What is Frozen Shoulder?

Frozen Shoulder (adhesive capsulitis) is a condition which starts as pain into the shoulder and progresses gradually into restriction of almost all ranges of movement. For some, the pain worsens at night which can disrupt sleep. It most commonly affects women 40-60 years of age but men can also be affected. The causes are unknown but it is usually more prevalent in people who have had prior shoulder related injuries or trauma which have caused the affected shoulder to be immobilised for a period of time.

Immobility may be the result of many factors, including:

• Rotator cuff injury
• Broken arm
• Stroke
• Recovery from surgery

There is also an increased risk in those who have systemic conditions. These conditions include but are not limited to:

• Diabetes
• Overactive thyroid (hyperthyroidism)
• Underactive thyroid (hypothyroidism)
• Cardiovascular disease

How long does Frozen Shoulder last?

There are three distinct phases:

Phase 1 (freezing stage) occurs when there is increasing pain into the shoulder and a gradual reduction in movement.
Phase 2 (frozen stage) is when there is minimal shoulder movement and the level of pain gradually decreases.
Phase 3 (thawing stage) is when normal motion is generally restored.
Each phase can last between 3-12 months. It’s highly unlikely that frozen shoulder will recur in the same shoulder, but it is not unusual for it to occur in the opposite shoulder.

Are there any treatment options available?

It is often common in the freezing stage to have a cortisone injection into the shoulder for those who find the pain unbearable or when pain is affecting sleep. Manual therapy can be started during any stage of the condition.

The Niel Asher technique was developed in the United Kingdom by Osteopath Simeon Niel-Asher who has had successful outcomes with patients suffering with Frozen Shoulder. The technique uses a combination of manual therapies to achieve a positive outcome. It can often reduce the length of the individual phases depending on how soon treatment is commenced. The treatment protocol combines soft tissue therapy, trigger point therapy and mobilisations of the shoulder. 

Who can I see to help with Frozen Shoulder or other shoulder issues?

Dr Amanda Smith (Chiropractor) has been working with Frozen Shoulder patients using the Niel Asher Technique with positive results.

Make sure you book an appointment with Dr Amanda now!

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