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Frozen Shoulder Treatment

 
Frozen shoulder is a condition that leads to pain and stiffness of the shoulder. It's also known as adhesive capsulitis or shoulder contracture. The symptoms tend to gradually get worse over a number of months or years. You'll typically experience shoulder pain for the first two to nine months, which can be severe, followed by increasing stiffness. The stiffness may affect your ability to carry out everyday activities. In particularly severe cases, you may not be able to move your shoulder at all. The condition may improve with time, but this can sometimes take several years.
 
Symptoms of frozen shoulder
Pain and persistent stiffness in the shoulder joint are the two main symptoms of a frozen shoulder. This makes it painful and difficult to carry out the full range of normal shoulder movements. You may find it difficult to perform everyday tasks, such as: -bathing -dressing -driving -sleeping comfortably Symptoms vary from mild, with little difference to daily activities, to severe, where it may not be possible to move your shoulder at all.
 
Stages of frozen shoulder
The symptoms of a frozen shoulder usually get worse gradually, over a number of months or years. There are three separate stages to the condition (see below), but sometimes these stages may be difficult to distinguish. The symptoms may also vary greatly from person to person.
 
Stage one: During stage one, often referred to as the "freezing" phase, your shoulder starts to ache and become very painful when reaching out for things. The pain is often worse at night and when you lie on the affected side. This stage can last anywhere from two to nine months.
Stage two: Stage two is often known as the "frozen" phase. Your shoulder may become increasingly stiff, but the pain doesn't usually get worse and may even decrease. Your shoulder muscles may start to waste away slightly because they're not being used. This stage usually lasts 4-12 months.
Stage three: Stage three is the "thawing" phase. During this period, you'll gradually regain some movement in your shoulder. The pain begins to fade, although it may come back occasionally as the stiffness eases. You may not regain full movement of your shoulder, but you'll be able to carry out many more tasks. Stage three can last from six months to many years.
 
Causes of frozen shoulder
Frozen shoulder occurs when the sleeve that surrounds the shoulder joint, known as the capsule, becomes swollen and thickened. In frozen shoulder, bands of scar tissue form inside the shoulder capsule, causing it to thicken, swell and tighten. This means there's less space for your upper arm bone in the joint, which limits movements.
 
The following can increase your risk of developing a frozen shoulder: a previous shoulder injury or shoulder surgery diabetes Dupuytren's contracture – a condition where small lumps of thickened tissue form in the hands and fingers, other health conditions, such as heart disease and stroke, lung disease an overactive thyroid (hyperthyroidism) or an underactive thyroid (hypothyroidism), breast cancer, calcific tendonitis – where small amounts of calcium are deposited in the tendons of the shoulder or rotator cuff tear – the rotator cuff is a group of muscles that control shoulder movements.
 
Osteopathic treatment for Frozen Shoulder
Once a frozen shoulder is suspected, osteopathic treatment should be started as soon as possible, if the recovery time is to be shortened as much as possible. Medical opinion is that frozen shoulders typically take 18 – 24 months to recover if untreated. The majority that present to me in clinic are not frozen solid as they are seen earlier enough to prevent that. These are then treated and recover normally within 2 to 3 months. It should be remembered that frozen shoulders are often caused by or result in problems in other areas. It is therefore highly important that the cause and underlying factors are properly investigated. Your osteopath will help here looking into any underlying factors as well as posture and lifestyle. This is vital to ensure a rapid recovery as well as ensuring that the injury is not allowed to recur. Your osteopath will use a variety of techniques in your treatment. These range from the very gentle to the rather more forceful depending upon your situation and your preference. They are likely to include treatment to the shoulder as well as to the neck and back coupled with posture and lifestyle advice. Treatment will continue over a period of weeks or months.
 
Please call the osteopath in Ashford for more information on 07703777323 to find out how we can help you. 
 
Reference: NHS website

Driving Position to Avoid Back Pain

You can help your back by ensuring your driving posture is as comfortable as possible with the driving controls and switches within easy reach.  Here are ten tips to ensure you are seated comfortably:

 

 

 

  1. Getting in and out of the car can be difficult due to the location of the steering wheel, pedals and low roof. Try to avoid twisting and straining.  To get in, sit on the outer edge of the seat and turn your whole body into the car.  When getting out, turn your whole body towards the door and slide your feet onto the ground.  Shuffle forward to the edge of the seat so that you can use the strength of your thigh muscles to get you onto your feet.  To ease getting in and out move the seat backwards to allow more space to swing the legs in and out of the car.

 

  1. Adjust the seat length so your thighs are in contact with the seat almost up to the back of the knees. The distance between the edge of the seat and the back of your knees should be about two or three fingers wide.

 

  1. Sit with your shoulders as close as possible to the backrest. Adjust the angle of the backrest so that you can easily reach the steering wheel with your arms bent. Your shoulders should remain in contact with the backrest when you turn the steering wheel.

 

  1. Sit with your buttocks as close as possible to the backrest - adjust the distance to the pedals so your legs are slightly bent when you press a pedal to the floor.

 

  1. When you feel you have got it right adjust the mirror to suit that posture. Ensure you can use all the mirrors available to that you can cut down on twisting around, especially when reversing.

 

  1. Being comfortably seated is very important when driving. Ensure your seat is adjusted so it is comfortable for you and if your vehicle does not have lumbar support seating, use a lumbar support cushion to support your back.

 

  1. Think about your posture. Keep your chin in.  Don’t grip the wheel.  Relax your shoulders and keep you head upright. Adjust the height of the seat to the highest comfortable position. This ensures that you will have a clear view on all sides and of dashboard instruments. 

 

  1. Exercises can relieve tension. In a traffic jam or at the lights raise your shoulders up to your ears whilst breathing in, breathe out and let your shoulders drop and relax.

 

  1. Rest the foot down if it is not needed.

 

  1. Take regular breaks to move around and do back stretches. Also stretch before you begin a journey, any time it is possible and safe to do so during your journey and after the journey.

 

Advice Sheet

Posture for a Healthy Spine

Balanced head, not leaning forward 

Arms relaxed by your side 

Forearms parallel to desk 

Sit back in chair ensuring good back support 

 

 

 

 

 

 

Screen approximately arms length from you 

Top of screen about eye level 

Space behind knee 

Feet flat on the floor or on the footrest 

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Find Us

5 minute from Ashford International station, TN24

1 minute from Ashford town centre, TN24

1 minute from Ashford County Square, TN23 

5 minutes from M20 Junction 9 and 10

Testimonials

  • Denise Buckle

    I had all but given up trying to find someone to help with the constant pain in my back and, to be honest, at my first appointment with Usha I wasn't feeling very positive. She told me that I would

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  07703 777323 
OsteopathiCare, The Park Club, New Street, Ashford, Kent, TN24 8TN