Frozen Shoulder : Causes, Symptoms, and Easy & affordable Treatment Options near you

Frozen Shoulder: Causes, Symptoms, and Easy & affordable Treatment Options near you

Frozen shoulder, or adhesive capsulitis, is a painful condition that can limit shoulder movement and affect your quality of life. If you’re struggling with frozen shoulder, physiotherapy can be a highly effective treatment option. A physiotherapist can work with you to develop a personalized treatment plan that may include exercises, manual therapy, and modalities such as heat and ultrasound therapy. These techniques can help alleviate pain, reduce inflammation, and improve mobility in the shoulder joint. Physiotherapy can also help prevent the condition from recurring and improve your overall shoulder function. Contact HirePhysio.com today to hire a physio and learn more about how we can help you overcome frozen shoulder and get back to enjoying your daily activities.

WHAT IS FROZEN SHOULDER

Frozen shoulder, also known as adhesive capsulitis, is a condition that affects the shoulder joint and causes pain and stiffness. It occurs when the capsule that surrounds the shoulder joint becomes thick, tight, and inflamed, leading to a restriction in movement.

Frozen Shoulder: Causes, Symptoms, and Easy & affordable Treatment Options near you

WHAT KIND OF PEOPLE USUALLY GETS FROZEN SHOULDER

Frozen shoulder can affect people of any age, but it is more common in individuals aged 40 to 60 years old. Women are more likely to develop frozen shoulder than men.

There are several risk factors that can increase the likelihood of developing frozen shoulder, including:

1. Diabetes: People with diabetes are at a higher risk of developing frozen shoulder, as high blood sugar levels can damage the shoulder joint.
2. Previous shoulder injury or surgery: Individuals who have had a previous shoulder injury or surgery are more likely to develop frozen shoulder.
3. Immobility: People who are immobilized for an extended period due to a medical condition or surgery are at risk of developing frozen shoulder.
4. Autoimmune diseases: Certain autoimmune diseases, such as rheumatoid arthritis, can increase the risk of developing frozen shoulder.
5. Other medical conditions: People with heart disease, Parkinson’s disease, and hypothyroidism are also at a higher risk of developing frozen shoulder.

Why do diabetic people get frozen shoulder

Diabetic people are more prone to developing frozen shoulder due to a condition called diabetic shoulder.

Diabetes can cause various changes in the body, including changes to the connective tissues and blood vessels. These changes can lead to a thickening and tightening of the shoulder capsule, which can cause frozen shoulder.

Additionally, high blood sugar levels in diabetic individuals can lead to the accumulation of advanced glycation end-products (AGEs) in the shoulder joint, which can contribute to the development of frozen shoulder.

It’s important for diabetic individuals to maintain good blood sugar control and seek early treatment if they experience shoulder pain or stiffness to prevent the development of frozen shoulder. Regular physical activity, maintaining a healthy diet, and monitoring blood sugar levels can also help prevent diabetic shoulder and other diabetes-related complications.

WHAT ARE THE CAUSES OF FROZEN SHOULDER

The exact causes of frozen shoulder are not fully understood, but there are several factors that may contribute to its development.

1. Inflammation: Inflammation in the shoulder joint can cause thickening and tightening of the capsule, which can lead to frozen shoulder.
2. Immobility: Immobilization of the shoulder joint due to injury, surgery, or prolonged bed rest can cause frozen shoulder.
3. Trauma: Trauma to the shoulder, such as a fall or injury, can cause frozen shoulder.
4. Medical conditions: Certain medical conditions, such as diabetes, autoimmune diseases, and thyroid disorders, can increase the risk of developing frozen shoulder.
5. Hormonal imbalances: Hormonal imbalances, particularly in women, may contribute to the development of frozen shoulder.
6. Age and gender: Frozen shoulder is more common in individuals aged 40 to 60 years old and in women.
7. Genetics: There may be a genetic component to the development of frozen shoulder, as it can sometimes run in families.

