Frozen Shoulder

Frozen shoulder, also known as adhesive capsulitis, is a malady that affects 2-3% of the population. Often the main indicator is initial pain in the joint and decreased mobility. Frozen shoulder can affect people of any age from children to adulthood, but is most commonly diagnosed in people ranging from 40 – 70 years of age, predominantly women.

The shoulder joint itself is called a ball and socket joint. Ligaments, tendons and muscles work together to provide support, strength and the wide range of motion that enables us to move our arms and hands in a variety of positions in order to complete tasks. All the functions of the shoulder can be compromised by underlying inflammatory diseases and misuse. The specific causes of frozen shoulder perplex are varied and largely still unknown, but onset begins with initial pain, followed by restriction in mobility and finally recovery.

Frozen shoulder can often be referred to as insidious in nature. The symptoms and development of the disorder are slow and can take up to a year or two to set in. Often patients will experience pain that will increase over time. As chemical changes take place in the shoulder joint, thick strands of tissue called adhesions form and begin to restrict mobility. The lubricating synovial capsule in the shoulder joint thickens and provides less lubrication. By the time the sufferer begins to notice a significant issue in lack of mobility, the disorder has set in and requires treatment.

The good news is that although the causes of frozen shoulder are varied, treatment is straight forward and the disorder can be resolved. Often clinicians, including our experienced and caring staff, can provide the correct manipulation and physiotherapy to help you regain mobility and resolve the disorder. Contact our office so we can address your condition immediately.

Causes of Frozen Shoulder
Adhesive capsulitis (Frozen Shoulder) can be attributed to misuse and injury, myocardial infarction, upper torso surgery, such as arm and shoulder surgery or mastectomy, and even lack of use. When the shoulder joint goes unused and remains in the same position for long periods of time, such as when a patient is placed in a sling or unable to use their arm, the joint tightens and mobility is decreased. An autoimmune response in the area may cause the joint to stiffen and restrict the joint causing the initial pain. When the initial pain is not addressed, the inflammatory nature of the disorder will progress and adhesions form in the joint further restricting mobility and increasing the level of pain.

Frozen Shoulder Due to Systemic Disorders
A large population of patients who suffer from systemic diseases may be more likely to develop frozen shoulder. These systemic diseases include those who suffer from thyroid disorders such as hyperthyroid and hypothyroid, both overactive and underactive thyroid function. Other diseases include diabetes, cardiovascular disease, tuberculosis and Parkinson’s Disease. Frozen shoulder treatment related to these diseases is paramount and the importance of early diagnosis followed by early manipulation and treatment are necessary, because more drastic treatments are often times not an option. Our chiropractic staff are experts in diagnosing and treating the issue to help resolve your pain and regain your range of motion, so you may return to a normal routine.

Frozen Shoulder in Surgical Patients
Patients who have recently gone through shoulder surgery such as rotator cuff repair or repair to the labrum, one of the many tendons in the shoulder, may experience frozen shoulder. Patients who have had recent mastectomy or cardiovascular surgery are at risk, as well. The reason they are more susceptible to the disorder is lack of use of the shoulder. When the shoulder remains in the same position for a prolonged period of time, the joint stiffens and the pain sets in.

Once the surgical site heals sufficiently, neuro-muscular-skeletal rehabilitation and chiropractic manipulation are highly recommended to help return range of motion to the joint and reduce pain. Our office can develop a program for you that will reduce the pain and increase the range of motion over a healthy period so you can return to a normal schedule in you life.

Chiropractic Treatment of Frozen Shoulder
Chiropractic therapy for frozen shoulder can produce the results you need and resolve your frozen shoulder. Our staff will evaluate your baseline range of motion and pain level to develop a plan tailored to you. In-office neuro-muscular-skeletal rehabilitation coupled with exercise you may do at home will address and increase your range of motion. It will also build the muscle to prevent muscular atrophy or the shrinkage of important muscles in the shoulder. Coupled with treatment for inflammation in the joint space, patients can see improvement over a period of time and resolution of the disorder.
Hard work is the key. Failure to work on stretching in the office as well as at home can delay the recovery process. Trust our staff to direct you along the path to recovery.

Contact us today: 01273 584812, email info@peacehavenchiropractic.co.uk or BOOK APPOINTMENT

Tennis Elbow

Tennis elbow is actually a misnomer in that it occurs in roughly only five percent of people who play tennis. Anatomically, the cause of tennis elbow is repetitive use of the forearm extensor muscles, especially if they weren’t used much previously. Practically any occupation, sporting endeavor, or household activity that has repeated use of the forearm and wrist may lead to this condition. Certain activities and occupations are more commonly associated with tennis elbow, such as plumbing, painting, fishing, butchering, computer use, and playing certain musical instruments. Tennis elbow is most common in adults between the ages of 30 and 50, but can affect people of all ages.

Symptoms
People with tennis elbow complain of pain that expands from the outer elbow into their forearm and wrist. The pain primarily occurs where the tendons of your forearm attach to the bony areas on the outside elbow. In addition to pain, people with tennis elbow experience weakness that makes it particularly difficult to hold a coffee cup, turn a doorknob, or even shake hands. Tennis elbow can cause weakness when twisting or grabbing objects.

Tests
In many cases, your doctor can diagnosis tennis elbow simply by listening to you describe your symptoms, performing a physical examination, and learning about your lifestyle and activities. However, if your physician suspects other reasons like a pinched nerve, fracture, or arthritis are causing your pain, he may suggest X-rays, Magnetic Resonance Imaging (MRI), or Electromyography (EMG).

Treatment
A chiropractor will be able to determine if a misalignment in your spine, neck, or shoulders may be causing an overcompensation injury. In some cases, a basic chiropractic adjustment may be all your need to stop your symptoms of pain. Your chiropractor will also work with you to determine which activities may have caused your injury and will  have you rest your arm while refraining from the trigger activities. Your chiropractor will also likely tell you to apply ice to the outside elbow two or three times a day for two to three weeks. Nonsteroidal anti-inflammatory medications (NSAIDs), such as ibuprofen, naproxen, or aspirin, help reduce pain and inflammation while your elbow is healing. Compression, by using an elastic bandage, is helpful to provide relief and prevent further injury. Lastly, elevating your elbow whenever possible will limit or prevent swelling.

If rest and ice do not alleviate your tennis elbow symptoms, then a physical therapy plan is often the recommended next step. You will learn exercises to stretch and strengthen the muscles and tendons in your arm. Your chiropractor or physical therapist will also work with you to develop proper form and technique regarding the activity that was the likely culprit to developing your tennis elbow. Depending on the severity of the injury, your chiropractor or physical therapist may suggest you wear a brace or forearm strap, which will reduce stress on the injured tissue while it heals.

Contact us today: 01273 584812, email info@peacehavenchiropractic.co.uk or BOOK APPOINTMENT