warm up the shoulder by applying heat for 10 to 15 minutes, scrubbing down or showering with Epsom salt.

Physiotherapy does not bring out immediate results, but gradually. Flexibility will increase gradually. One should keep in mind, not to stretch their shoulder too quickly at once. This can lead to a ligament tear. The exercises should be tender and gradual. In case you have a concern or query you can always consult an expert & get answers to your questions!

3462 people found this helpful
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