WHAT ARE THE SYMPTOMS OF FROZEN SHOULDER

The primary symptom of frozen shoulder is pain and stiffness in the shoulder joint, which can gradually worsen over time. In physiotherapy, the symptoms of frozen shoulder are typically divided into three stages:

1. Freezing stage: During this stage, the shoulder becomes increasingly painful and stiff, making it difficult to move. The pain is often felt deep in the shoulder and may be worse at night. This stage can last for several weeks to several months.
2. Frozen stage: During this stage, the pain may begin to subside, but the shoulder remains stiff, making it difficult to perform daily activities. This stage can last for several months to a year.
3. Thawing stage: During this stage, the stiffness gradually improves, and the range of motion of the shoulder joint returns. This stage can last several months to a year.

Other symptoms of frozen shoulder may include:

1. Limited range of motion in the shoulder joint
2. Difficulty performing daily activities, such as reaching or lifting
3. Muscle weakness in the shoulder
4. Shoulder pain that radiates down the arm
5. Stiffness or pain in the neck or upper back

DIFFERENT WAYS TO DIAGNOSIS FROZEN SHOULDER IN PHYSIOTHERAPY BY PHYSIOTHERAPIST ?

There are several ways in which a physiotherapist may diagnose frozen shoulder. Here are some of the most common methods:

1. Patient History: A physiotherapist will begin by taking a detailed patient history, including the duration and severity of symptoms, any previous injuries or medical conditions, and any relevant lifestyle factors.
2. Physical Examination: A thorough physical examination is essential to diagnose frozen shoulder. The physiotherapist will assess the patient’s shoulder range of motion, strength, and any areas of tenderness or pain. The physiotherapist may also perform specific tests, such as the “passive forward flexion test” or “external rotation test,” to help confirm the diagnosis of frozen shoulder.
3. Imaging Tests: In some cases, imaging tests such as X-rays, ultrasound, or MRI may be ordered to rule out other conditions or to confirm the diagnosis of frozen shoulder.
4. Arthroscopy: In some cases, a minimally invasive procedure called arthroscopy may be used to diagnose frozen shoulder. This involves inserting a small camera through a small incision in the shoulder joint to examine the tissues and structures in the shoulder.

Overall, a combination of patient history, physical examination, and imaging tests is usually used to diagnose frozen shoulder in physiotherapy.

HOW MUCH TIME IT TAKES TO TREAT FROZEN SHOULDER IN PHYSIOTHERAPYBY PHYSICAL THERAPY ?

The duration of treatment for frozen shoulder in physiotherapy varies depending on the severity and underlying cause, but it typically takes several weeks to several months. Recovery can be slow and gradual, and it may take several months to regain full range of motion and function.

WHAT ARE THE PHYSIOTHERAPY TREATMENT FOR FROZEN SHOULDER IN PHYSIOTHERAPY

Here are the physiotherapy treatments for frozen shoulder in detail, step by step with bold headings:

1. Assessment and Evaluation: The first step in treating frozen shoulder is to assess the severity of the condition and develop a personalized treatment plan. The physiotherapist will take a detailed patient history and perform a thorough physical examination to assess the range of motion, strength, and any areas of tenderness or pain in the shoulder joint.
2. Pain Management: Pain relief is an essential part of the treatment plan for frozen shoulder. The physiotherapist may use a combination of modalities such as heat or cold therapy, ultrasound, or transcutaneous electrical nerve stimulation (TENS) to help manage pain.
3. Range of Motion Exercises: Range of motion exercises are a critical part of the treatment plan for frozen shoulder. These exercises aim to improve the flexibility and mobility of the shoulder joint. The physiotherapist will prescribe specific exercises based on the individual’s needs and may include stretching, passive range of motion exercises, and active range of motion exercises.
4. Strengthening Exercises: Strengthening exercises are essential to restore strength and function to the shoulder joint. The physiotherapist will prescribe specific exercises to target the muscles in the shoulder joint and may include resistance band exercises, weight lifting, or manual resistance exercises.
5. Manual Therapy: Manual therapy techniques such as joint mobilization or soft tissue massage can help improve range of motion and reduce pain and stiffness in the shoulder joint. The physiotherapist may use these techniques in conjunction with other treatments to help speed up the recovery process.
6. Patient Education: Educating the patient on the condition and treatment plan is essential to the success of the treatment. The physiotherapist will provide guidance on proper posture, exercises to perform at home, and strategies to prevent further injury or reoccurrence of the condition.
7. Follow-up and Progression: Regular follow-up appointments with the physiotherapist are necessary to monitor progress and adjust the treatment plan as needed. The physiotherapist may also gradually increase the intensity and complexity of exercises as the patient progresses in their recovery.

