Frozen shoulder Physiotherapy and Acupuncture Mississauga
Frozen shoulder also called as adhesive capsulitis or periarthritis is characterized by the development of dense adhesions, capsular thickening and capsular restrictions, especially in the capsule. The onset is insidious and usually occurs between the ages of 40 and 60 years. Frozen shoulder is associated with pain, reduced range of motion (ROM), and shoulder function. Many patients turn to acupuncture to alleviate the Frozen shoulder symptoms. The condition affects the shoulder by causing an unexplained pain, stiffness, and limitation in the active and passive range of motion (ROM) in two or more planes and can lead to a progressive loss of shoulder function. The pain will usually increase at night and can affect sleep quality. Acupuncture has been treating patients for thousands of years. In Jain et al.’s review, the authors moderately recommended the combination of acupuncture with physiotherapy (PT) for treating FS, and they reported that acupuncture can reduce pain and improve ROM and shoulder function for patients with FS. Additionally, the review of Jain and Sharma found that electroacupuncture (EA) has a beneficial effect on short-term pain relief. The integration of traditional Chinese and Western medicine and their clinical effects have been widely evaluated. Many studies have shown that using a combination of these two remedies has resulted in better outcomes than using only one of them. Acupuncture is a traditional Chinese medical technique, which plays an important role in enforcing pain control, prevention, and functional improvement.
In 1979, the World Health Organization (WHO) journal introduced acupuncture as a remedy for 43 diseases, including frozen shoulder. This study aims to assess the therapeutic outcomes of combining acupuncture and physical therapy to treat frozen shoulder and hopes to establish an evidence-based study of the integration of acupuncture and western medicine in the future.
Clinical signs and symptoms
Frozen Shoulder
Acute Phase: Pain and muscle guarding limit motion, usually external rotation and abduction. Pain is frequently experienced radiating down the elbow and may disturb sleep. Joint swelling is not detected owing to the depth of the Capsule, although tenderness can be found by palpating the shoulder anteriorly and posteriorly.
Subacute phase: Capsule tightness begins to develop. Limited motion is detected, consistent with capsular pattern (external rotation and abduction are most Limited and internal rotation and flexion are least Limited). Often, the patient feels pain as the end of the Limited range is reached. Joint play testing reveals Limited joint Mobility. If the patient can be treated as the acute condition begins to subside by gradually increasing shoulder motion and activity, the complication of the joint and soft tissue contractures can usually be minimized.
Chronic phase: Progressive restriction of the shoulder shows signs of extreme limited motion in a capsular pattern and decreased joint play. There is significant loss of function with an inability to reach overhead, outward, or behind the back. Aching is usually localized to the deltoid region.
Common Impairments and functional Limitations
Physiotherapy management of frozen shoulder:
Frozen shoulder has always been considered important because of the impact on the quality-of-life and long period of pain and treatment. It can usually take up to six months to one year depending on the severity of the condition.
Primary Goals of Physiotherapy at Curezone Physiotherapy Clinic
Control pain, swelling and muscle guarding.
The Passive and active range of motion to decrease pain and improve joint mobility followed by Gentle light mobilization of the shoulder joint. Joint pendulum exercises as they have the effects of gravity to distract the humerus and helps decrease the pain. Gentle traction and oscillating movements helps to decrease the pain. Self mobilization techniques may be used for home care.
Posture correction is another very important thing. Your physiotherapist may teach you to prevent and the frozen shoulder. Scapular movements are very important in maintaining the proper function of the shoulder. Your physiotherapist will measure your active and passive range of motion to determine the severity of the shoulder.
Improving the muscle performance
The physiotherapist provides exercises to correct the muscle imbalance, stabilization, flexibility, strengthening exercises for the shoulder girdle and teaching the patient how to activate the weak muscle and progress to strengthening functional pattern of motion. Early scapular stability exercises and closed chain rotator cuff exercises can be instituted. As the patient’s symptoms improve, active-assisted and active ROM activities can be added, along with open chain and proprioceptive exercises. A closed chain stabilization exercise is performed alternating isometric resistance or rhythmic stabilization. Stretching exercises to restore the joint range and increase mobility of shoulder girdle and upper trunk.
Shockwave therapy is also very effective and has shown proven results for treating frozen shoulder condition. Therefore, the use of noninvasive and safe techniques that can speed up the healing process of the disease is important. Ultrasound therapy and laser therapy have also some proven evidences off its effectiveness.
Occasionally, if no progress is made, your doctor may choose to perform a manipulation under anesthesia or Cortisone Injection is given which is often to decrease pain and increase tolerance to exercises and stretches.
