How to Avoid a Frozen Shoulder

[taffytop]

I think you should have turned on the heating on, she looks cold

[ottomango]

nips

[CTmassagetherapy]

I appreciate the video on this subject. I see a fair amount of adhesive capsulitis, and this kind of video is great to have out there. Thanks!

[n0194318]

hi, i play rugby and around 3 months ago i received a stinger to each of my shoulders at separate occasions after tackling the opposition in 1 particular game. following the injury i had to come off as i was not able to play any more due to the pain. i sat out a few weeks as my right shoulder particularly was numb, tingley and had no real strength in it. my left shoulder is painful from time to time but still has around the same strength as always. my rugby physio has instructed me that there is

[n0194318]

nothing that i can do to help my right shoulder along as it is nerve damage or a pinch of the nerve and i am basically playing a waiting game for it to come back around. but after all this time there has been no great progression, and i wanted to ask your advice as to where i should go from here. are there any forms of rehab i can do to strengthen my shoulder for this type of injury??

[n0194318]

i am at a loose end as the research i have done on this type of injury has led me to no cure as yet for my muscle weakness, i know i do not have a herniated disc or any other spinal injury, i am wondering if i have a rotator cuff injury? PLEASE HELP! many thanks

[cervelo58]

@n0194318 Stingers are neck/brachial plexus injuries to the nerve. You feel them in the arms but the problem is in the neck. If you've had more than one or the stinger doesn't go away within 30 seconds you need to get to a doctor or a physical therapist to have your neck evaluated.

Tim

[cervelo58]

You may be performing "scapulo-thoracic substitution". That´s a fancy way of saying your shoulder blade, but not your shoulder joint (the ball-and-socket) is moving. Try lifting your arm behind your back like you´re fastening your bra or reching for your billfold. This can alao be a useful exercise.

Tim

[Duet4Peace]

So does this exercise help if you already have frozen shoulder? It feels quite comfortable doing that movement...

[bloodcorer]

how does your shoulder get frozen?

[MachineAmbition]

She is extremely thin.

[h5y]

Hmm my left shoulder wishes this video was entirely true.

[VooDooBeATzZ]

Never say never :)

[nigs08]

i 100% agree that it is pathological! but it IS idiopathic. the tissue response to the injury is extremely exaggerated and this exaggerated response is unknown and thus idiopathic. Even the suffix 'itis' in capsulitis is misleading as it is usually in the absence of inflamitory cells for the majority of its natural history. This kind of explains why manual therapy usually fails; as a pure mechanical problem isnt fixed with a purely mechanical treatment.

[nigs08]

im not trying to argue or what ever. i am a 4th year chiropractic student and putting my point across as i have read the research on FS a while ago and have come across a few cases at work. my clinical experience is next to none. So unfortunatly my expirence only come from books. I do find it interesting that its the chiro's that are meant to be un-scientific when this video has been said TO PREVENT FS; which it cannot. on the otherside there is no quality stuff on here for chiropractic.

[nigs08]

i will hopefully have some neurology stuff up in the next 6 months or so to try and stop all this uneducated bone out of place hypothesis crap and explain the effects of spinal manipulative therapy in terms of functional neurology that is in all our textbooks

[nigs08]

its idiopathic, and not been shown to be due to what you said. i totally agree that this exercise cant be that effective in p[reventing FS especially due to the capsular pattern of the shoulder being external rotation first. even if it were to include stretching of the capsular pattern it denies the pathophysiology which seems to be idiopathic fibroblastic hyperlasia which may or may not be due to exersion, injury, or hypoxia

[TimeSpace111]

I actually got frozen shoulder a few years ago from just turning over in bed and laid on my shoulder wrong. Very soon I could fasten my bra.  If I jarred my body the pain was excruciating. I kept waiting for it to get better - it didn't. Had to get a cortisone injection in my shoulder before I could do therapy. Let me tell you, the therapy is NO fun, painful but worked. Some people have to have surgery.

[TimeSpace111]

Just recently I developed it in the other shoulder from overusing the computer. This was my own diagnosis. The therapist told me if I was to ever get frozen shoulder again that I could do the exercises myself to break it loose, so that's what I started doing the other day. It's working; there is still one area that I'm working on. I came here to see how to prevent it. SO SIMPLE !! Thank you !!

[astreaNght]

Wow, was that so simple? I wish someone told me that before I've got it. Two years later it's still not 100% restored. I testify: you definitely want to avoid that condition. It's debilitating, frustrating and to begin with terribly painful.

How many time should one lift the arms during the exercise routine??

[cervelo58]

Xanuel3,

Correct - that is what the textbooks say. There is an association with rotator cuff tear and co-incident adhesive capsulitis but not in every case.

"theawakener7" had a comment about strain which seems plausible but has not been shown in the literature.

Tim

[Xanuel3]

actually this is a idiopathic disease and the cause is not known but there are risk factors that make pts more susceptible to getting it

[nigs08]

thats right! trauma and concomitant diseases such as hyperthyroidism, diabetes mellitus, and hypertriglyceridemia (sorry about the spelling). anyone with adhesive capsulitis and not have one of these conditions known should be referred for further investigation to rule this out.

[imwastingmytime9]

doctor tim,

i believe I have tendonitis but the pain is gone. still really really weak. can i just keep stretching it and hope it gets better?

[usapt97]

If patient has increased thoracic kyphosis, then achieving this ROM will be impossible w/out postural correction first.

[cervelo58]

Correct.

I do recommend concurrent posture training and AROM.

Tim

[sinfuldavy0]

you mentioned that this exercise should be done 1 time per day but did not say how many repetitions should be done during a set.

[OghamTheBold]

I was looking for 'trapped nerve' (no guesses why) - I soon found it was 'frozen shoulder'

It says 'Avoid' and 'prevent' in this vid - but they should add 'cure'