Frozen Shoulders Community Support Group
The 'Frozen Shoulders Community Support Group" was primarily setup up to 'Educate" the General Public
19/07/2022
WHAT IS “ADHESIVE CAPSULITIS” (FROZEN SHOULDERS)?
The Western Medical Term used for this Musculoskeletal condition is “Adhesive Capsulitis”, which in our common layman’s term is used to refer to the condition called “Frozen Shoulders”. Your Shoulders feels pain and stiffness and seem to be “Frozen” in a certain position. It may take as much as a few years to completely get better, but it can improve much faster if you were to go to a correct Physical Therapist to help with your recovery.
“Adhesive Capsulitis”, also known as a “Frozen Shoulders”, is a Painful and Disabling disorder which to the western medicine is of unclear cause in which the “Shoulder Capsule”, the connective tissue surrounding the “Glenohumeral Joint” of the shoulder, becomes “Inflamed” and stiff, thus greatly restricting its “Range of Motion” and causing immense pain. The Pain is usually constant, worse at night, and with colder weather. Certain movements or “Bumps” can provoke episodes of increased pain. People who have “Adhesive Capsulitis” usually experience “Pain” and “Sleep Deprivation” for prolonged periods due to pain that gets worse when lying still and restricted movement. The condition can sometimes lead to Depression, problems in the Neck and Back, and Weight Loss due to the long-term lack of deep sleep. People who have “Adhesive Capsulitis” may have difficulty concentrating, working, or performing simple daily life activities for extended periods of time. The condition tends to be self-limiting and may resolves slightly over time without surgery. Most people regain back some of their shoulder Range of Motion after a protracted period of time.
WHAT ARE SOME OF THESE POSSIBE CAUSES (ACCORDING TO WESTERN MEDICINE)?
Doctors up-to-date still do not really know exactly what causes the Shoulders to suddenly become “Frozen”, but they attribute that some things may make a person more susceptible to getting “Frozen Shoulders’. Some of these possible causes were attributed to:
(1) It can happen if you can’t move your Shoulder very well because of An Injury, An Accident, Surgery or Trauma;
(2) People who perform Repetitive Actions, day after day, such as those in the vocations like a Hairstylist, Musician, etc.
(3) People who have Diabetes, Arthritis, Gout, etc. becomes more susceptible to developing “Frozen Shoulders”.
(4) People with Thyroid Problems, Parkinson’s Disease, Heart Disease, which can worsen the symptoms and makes the “Frozen Shoulders” last even longer. Certain HIV medications also seem to raise your odds of getting “Frozen Shoulders”.
There are Strong Connective Tissues called the “Shoulder Capsule” that surrounds the Ball end of your Upper Arm Bone and holds it to the Socket. “Frozen Shoulder” causes this Connective Tissue to becomes thicker and “hardens” in parts (Adhesions) and becomes “Inflamed”. This may then limit the “Synovial Fluid” that normally “Lubricates” the area and prevents rubbing to occur. The result is “Pain” and “Stiffness”.
THE THREE STAGES OF “ADHESIVE CAPSULITIS” (FROZEN SHOULDERS)
There are a total of THREE Stages in the development of “Frozen Shoulders”:
Stage 1: Freezing (Painful) Stage
During Stage 1 of the “Frozen Shoulders” which develops over a period of between 2 months to 12 months, the “Shoulder Capsule” starts to get more and more “Inflamed”. This starts to ramps up the “Pain” and eventually the “Stiffness” as well. The “Range of Motion” slowly becomes more and more “Restrictive” as the months passes (you start to get more and more difficult to use the “Shoulder Joint”). And these symptoms and pains often get worse at night when you try to sleep.
Stage 2: Frozen Stage
During Stage 2, your Shoulder is at its “Stiffest” and “Hardest” to move. Your “Range of Motion” is now completely “Restricted”. It usually lasts somewhere between 4 months to a year. Pain often starts to decrease a little at this stage. But your “Range of Motion” may be so limited that you will find it hard to do even the most basic things. “Rotation” of the Shoulder Joint is particularly limited, making activities such as washing your hair, hooking/unhooking a bra, or reaching for a seat belt, extremely painful or difficult.
