Adhesive capsulitis or frozen shoulder typically presents after the age of 40. There are typically 3 phases to the condition. Starting with severe shoulder pain that makes any shoulder movement almost unbearable. It then progresses to reduction of this pain but a residual or increased reduction in shoulder range. Ending with the “thawing phase” where slow increase in the active range of the shoulder. When looking for a Fredericksburg chiropractor that can help, consider a chiropractic orthopedist.

Cause of adhesive capsulitis or frozen shoulder.

The cause is largely unknown. it has a prevalence of 0.5% of the general population with that population, 4.3% are diabetic. This raises some suspition that diabetes may be a risk factor. One of the most accepted theories is that it happens from fibrous adhesions within or between the shoulder capsule. Some predisposing factors include: diabetes, hyperthyroidism, heart attack, and lung disease. Adhesive capsulitis or frozen shoulder is not caused by immobilization rather it begins with an inflammatory process that ends with fibrotic tissue deposits. This leads to the “frozen stage” that then slowly over months to years a “thawing phase.” During the third phase some of the lost range of motion is recovered.

The findings on arthrogram of adhesive capsulitis or frozen shoulder.

Treatment of adhesive capsulitis or frozen shoulder.

The literature shows that whether the individual choses surgical rather than conservative treatment, the outcomes are the same. Conservative treatment typically showed significant improvements over a period of 3-6 months.

• Treatment of stage 1 or acute stage
  • Pain relief, NSAID’s and interferential electrical muscle stimulation to aid in the body’s natural pain killing. The use of ultrasound to aid in the mobilization of cells that remodel damaged tissue and stimulate healing. Ultrasound also can help delay some of the range of motion loss by heating the deep structures of the shoulder. At home care can also begin at this stage and consists of tragering or motion of the shoulder that does not utilize the muscles surrounding the shoulder joint, with sustained traction.
• Treatment of stage 2 or 3
  • same treatment as above for pain and then at home rehabilitation that focuses on active mobilization of the shoulder lightly with minimal pain.

Treatment of adhesive capsulitis by chiropractic orthopedist.

The chiropractic orthopedist offers a very comprehensive approach to adhesive capsulitis. With all of the above mentioned therapies at our disposal we can begin treatment the same day as evaluation. Diagnosis of the condition is necessary and performed by the chiropractic orthopedist to rule out other conditions that may mimic frozen shoulder. This includes impingement syndrome, torn rotator cuff, and labral tears.

Seeking treatment for frozen shoulder.

Starting with a chiropractic orthopedist ensures proper evaluation and treatment formulation to minimize long term effects of the condition. Our Fredericksburg chiropractors are equipped with Xray in office, making a detailed look at the shoulder possible. The additional benefit of advanced imaging if necessary can be performed to get more in depth look at the soft tissue structures. This includes MRI. Don’t wait seek the professional help of our Fredericksburg chiropractor specializing in orthopedics. Get the education and diagnosis of the condition at hand.

Dont wait, call today at 540 898 4100! Or visit us at our website to book an appointment.