In summary, physiotherapy treatment for frozen shoulder includes assessment and evaluation, pain management, range of motion exercises, strengthening exercises, manual therapy, patient education, and regular follow-up and progression. Following a structured treatment plan and working closely with a physiotherapist can help manage symptoms, improve function, and prevent long-term complications.

WHAT ARE THE CHIROPRACTOR TREATMENT FOR FROZEN SHOULDER

It is important to note that chiropractors are not typically the first-line healthcare providers for treating frozen shoulder. However, here are some potential chiropractic treatments that may be used in conjunction with physiotherapy:

1. Assessment and Evaluation: As with physiotherapy, the first step in treating frozen shoulder by a chiropractor is to assess the severity of the condition and develop a personalized treatment plan. The chiropractor will take a detailed patient history and perform a thorough physical examination to assess the range of motion, strength, and any areas of tenderness or pain in the shoulder joint.
2. Chiropractic Adjustments: Chiropractic adjustments involve the manipulation of the spine or other joints to help improve joint function, reduce pain, and restore mobility. Chiropractors may use adjustments to the spine or shoulder joint to help improve the range of motion and reduce pain associated with frozen shoulder.
3. Soft Tissue Therapy: Soft tissue therapy involves the manipulation of muscles, tendons, and ligaments to help reduce pain and stiffness associated with frozen shoulder. Chiropractors may use techniques such as myofascial release, trigger point therapy, or massage to help improve the range of motion and reduce pain in the shoulder joint.
4. Acupuncture: Acupuncture involves the insertion of fine needles into specific points on the body to help reduce pain and improve function. Chiropractors may use acupuncture as part of a comprehensive treatment plan for frozen shoulder.
5. Therapeutic Exercise: Chiropractors may prescribe specific exercises to help improve range of motion, flexibility, and strength in the shoulder joint. These exercises may be performed under the guidance of the chiropractor or at home.
6. Patient Education: As with physiotherapy, educating the patient on the condition and treatment plan is essential to the success of the treatment. Chiropractors may provide guidance on proper posture, exercises to perform at home, and strategies to prevent further injury or reoccurrence of the condition.
7. Follow-up and Progression: Regular follow-up appointments with the chiropractor are necessary to monitor progress and adjust the treatment plan as needed. The chiropractor may also gradually increase the intensity and complexity of exercises as the patient progresses in their recovery.

WHAT ARE THE ACCUPRESSURE OR ACCUPUNTURIST TREATMENT FOR FROZEN SHOULDER

Acupressure and acupuncture are both forms of traditional Chinese medicine that use pressure or needles to stimulate specific points on the body to relieve pain and promote healing. While they are not typically the first-line treatment options for frozen shoulder, they may be used in conjunction with physiotherapy and other treatments. Here are some potential treatments that acupressurists or acupuncturists may use to treat frozen shoulder:

1. Assessment and Evaluation: The first step in treating frozen shoulder by an acupressurist or acupuncturist is to assess the severity of the condition and develop a personalized treatment plan. The practitioner will take a detailed patient history and perform a thorough physical examination to assess the range of motion, strength, and any areas of tenderness or pain in the shoulder joint.
2. Acupressure: Acupressure involves applying pressure to specific points on the body using fingers, hands, or elbows. The practitioner may apply pressure to points on the shoulder, arm, and other areas of the body to help improve circulation, reduce pain, and promote healing.
3. Acupuncture: Acupuncture involves the insertion of fine needles into specific points on the body to help improve energy flow and reduce pain. The practitioner may insert needles into points on the shoulder, arm, and other areas of the body to help improve circulation, reduce pain, and promote healing.
4. Cupping: Cupping involves placing cups on the skin to create a vacuum and promote blood flow. The practitioner may place cups on the shoulder or other areas of the body to help improve circulation, reduce pain, and promote healing.
5. Moxibustion: Moxibustion involves burning a small amount of the herb mugwort near specific points on the body to help improve energy flow and reduce pain. The practitioner may use moxibustion on points on the shoulder or other areas of the body to help improve circulation, reduce pain, and promote healing.
6. Patient Education: Educating the patient on the condition and treatment plan is essential to the success of the treatment. The practitioner may provide guidance on lifestyle changes, dietary modifications, and strategies to prevent further injury or reoccurrence of the condition.
7. Follow-up and Progression: Regular follow-up appointments with the acupressurist or acupuncturist are necessary to monitor progress and adjust the treatment plan as needed.

WHAT ARE YOGA TREATMENT FOR FROZEN SHOULDER

Yoga is a form of exercise that involves physical postures, breathing techniques, and meditation. It can be a beneficial addition to a treatment plan for frozen shoulder, as it can help improve range of motion, strength, and flexibility. Here are some potential yoga treatments that may be used to treat frozen shoulder:

1. Assessment and Evaluation: The first step in treating frozen shoulder with yoga is to assess the severity of the condition and develop a personalized treatment plan. The practitioner will take a detailed patient history and perform a thorough physical examination to assess the range of motion, strength, and any areas of tenderness or pain in the shoulder joint.
2. Gentle stretches: Gentle stretches can help improve flexibility and reduce pain in the shoulder joint. A yoga practitioner may recommend stretches such as arm circles, shoulder shrugs, and arm swings to help improve range of motion.
3. Supported poses: Supported yoga poses can help alleviate pain and tension in the shoulder joint. A practitioner may recommend poses such as the seated forward bend or the child’s pose to help stretch the muscles in the shoulder and reduce pain.
4. Breathing techniques: Breathing techniques such as pranayama can help reduce stress and tension in the body, which can contribute to frozen shoulder. A yoga practitioner may teach patients to practice deep breathing exercises to help reduce pain and promote relaxation.
5. Mindfulness meditation: Mindfulness meditation can help patients manage pain and stress associated with frozen shoulder. A yoga practitioner may teach patients to practice mindfulness meditation to help reduce pain and promote relaxation.
6. Patient Education: Educating the patient on the condition and treatment plan is essential to the success of the treatment. The practitioner may provide guidance on lifestyle changes, dietary modifications, and strategies to prevent further injury or reoccurrence of the condition.
7. Follow-up and Progression: Regular follow-up appointments with the yoga practitioner are necessary to monitor progress and adjust the treatment plan as needed.

Here are some yoga poses that may be helpful for frozen shoulder:

1. Tadasana (Mountain Pose): This pose can help to improve posture and increase range of motion in the shoulder joint.
2. Gomukhasana (Cow Face Pose): This pose can help to stretch the shoulders and improve flexibility in the joint.
3. Garudasana (Eagle Pose): This pose can help to improve circulation and mobility in the shoulders.
4. Ardha Matsyendrasana (Half Lord of the Fishes Pose): This pose can help to improve spinal mobility and gently stretch the shoulders.
5. Balasana (Child’s Pose): This pose can help to release tension in the shoulders and upper back.

In summary, yoga treatment for frozen shoulder may involve assessment and evaluation, gentle stretches, supported poses, breathing techniques, mindfulness meditation, patient education, and regular follow-up and progression. It is important to note that yoga treatment for frozen shoulder is not typically the first-line treatment option and should be used in conjunction with other treatments such as physiotherapy.

WHAT DO’S AND DON’TS ADVICE IS GIVEN TO PATIENTS HAVING FROZEN SHOULDER

Patients with frozen shoulder will typically receive advice on what to do and what to avoid to help manage their condition. Here are some common do’s and don’ts advice given to patients:

Do’s:

1. Perform range of motion exercises: Your physiotherapist will provide you with a set of range of motion exercises to improve the mobility of your shoulder joint. Make sure to perform these exercises as advised by your physiotherapist.
2. Maintain good posture: Maintaining good posture can help prevent further stress on your shoulder joint. Avoid hunching your shoulders or slouching.
3. Use heat therapy: Applying heat therapy to your shoulder can help relieve pain and stiffness. You can use a heating pad or take a warm shower to provide heat therapy.
4. Use assistive devices: Using assistive devices like a sling or a shoulder immobilizer can help reduce stress on your shoulder joint and prevent further injury.