Stage 3: Thawing Stage
When you enter Stage 3, your Shoulder Pain should continue to ease even more during this stage, and now you start to regain some of your “Range of Motion” bit by bit too. It happens very slowly, taking anything from 6 months up to 2 years. In some cases, you may never get back all of your strength and mobility without intervention by seeking proper Physical Therapy treatments.
WHO ARE THOSE WHO ARE MORE SUSCEPTABLE TO GETTING A “FROZEN SHOULDERS”?
“Frozen Shoulders” are usually most common if you’re in your 50s or 60s, and it’s quite rare for anyone under the ages of 40 to get it in the past. But these days more and more younger patients are getting it as well due to the changing Lifestyle and Diet. Women (70% of “Frozen Shoulders” victims are usually women) tends to get it more than Men. And if you get “Frozen Shoulder” on one side of your body, you’re up to 30% more likely to get it on the Other Side in the coming months or years.
HOW DO DOCTORS DIAGNOSED THE PATIENTS FOR “FROZEN SHOULDERS”?
Your Physician will usually start off by asking about your Symptoms, Injuries, and Medical History. Then, he’ll then make a Physically Examination of your Shoulders and its surrounding Muscles and Nerves. He’ll then attempt to move your Shoulders himself to see where the “Pain” and “Stiffness” starts. This is to enable your Physician to determine your “Passive Range of Motion”. The Physician will then ask you to move your Shoulders by yourself. That will enable him to determine your “Active Range of Motion”. At the Extreme Limit, it may feel like your arm is stuck and is unable to move any further. If you have a “Frozen Shoulder”, your Passive and Active “Range of Motion” will be very much less than the Normal.
If you consult a Medical Doctor, you may even be given an “Injection Test” to help narrow down the possible causes of your symptoms. The Medical Doctor may give you an “Injection” in your Affected Arm which will then ‘dulls’ the pain in your Affected Shoulder. With most other Shoulder Problems, this will then give you a bigger “Range of Motion”, but it won’t change much if you have a “Frozen Shoulder”. Medical Doctors or Chiropractors may typically also use imaging tests like X-Rays, Ultrasounds, and MRIs to rule out other possible “Shoulder Conditions”. Some of these ‘extra’ and sometimes ‘unnecessary’ tests will only drive up the costs of your treatment and the end result may still not be able to resolve your “Frozen Shoulder” situation.
Physical Exercises and Therapy
Once your “Frozen Shoulder” pain begins to ease up, your Medical Doctor might prescribe some form of “Physical Arm Exercises” for you. A “Physical Therapist” may also give you some moves and exercises to do as homework to help ease the situation further. Take it easy at first. If you “push through the pain,” you could start to make things worse. You’ll likely have to start with a Range-of-Motion exercises for a couple of months. After you feel better, you can then safely begin on Strength Building Exercises.
SOME OF THE WESTERN MEDICINES USED TO ‘EASE’ THE PAIN DURING THE VARIOUS STAGES OF THE “FROZEN SHOULDERS”
Some of the Western Medicine and Drugs used such as NSAIDs (Non-Steroidal Anti-Inflammatory Drugs) like Aspirin, Ibuprofen, and Naproxen may curb some of the Pain and Swelling during the episode of “Frozen Shoulders”.
More powerful drugs called “Steroids” are sometimes injected directly into the “Shoulder Joint”. But it can be tricky to get them into just the right spot, and even these will only provide a “Temporary Relief” of your symptoms. This is not a Permanent Cure or Release of the “Frozen Shoulder” condition.
“Hydro dilatation” is a procedure where a fine needle is placed into the “Shoulder Joint” using Ultrasound or X-ray to guide the location, and an injection of “Corticosteroid”, local anaesthetic and sometimes “Sterile Water” is given to “Stretch’ the “Shoulder Joint Capsule”.
Your Medical Practitioner might suggest this method if all the Physical Therapy and Medications haven’t helped you. He’ll use pictures of the inside of your body to guide a shot of fluid into your “Shoulder Joint” directly. The goal is to “Stretch Out” the “Shoulder Joint Capsule” and give you a better “Range of Motion”. Again, this procedure may only offer a “Temporary Relief” if the “Adhesion” and “Scarring” of the Muscles are too severely fused together.
