What is frozen shoulder?
What is the prognosis of frozen shoulder?
- Painful stage. During this stage, pain occurs with any movement of your shoulder, and your shoulder's range of motion starts to become limited. Nights are often the worst and sometimes debilitating.
- Frozen stage. Pain may begin to diminish during this stage. However, your shoulder becomes stiffer, and your range of motion decreases notably.
- Thawing stage. During the thawing stage, the range of motion in your shoulder begins to improve.
How can physiotherapy and massage therapy help frozen shoulder?
What are the Manual Therapists goals of treatment for Frozen Shoulder?
- postural retaining and scapular stability training
- ergonomic advice
- massage therapy, myofascial release
- craniosacral therapy
- deep tissue release to release adhesions and tonicity
- activity modification advice so that you can keep fitness training
- exercises to improve upper thoracic spine mobility
- spinal mobilizations to improve upper thoracic spine mobility
- auto assisted and gentle pendulum movements to maintain shoulder range of motion
- shoulder joint mobilization techniques during the second phase
- to decrease pain, increase range of motion, restore function and strengthen
How can exercise and physical development help after frozen shoulder?
The Kinetic ChainOur body functions best and with minimal stress when it is in optimal alignment and posture. Proper structural correction is achieved with proper footwear and support. With an optimal base, and with proper pelvis and spinal alignment and posture, the upper extremities can function with optimal mechanics. Proper neck and back posture in essential in frozen shoulder and this requires skill development and neuromuscular training and motor learning. The kinetic chain is an integrated functional unit of systems that work interdependently to allow structural and functional efficiency. It is made of the soft tissue system (muscle, ligament, tendon, and fascia), the Neural system (peripheral nervous system of nerves and the central nervous system or brain), and the Articular system (joints). If any of these systems do not work efficiently, compensations and adaptations may occur in the other systems. A dysfunction in the kinetic chain leads to decreased performance and predictable patterns of injury. Imbalances may result from postural stress, a pattern of overload, repetitive movement, a lack of core stability, and a lack of neuromuscular efficiency. All functional movement patterns of the upper body, involve deceleration, stabilization and acceleration, which occur at every joint in the kinetic chain and in all planes of motion at varying speeds. Optimum posture and alignment provides optimal structural and functional efficiency to the kinetic chain. If one component is out of alignment, it creates predictable patterns of tissue overload and dysfunction, leads to decreased neuromuscular control and initiates the cumulative injury cycle. Muscle imbalance leads to abnormal neuromuscular control leads to overloaded tissue and tissue fatigue which leads to inflammation and eventually leads to tissue trauma or injury. The most common patterns of compensation in the upper body is the Forward Head Pattern and this pattern can occur in isolation or in concert with a pronation pattern or the equivalent in the lower body. These two patterns are the focus of our screen examination and our subsequent corrective preventative exercise plan. Identification of biomechanical imbalances in a way that is specifically related to the multi planner movements and that involves acceleration, deceleration, stabilization and occurs at multiple speeds in those specific body positions and posture activities of daily living. Assessment of the muscular system (functional anatomy) the articular system (functional biomechanics) and the neural system (motor behavior) becomes important in the prevention and treatment of overuse injuries and repetitive strains. In order to live a healthy and active lifestyle, one has to train their body the way it moves during daily functional movements.
Exercise Training and Physical DevelopmentSpinal alignment and stability and posturing is the most important physical training that you can do to prevent and maintain good shoulder and elbow mechanics and reduce abnormal stresses on the tendons and muscles of the upper extremity. As for Frozen shoulder itself, often strength training performed too early, may will cause more tightness and subsequently overload the tendon and make it worse. The goal is to maintain range of motion and develop optimal postural strength and stability. This condition does well with soft tissue techniques and techniques to decrease inflammation such as including low light laser therapy and sometimes injections, heat, ice, and avoidance of aggravating activity. This to decrease inflammation first, then introduce strengthening movements typically scapular retraction and postural strengthening to support optimal posture. Everyone should strive to develop their bodies so that they can live a long and healthy life. This is especially important after you have suffered an injury or are unable to be as active while you were rehabilitating. All of our staff have a combination of health sciences and sports sciences training, having dual training in both kinesiology and physiotherapy and allowing us to provide a biomechanical focus at healthfx. We focus on:
- Biomechanics of human movement
- Posture and alignment (static and dynamic)
- Ergonomics and workplace
- Functional movement screens and analysis to identify individual muscle imbalances
How can low intensity laser therapy help with frozen shoulder?
Physiological effects of Low Intensity Laser TherapyWith LILT there is an increased production and release of:
- Endorphins which - natural analgesics
- Cortisol – a precursor of cortisone
- Growth hormone – instrumental in tissue repair
- ATP – improves and regulates cellular metabolism
- An increase in protein synthesis – collagen, DNA, fibroblasts
- A facilitated venous and lymphatic flow
- Increased angiogenesis – the elevation of oxygen saturation
- Enhanced immune response
Always consult your physician before beginning any exercise program. Never disregard medical advice or delay in seeing your doctor because of something you have read on healthfxtoronto.com. Any content or information provide by healthfxtoronto.com is for informational and educational purposes only and any use thereof is solely at your own risk. Neither healthfxtoronto.com nor its operators or staff or video presenters bears any responsibility thereof.
The information contained herein is not intended to be a substitute for professional medical advice, diagnosis or treatment in any manner. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding any medical condition. All information contained in heatlfhxtoronto.com including but not limited to text, graphics, images, videos, information, third party information and or advice, food, recipes, exercises, diets, psychology, websites, links, including but not limited to any content by employees, consultants or writers and contributors and or any other material contained herein are for informational and educational purposes only.