Don’ts:

1. Avoid overusing your shoulder: Avoid activities that require repetitive or overhead arm movements like lifting heavy objects or playing sports.
2. Avoid sudden jerking movements: Avoid sudden jerking movements of your arm or shoulder that can cause injury or further aggravate your frozen shoulder.
3. Don’t sleep on the affected side: Sleeping on the affected side can increase the pain and stiffness in your shoulder joint. Sleep on your back or the unaffected side instead.
4. Avoid carrying heavy bags: Avoid carrying heavy bags or backpacks on your affected shoulder. This can put undue stress on your shoulder joint and aggravate the condition.

WHAT ARE THE RECOMMENDED SIMPLE STREGTHENING, SUPPORTING DEVICES OR BANDS AND EXERCISE MACHINES , BOOKS , OTHERS FOR FROZEN SHOULDER IN PHYSIOTHERAPY PERSON FOR EASY AND QUICK TREATMENT OR RECOVERY?

Here are the recommended simple strengthening, supporting devices or bands, exercise machines, books, and other resources for frozen shoulder in physiotherapy in point form:

• Strengthening exercises:
  • Shoulder stretches
  • Pendulum exercises
  • Wall push-ups
  • Towel stretches
• Supporting devices or bands:
  • Shoulder slings
  • Immobilizers
• Exercise machines:
  • Theraband and resistance bands
  • Rowing machines
  • Elliptical trainers
• Books:
  • “Frozen Shoulder Workbook: Trigger Point Therapy for Overcoming Pain and Regaining Range of Motion” by Clair Davies
  • “The Frozen Shoulder: Workbook: Trigger Point Therapy for Overcoming Pain & Regaining Range of Motion” by Clair Davies.
• Other resources:
  • Online videos and tutorials on websites like YouTube and Physiopedia
  • Online resources provided by physiotherapy clinics.

DIET PLAN FOR VEGETARIAN , NON-VEGETARIAN AND VEGAN FOR PERSON SUFFERING FROM FROZEN SHOULDER

Here is a diet plan for frozen shoulder for vegetarians, non-vegetarians, and vegans:

Vegetarian Diet Plan:

• High protein foods: Include tofu, lentils, chickpeas, beans, nuts, and seeds in your diet.
• Whole grains: Include brown rice, quinoa, whole wheat bread, and whole wheat pasta to provide adequate fiber, vitamins, and minerals.
• Healthy fats: Consume sources of healthy fats like nuts, seeds, olive oil, and avocados.
• Calcium-rich foods: Include low-fat dairy products, green leafy vegetables, and fortified plant-based milks to help maintain strong bones and joints.
• Antioxidant-rich foods: Include fruits, vegetables, and whole grains like blueberries, strawberries, spinach, and sweet potatoes.

Non-Vegetarian Diet Plan:

• Lean protein: Consume lean sources of protein like chicken, turkey, fish, and eggs.
• Whole grains: Include brown rice, quinoa, whole wheat bread, and whole wheat pasta to provide adequate fiber, vitamins, and minerals.
• Healthy fats: Consume sources of healthy fats like nuts, seeds, olive oil, and avocados.
• Calcium-rich foods: Include low-fat dairy products, green leafy vegetables, and fortified plant-based milks to help maintain strong bones and joints.
• Antioxidant-rich foods: Include fruits, vegetables, and whole grains like blueberries, strawberries, spinach, and sweet potatoes.