Your Western Medical Practitioner might suggest this “Surgery” option, usually in the “Frozen” Stage (Stage 2), if nothing else works then. There are TWO Methods, sometimes used together. The First is the “Manipulation the Shoulder Joint’ while you’re “asleep” from General Anesthesia. This procedure is called “Manipulation Under Anesthesia (MUA)”. The Surgeon moves the “Shoulder Joint” until it “Stretches” or even “Tears” the tissue. The Second Method, which is called “Arthroscopy” (pronounced as “ahr-THROS-kuh-pee”). This is a procedure for diagnosing and treating Joint problems. A Surgeon inserts a narrow tube attached to a fiber-optic video camera through a small incision — about the size of a buttonhole. The view inside your joint is transmitted to a high-definition video monitor. The Surgeon then cuts the Affected Tissue directly. The Surgeon works through small cuts in your skin, using this Special Tools.
“Recovery” According to The Western Medical Practitioners
“Frozen Shoulders” will get better for a lot of people within a year or more if they do constant “Physical Therapy” and the use “Pain Medicines” and “Steroid Shots” (if needed) according to the Western Medical Practitioners. Even without those Methods, most people get slightly better within a couple of years (usually 3 years or more). However, if you have Diabetes, it may be harder for you to recover in a shorter period of time. Surgery works pretty well as long as you stick with your “Physical Therapy’ on a regular basis. After you have gain “Recovery”, then you can rebuild and keep up your “Strength” and “Mobility” exercises.
ABOUT THE AUTHOR
MASTER SIM CHIN SENG is an Accomplished Professional Tuina Practitioner, who is considered by many as one of the Best Specialist in this field on the treatment of “Frozen Shoulders” cases in Singapore. He had treated Thousands of successful cases and has decades of Clinical practice and experience; with more than 90% of these Patients having their Shoulder regain their full Range of Motion in just ONE to TWO sessions of between 1 to 2 hours on each of these sessions.
MASTER SIM uses a very special and unique Treatment Technique which he devises and pioneered on his own to achieve virtually 100% success in all the cases of “Frozen Shoulders” that he had treated over the years. The Treatment Technique involved a completely non-invasive, virtually painless and without much discomfort to the patients. In fact, most of the patients could even sleep throughout the whole procedure and treatment. The treatment does not involve the use of any Acupuncture needles (or injections), or any form of herbal drugs or medication. It’s completely Natural.
If you already had gone around in seeking various treatments and has still gotten any tangible results to cure your “Frozen Shoulders” condition, it’s time you pay him a visit and have your resolved once and for all.
WHATSAPP 92389392 NOW to secure a CONSULTATION SESSION with MASTER SIM CHIN SENG.
One day you’re just fine and well, and suddenly, the next day you are struck by this "Excruciating Shoulder Pain' – the kind that takes your breath away. Then comes the first of many long, sleepless nights.
Welcome to the "Mysterious" and "Miserable' world of "Frozen Shoulder"!
The clinical name for "Frozen Shoulder" is called "Adhesive Capsulitis", and "it appears" the condition can literally develop overnight (albeit in real term - it does not and have been in progression over many months before it comes to this point). The lining ("Capsule") of the Shoulder becomes “Inflamed” and “Stiff”, causing "Shooting Pain" that radiates down the Arm with certain Arm Movements. Eventually, the Shoulder “freezes” or becomes immobile for a few months to a year, or even longer in most cases.
Welcome to the "Frozen Shoulders Community Support Group" which I set up primarily to "Educate" the masses on many aspects of this debilitating condition which cannot be found in any literatures or books. These findings are very accurate and precise. It’s actually a compilation of the experiences I have through the decades of treating and curing THOUSANDS of "Frozen Shoulders” cases.
I shall be sharing many of these findings with you through the articles, BLOGS as well as some Questions and Answers sessions that will benefit the community of "Frozen Shoulders" sufferers all around the World.
Please “LIKE” and “FOLLOW” if you find the articles useful so that you can be kept informed continually of new articles and BLOGS in the coming days.
Have a Nice and Blessed Day ahead.
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