Monday, April 29, 2013

Do I Have Frozen Shoulder And Can I Fix It?

Frozen shoulder is a common name of a condition where it is very difficult to move the shoulder. The movement is restricted in all planes but the motion that seems to be most difficult is lateral elevation or lateral flexion, it's also noted that internal and external rotation can be quite limited and bothersome as well. The proper name of this condition is adhesive capsulitis, basically it's where the joint capsule does not want to allow normal shoulder biomechanics. This condition can be long standing and is usually gradual of origin. I usually judge someone having adhesive capsulitis by them having less than seventy degrees of arm lateral elevation with pain. Many people report this condition started by simply waking up with some pain or they slept on it wrong, this seems to aggravate it and then it snowballs from there getting worst.

Treatment protocol with chiropractic care is very beneficial and responds very well. The treatment protocol should be focused first by decreasing pain and restoring proper mechanics to the joint in questioned. A contrast therapy of cryotherapy and heat can work well to make the tissues pliable for manual therapy and chiropractic adjusting. After cold/heat therapy the use of electric muscle stimulation (EMS) could also be of benefit to help gate pain and fatigue some muscles that have gotten contracted during the process. EMS should be arranged where the pads can be concentrated into the shoulder joint for maximum effect.

Chiropractic adjusting works well, although sore at the beginning it really loosen up the tissues surrounding the shoulder. The chiropractic adjusting should be directed in the position where the shoulder is restricted the most. For example if the patient is having trouble with lateral elevation the adjustment should have a contact on the superior portion of the shoulder joint and the thrust should be in a superior to inferior vector. The superior to inferior vector is essential to increase superior to inferior glide which is the motion that makes lateral elevation of the shoulder possible. Once treatment is rendered on a regular protocol there will be some improvements in overall global range of motion. Exercises can also be prescribed which are extremely beneficial to continue the process of recovery at home to get to the wellness phase.         

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