Vegan Diet Plan:

• Protein-rich foods: Consume sources of protein like tofu, tempeh, beans, lentils, nuts, and seeds.
• Whole grains: Include brown rice, quinoa, whole wheat bread, and whole wheat pasta to provide adequate fiber, vitamins, and minerals.
• Healthy fats: Consume sources of healthy fats like nuts, seeds, olive oil, and avocados.
• Calcium-rich foods: Include green leafy vegetables, fortified plant-based milks, and calcium-set tofu to help maintain strong bones and joints.
• Antioxidant-rich foods: Include fruits, vegetables, and whole grains like blueberries, strawberries, spinach, and sweet potatoes.

It’s important to note that a balanced diet is essential for overall health and wellbeing, and consulting a registered dietitian can help tailor a diet plan to individual needs and preferences.

FAQ on Frozen Shoulder

What is frozen shoulder?

Frozen shoulder, also known as adhesive capsulitis, is a condition characterized by pain and stiffness in the shoulder joint. It occurs when the shoulder capsule, the connective tissue that surrounds the joint, thickens and tightens, restricting movement and causing pain.

What are the symptoms of frozen shoulder?

The main symptoms of frozen shoulder include pain, stiffness, and limited range of motion in the shoulder joint. These symptoms typically develop gradually over time and can last for months or even years.

What causes frozen shoulder?

The exact cause of frozen shoulder is not known, but there are several risk factors that can increase your chances of developing the condition, including age, gender, diabetes, and previous shoulder injuries.

How is frozen shoulder diagnosed?

To diagnose frozen shoulder, your doctor or physiotherapist will typically perform a physical exam, review your medical history, and order imaging tests such as X-rays or an MRI.

What are the treatment options for frozen shoulder?

Treatment for frozen shoulder typically involves a combination of physiotherapy, pain management, and self-care measures such as exercise and stretching. In some cases, surgery may be required to loosen the shoulder joint capsule.

How long does it take to recover from frozen shoulder?

The recovery time for frozen shoulder can vary depending on the severity of the condition and the treatment methods used. In general, it can take several months to a year or more to fully recover from frozen shoulder.

Can frozen shoulder be prevented?

While there is no guaranteed way to prevent frozen shoulder, there are several steps you can take to reduce your risk of developing the condition, including staying active and exercising regularly, maintaining good posture, and avoiding shoulder injuries.

Q: Is surgery always necessary for frozen shoulder? A: No, surgery is not always necessary for frozen shoulder. Most cases can be treated with conservative measures such as physical therapy and pain management. Surgery may be considered in rare cases where conservative treatment fails, but it is typically seen as a last resort.

Q: How long can frozen shoulder last? A: Frozen shoulder can last anywhere from several months to several years, depending on the severity and treatment approach. In some cases, the condition may resolve on its own without any intervention. However, seeking prompt treatment can help speed up the recovery process.

Q: Can frozen shoulder occur in both shoulders at the same time? A: While it is rare, frozen shoulder can occur in both shoulders at the same time. However, it is more common for the condition to affect one shoulder first, with the other shoulder developing symptoms later on.

Q: Can frozen shoulder recur after treatment? A: While it is uncommon for frozen shoulder to recur after successful treatment, it is possible for the condition to return. Maintaining a regular exercise and stretching routine, maintaining good posture, and managing underlying conditions can help prevent the condition from recurring.

Q: Which movement is most restricted in frozen shoulder? And why?

A: In frozen shoulder, also known as adhesive capsulitis, the most restricted movement is usually external rotation of the shoulder. This means rotating the upper arm bone away from the body, as if reaching to grab something behind the back. The reason for this restriction is due to the tightening and thickening of the capsule that surrounds the shoulder joint. The capsule becomes inflamed and forms adhesions, which limit the joint’s ability to move. As a result, it can be difficult and painful to lift the arm or perform overhead activities, and there is typically a loss of range of motion in all directions. Other common movements that can be affected by frozen shoulder include internal rotation and abduction (lifting the arm out to the side). Frozen shoulder typically progresses through three stages: freezing, frozen, and thawing. During the freezing stage, pain and inflammation are the primary symptoms, and range of motion begins to decrease. In the frozen stage, pain may decrease but stiffness and limited mobility become more pronounced. In the thawing stage, range of motion gradually improves, and pain subsides.

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