Frozen Shoulder – The Mystery & Misery

Dr. Neha Gidwani

Dr. Neha Gidwani

MPT Sports & Exercise Science

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Frozen shoulder is a fairly common condition that leads to pain and stiffness of the shoulder.

The condition is most common in people in their 50s and 60s and rarely affects anyone younger than 40. Women are more often affected than men.

The stiffness may affect your ability to carry out everyday activities. In particularly severe cases, you may not be able to move your shoulder at all.

It  also seems to be more common among:

People who have been immobilized for prolonged periods

People who have had a stroke

People who have Parkinson disease

People who have taken antiretroviral medications (particularly medications called protease inhibitors) to treat HIV infection

People who have diseases affecting the thyroid gland, a gland in the neck that produces hormones that control how the body uses and stores energy.

 

Of the number of cases we have treated at Krumur Clinic, we have seen a pattern of biomechanical imbalances developed over years which lead to the joints becoming inflamed and scar tissues being formed. As this happens, the tissues inside the shoulder joint shrink and harden, making the shoulder harder to move.

People who have frozen shoulder often go through 2 phases of symptoms:

  • The 1st phase lasts 2 to 9 months and involves severe & disabling shoulder pain that is worse at night. During this phase, the shoulder becomes increasingly stiff.
  • The 2nd (intermediate) phase lasts 4 to 12 months. During this phase, the shoulder becomes very stiff and has limited mobility.

It is true that in most cases, frozen shoulder gets better on its own, even without treatment. However, there are cases in which people never regain the full range of motion they had before.

HOW WE APPROACH

It is important to note that recovery can be a slow process and that you need to give treatment time to work. At Krumur Clinic, treatment options include medications to manage pain and inflammation and a 3 to 6 Month Exercise programme with the following focus

PHASE 1

The entire focus in the initial part of the programme is on Pain Relief & achievement of mobility in the Shoulder Girdle and attached musculature of Spine

Sr No

Objective

Duration

1

Soft Tissue Management 

6 to 8 Weeks

2

Posture Alignment to improve Cervical Spine  & Thoracic Spine Mobility

3

Joint Alignment & Scapular Stabilization to Restore Shoulder Function & Range of Motion

4

Integration of Hip, Knee, Ankle Mobility and flexibility to correct Posture Imbalances

PHASE 2

As one starts getting better, we add more exercises that correct the musculoskeletal imbalances and gradually build strength.

Sr No

Objective

Period

1

Correction Of Muscle Imbalances

8 to 12 Weeks

2

Joint Strength & Strength Endurance

12 to 24 Weeks

3

Cardiovascular Endurance on Ergometer

12 to 24 Weeks

EXERCISES FOR HOME

We recommend a few of these simple activity sequences that can be done easily at home. 

During the conduct of the above sequences, take the following precautions

  • Breathe Normally, Do not hold your breath.
  • Take frequent breaks and Sip water in between.
  • If you experience pain during any specific activity, please skip the activity and move to the next Sequence.
  • If the pain persists, discontinue the programme and get in touch with one of our experts immediately.

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