Franklin Chiropractor | Frozen Shoulder
Frozen Shoulder – What Is It & What Can You Do About It Adhesive capsulitis, or “frozen shoulder”, describes a long-standing and ongoing painful limitation of shoulder motion. Frozen shoulder progresses through three stages. The first stage is the painful “freezing” stage that includes a progressive loss of shoulder motion. The second “frozen” stage is characterized by an ongoing and sometimes dramatic loss of range of motion that can last several months. The final “thawing” stage entails decreasing pain and improved mobility. Most patients report a slow onset of pain and stiffness that started following an event, (i.e. fall/surgery) or another condition (i.e. rotator cuff strain, bursitis, etc.) Some patients are not able to identify a cause for their problem. Your range of motion will be most limited with reaching overhead, behind your back, or to the side. Sometimes this can pose a challenge for grooming and dressing. You may feel a grinding or popping when you move your shoulder. Be sure to tell your doctor if you notice fever, night sweats, excessive thirst, excessive urination, nausea, chest pain/ pressure, or shortness of breath. Be sure to go to the best of the best to get it fixed. Patients with diabetes or thyroid disease are much more likely to develop adhesive capsulitis. The condition is most common in the 40 to 65 year old population. Females are affected more frequently, and there is no preference for handedness. If you have had a prior episode in the opposite arm, you are at greater risk. While there is no single treatment that can quickly “cure” adhesive capsulitis, the Franklin chiropractor may help. It is important that you understand that this condition improves very slowly. Be patient with your recovery. Some patients can require several months to regain function, while a minority of patients report permanent stiffness. If needed, you may apply ice or heat to your shoulder for 15-20 minutes at a time at home. Our Treatment Here is a brief description of the treatments your Franklin chiropractor may use to help manage your problem. Joint Manipulation -Your Franklin chiropractor has found joints in your body that are not moving freely. This can cause tightness and discomfort and can accelerate unwanted degeneration i.e. arthritis. Your Franklin chiropractor will apply a gentle force with their hands, or with hand held instruments, in order to restore motion to any “restricted” joints. Sometimes a specialized table will be used to assist with these safe and effective “adjustments”. Joint manipulation improves flexibility, relieves pain and helps maintain healthy joints. Therapy Modalities -Your Franklin chiropractor apply electrotherapy modalities that produce light electrical pulses transmitted through electrodes placed over your specific sites of concern. These comfortable modalities work to decrease your pain, limit inflammation and ease muscle spasm. Hot or cold packs are often used in conjunction, to enhance the effect of these modalities. Another available option is therapeutic ultrasound. Ultrasound pushes sound vibrations into tissues. When these vibrations reach your deep tissues, heat develops and unwanted waste products are dispersed.
Myofascial Release -Overworked muscles often become tight and develop knots or“trigger points”. Chronic tightness produces inflammation and swelling that ultimately leads to the formation of “adhesions” between tissues. Your Franklin chiropractor will apply pressure with their hands, or with specialized tools, in order to release muscle tightness and soft -tissue adhesions. This will help to improve your circulation, relieve pain and restore flexibility. Therapeutic Exercise -Muscle tightness or weakness causes discomfort and alters normal joint function, leading to additional problems. Your Franklin chiropractor will target tight or weak muscles with specific therapeutic stretching and strengthening to help increase tissue flexibility, build strength, and ease pain. Healthy, strong, and flexible muscles may help prevent re-injury. Some Things That You Can DoTo Help YourselfGlucosamine & Chondroitin-Glucosamine Sulfate and Chondroitin Sulfate are usually formulated together. The combination may help arthritis sufferers. Take 1500mg of Glucosamine & 1200 mg of Chondroitin daily. After 8 weeks decrease your daily intake to 750 mg/day Home Hot & Cold Contrast -Heat causes blood vessels to expand and cold causes them to constrict. Alternating between hot and cold creates a pumping action that helps to diminish swelling and inflammation at the site of an injury. Begin “contrast” therapy by heating the area for 3-5 minutes with a hot pack or hot bath. Immediately switch to an ice bath or ice pack for 3-5 minutes. Contrast between hot and cold for up to 20 minutes, beginning and ending with heat. Racquet Sports -Here are a few pointers for selecting your racquet: Improper grip size is a known contributor to elbow problems. When you grip the racquet, you should be able to snuggly slide the index finger of the other hand between the tips of your fingers in the base of your palm.A good grip overwrap can help prevent slipping and decrease the amount of force required to hold the racquet. (Factor the extra wrap into grip size, though) Players should quickly release their grip tightness after ball-to-racquet strike in order to reduce stress on the elbow. Increasing the size of your racquet head can help to reduce arm stress. Avoid choosing “longer” or “heavier” racquets that will increase the amount of stress on your elbow. Graphite is a light racquet but does not absorb vibration well. When possible, choose a more flexible frame that helps to absorb some of the shock of the ball’s impact. Avoid playing with old or wet tennis balls as the additional speed and mass of the ball increases stress on your elbow. “Softer” or “stage 2” tennis balls weigh less than standard tennis balls which will produce less stress on your elbow when you strike the ball. These balls can also slow down the game slightly.
Lifting Mechanics -Here are some tips to help you lift safely: Avoid lifting or flexing before you’ve had the chance to warm up your muscles (especially when you first awaken or after sitting or stooping for a period of time). To lift, stand close directly facing object with your feet shoulder width apart. Squat down by bending with your knees, not your back. Imagine a fluorescent light tube strapped to your head and hips when bending. Don’t “break” the tube with improper movements. Tuck your chin to help keep your spine aligned. Slowly lift by thrusting your hips forward while straightening your legs. Keep the object close to your body, within your powerzone” between your hips and chest. Do not twist your body, if you must turn while carrying an object, reposition your feet, not your torso.