2 min read

Myodetox

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What Is Frozen Shoulder?


If you’ve experienced a serious injury to the shoulder, like a rotator cuff tear, you may have been warned about developing adhesive capsulitis, otherwise known as “frozen shoulder”.

This condition gets the name “frozen shoulder” due to the stiffness and pain it causes.




What Is Frozen Shoulder?
Frozen shoulder is significant shoulder mobility restriction and pain that develops slowly, and can sometimes last for 1-2 years. It typically develops during long periods of rest (e.g. post-fracture and post-surgery).

The shoulder joint has connective tissue surrounding it. This tissue typically serves to stabilize the ball-and-socket joint of the shoulder, and acts as a support structure. With this condition the connective tissue becomes immobilized and inflamed.

stiff shoulder


Who Gets Frozen Shoulder?
Frozen shoulder affects up to 3% of the US population. Of all the shoulder conditions that cause immobility and pain after the age of 40, adhesive capsulitis is the leader. The major risk factors for developing it include:

  • Non-dominant hand/arm.
  • Rotator cuff pathology.
  • Glenohumeral fracture.
  • Systemic diseases such as diabetes mellitus, thyroid dysfunction, cardiovascular disease, and Parkinson’s disease.

    frozen shoulder


    What Causes Frozen Shoulder?
    There are two primary causes for frozen shoulder, but the mechanism of development is largely unknown. Primary adhesive capsulitis is idiopathic – pain and immobility gradually develop without any specific cause.

    Secondary adhesive capsulitis is associated with systemic issues of the body such as diabetes mellitus, hormone issues, rotator cuff injuries, shoulder injuries, calcific tendinitis, cervical spondylosis, and strokes to name a few.

    What Are The Symptoms?
    The main symptoms of adhesive capsulitis involve movement restriction and pain. There are three stages involving these symptoms:

  • Freezing stage: shoulder range of motion begins to diminish, and general movement (particularly overhead and behind the back) movements become painful. This stage ranges from 1-9 months.

  • Frozen stage: shoulder movements become even more stiff, though pain begins to reduce. Functional use (e.g. reaching overhead, putting a coat on) becomes much more difficult. This stage ranges from 4-12 months.

  • Thawing stage: this is when movement and pain begin to improve, and previous loss of functional movements slowly return. This stage ranges from 5-24 months.

    How Do You Prevent and Manage It?
    Most cases of adhesive capsulitis develop during long periods of immobility such as healing from a shoulder break, stroke, or a post-surgical rotator cuff tear. For some it will develop without any associated cause. Regardless of cause, once safe, movement will be key.

    Maintaining health movement, strength, stability, and facilitating appropriate muscle recovery of the neck-back-shoulder complex is key.

    The physical therapy interventions that are most favorable focus on manual therapy, progressive stretching, and myofascial techniques to maintain optimal shoulder movement and strength. This is most important in frozen and thawing stage.

  • Myofascial techniques: focus on the muscle and fascial tension that builds with frozen shoulder, providing stimulus to aid in movement and recovery.

  • Progressive manual therapy: mixing joint mobilization, deep tissue massage, progressive stretching, and muscle energy techniques.

  • Exercise: focused on challenging and progressing range of motion, scapular stability, and strength for functional movements.

    Frozen shoulder is a long road for many, but the right treatment can get you back to moving at your best.

    Ready to start managing your shoulder mobility?

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  • 3 min read

    How To Carry Your Bag And Avoid Shoulder Pain

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    How To Carry Your Bag And Avoid Shoulder Pain

     

    While living in the digital age, it’s easy to choose fashion over function. Without thinking twice, we will purchase the fancy looking purse or handbag over the practical and functional option, which can lead to shoulder pain.

    The problem is that while we may look fly AF walking with our large *insert name brand here* purse, the constant load on our shoulder can lead to neck, shoulder pain, lower back pain and dysfunction.

    Carrying that heavy bag can cause your natural gait to be thrown off (by interfering with your arm swing), your center of gravity will shift to the side, and your bag will also cause your upper trapezius muscles to become overactive and stiff.

    Here are five tips you can use to try and decrease the adverse effects of carrying a purse.

    Try a cross body bag

    ralph

    Instead of loading one side of your body with a heavy weight, causing your body to carry an asymmetric load, try using a cross body bag to distribute the forces through the body better.

    Reduce the load

    ralph

    While this may seem like an obvious one, lessening the burden that you carry on the daily can significantly reduce the strain you place on your shoulders and neck. Consider doing a weekly inventory of your purse to see what you need or don’t need.

    Switch your bag on your other shoulder

    ralph

    This may be a tough one to get used to as you likely have developed muscle memory and subsequent tension on the side you carry your bag on, but switching shoulders periodically can help distribute the load, and decrease the strain and asymmetry on your body.

    Try a backpack

    ralph

    I know you are probably rolling your eyes at this one, but there are a lot of fashionable backpacks to choose from! Switching to a two strap bag can significantly reduce the amount of strain and asymmetry a large shoulder bag would otherwise cause. The load will evenly distribute the weight through your body, and you will be able to walk with a normal gait.

    Use a dynamic purse/bag

    ralph

    Try using a bag with different strap options. Switching between cross-body, on the shoulder, and holding the purse as a clutch can offer rest to those often overused, upper trapezius muscles.