Hands on Manual Therapy and soft tissue release around the shoulder joint is the most effective way of improving the range of motion.
Suction Cupping, Acupuncture and dry needling can also be done to improve blood circulation. Everything is interconnected & is a result of a malfunctioning of one or more organs in the body & the treatment of it is not a straight-forward one. The practitioner may, & will in most cases, treat multiple points on different meridians in order to harmonize & balance the qi flow in the body.
Registered Physiotherapist
Recent Posts
Sciatica Physiotherapy Mississauga Curezone Physiotherapy, Mississauga is a team of providers providing treatments in various musculoskeletal health conditions including Sciatica causing pain down the leg.
Bell’s palsy physiotherapy Mississauga Curezone Physiotherapy, Mississauga collaborates with a team of providers such as Physiotherapist, Massage therapist, Chiropractor, Osteopath providing treatments in various neuromuscular
Foot and Ankle Injuries Physiotherapy Mississauga Curezone Physiotherapy, Mississauga is a team of providers providing treatments in various musculoskeletal Injuries, Spinal Injuries, Vestibular, Concussion, Post
POST
Frozen Shoulder Physiotherapy and Acupuncture Mississauga
Acute Phase: Pain and muscle guarding limit motion, usually external rotation and abduction. Pain is frequently experienced radiating down the elbow and may disturb sleep. Joint swelling is not detected owing to the depth of the Capsule, although tenderness can be found by palpating the shoulder anteriorly and posteriorly.
Subacute phase: Capsule tightness begins to develop. Limited motion is detected, consistent with capsular pattern (external rotation and abduction are most Limited and internal rotation and flexion are least Limited). Often, the patient feels pain as the end of the Limited range is reached. Joint play testing reveals Limited joint Mobility. If the patient can be treated as the acute condition begins to subside by gradually increasing shoulder motion and activity, the complication of the joint and soft tissue contractures can usually be minimized.
Chronic phase: Progressive restriction of the shoulder shows signs of extreme limited motion in a capsular pattern and decreased joint play. There is significant loss of function with an inability to reach overhead, outward, or behind the back. Aching is usually localized to the deltoid region.
Common Impairments and functional Limitations
Night pain and Disturbed sleep during acute flare up. Pain on motion and often on rest during acute stage.
Decreased range of motion usually limiting external rotation and abduction.
Faulty postures compensations and improper posture with protraction and anteriorly tipped scapula, rounded shoulders and elevated and protected shoulder.
Control pain, swelling and muscle guarding.
The Passive and active range of motion to decrease pain and improve joint mobility followed by Gentle light mobilization of the shoulder joint. Joint pendulum exercises as they have the effects of gravity to distract the humerus and helps decrease the pain. Gentle traction and oscillating movements helps to decrease the pain. Self mobilization techniques may be used for home care.
Posture correction is another very important thing. Your physiotherapist may teach you to prevent and the frozen shoulder. Scapular movements are very important in maintaining the proper function of the shoulder. Your physiotherapist will measure your active and passive range of motion to determine the severity of the shoulder.
Improving the muscle performance
The physiotherapist provides exercises to correct the muscle imbalance, stabilization, flexibility, strengthening exercises for the shoulder girdle and teaching the patient how to activate the weak muscle and progress to strengthening functional pattern of motion. Early scapular stability exercises and closed chain rotator cuff exercises can be instituted. As the patient’s symptoms improve, active-assisted and active ROM activities can be added, along with open chain and proprioceptive exercises. A closed chain stabilization exercise is performed alternating isometric resistance or rhythmic stabilization. Stretching exercises to restore the joint range and increase mobility of shoulder girdle and upper trunk.
Shockwave therapy is also very effective and has shown proven results for treating frozen shoulder condition. Therefore, the use of noninvasive and safe techniques that can speed up the healing process of the disease is important. Ultrasound therapy and laser therapy have also some proven evidences off its effectiveness.
Occasionally, if no progress is made, your doctor may choose to perform a manipulation under anesthesia or Cortisone Injection is given which is often to decrease pain and increase tolerance to exercises and stretches.
Hands on Manual Therapy and soft tissue release around the shoulder joint is the most effective way of improving the range of motion.
Suction Cupping, Acupuncture and dry needling can also be done to improve blood circulation.
Book your appointment today and get assessed by Our Physiotherapist
Recent Posts
Curezonephysiotherapy inc. © 2020. All Rights Reserved
curezonephysiotherapy inc. © 2020. All Rights Reserved
