07/23/2024
FROZEN SHOULDER:
Adhesive Capsulitis, also known as "frozen shoulder," is a condition characterized by adhesions between the joint capsule at the glenohumeral joint and the head of the humerus, leading to pain and restricted range of motion. The condition starts with inflammation of the connective tissues at the joint, which then become thickened and restricted. It may take several months to develop and can be confused with other shoulder problems such as osteoarthritis, shoulder impingement syndrome, bone spurs, rotator cuff tendinopathy, and bursitis.
Overview:
- Avoid overtreatment when pain symptoms are "muffled" by painkillers.
Adaptations:
- Be mindful that painkillers could mask symptoms.
- Check in frequently with the client and treat with care.
Outcomes:
- Be cautious and avoid direct and intense work around the affected area, especially in the "freezing" phase, as it could exacerbate inflammation and prolong the painful phase of this condition.
- Careful and specific work around the shoulder girdle, with active participation from the client, may help restore range of motion.
- This type of work can also normalize muscle and posture affected by overcompensation.
- It can take nine months to three years to heal, and for some, the condition may never fully heal, leading to a lifetime of limited range of motion.
Phases of Adhesive Capsulitis:
1. Freezing: This is the long, slow, and painful onset phase.
2. Frozen: In this phase, pain is reduced, but function is severely limited.
3. Thawing: This is the restorative period where pain subsides and function is fully or nearly fully restored.
Massage therapy can be beneficial for frozen shoulder. Before starting any treatment, it's important to assess the shoulder and decide whether to proceed with massage therapy or refer the individual to a physician. Various massage techniques, including Myofascial Release (MFR), Neuromuscular Therapy (NMT), Orthopedic and medical massage, as well as more traditional modalities such as Thai massage, have been found to be helpful.