Frozen Shoulder

Our high success rate in resolving frozen shoulder comes from our innovative treatment strategy to combine acoustic-based shockwave therapy, with the functional neurological sequences offered with Trigenics.  

Specialized applications of shockwave therapy force the regeneration of dysfunctional tendons and release any identified stretched or pinched nerves within the neck or shoulder.  Both are typically present in most frozen shoulder situations. 

Trigenics treatment system interventions re-establish normal neurological impulse communication from the spinal cord to the joints many muscles. It’s these abnormal impulses that have caused the shoulder to freeze in response to abnormal receptor activity coming from problematic tendons and nerves.    

The key to solving frozen shoulder is with the accuracy of the diagnostic process, with the appropriate selection of tools/technology to resolve the problems, and ultimately with the skill of the healthcare professional.  Treatments must thoroughly and permanently resolve dysfunctions in all shoulder structures if the condition is to ever be resolved. 

We do not focus treatments on symptoms that frozen shoulder is infamously known for, as this would result in treatment failure.   

Most treated see both decreased pain and increased range of motion after their first treatment. Sleeping at night improves and daily function begins returning to normal.

Note!  Attempting to strengthen or stretch a frozen shoulder could harm the shoulder further as the guarding mechanism is established for a reason.  The body does not want you to use the shoulder until the affected structures have been resolved of their dysfunctions.

Definition: What Is It?
Frozen Shoulder is a condition where the shoulder joint is either severely restricted in certain motions or completely frozen, unable to move at all. Frozen shoulder is a functional type of restriction, implying the condition arises due to a dysfunction or problem with the soft tissue muscles or tendons of the joint.

Symptoms:
Symptoms of a frozen shoulder are as its name implies. Below is a comprehensive list of symptoms that may be experienced by a frozen shoulder. Keep in mind that not everyone will experience the symptoms as listed below. Variations exist in the symptoms of everyone so the symptoms listed below are the ones seen most often.

  • Shoulder CAN move forward as in a punching action as well as backward with only slight discomfort.
  • Movements to the side like a bird flapping its wings are severely restricted and somewhat painful with only slight movement.
  • Rotational movements as with putting the hand on the back are not possible due to pain and severe restriction.
  • Pain is experienced often during the day with alternating periods of nagging ache or just a slight throb sensation.
  • Increased pain at night with an inability to sleep on the affected side.
  • Swelling may be present particularly on either the front or back of the shoulder.
  • Occasional severely painful SHARP sensations which can cause you to break out into a cold sweat.
  • Occasional sensations of pins/needles, numbness and ache down the side or back of the arm, elbow and even into the fingers.
  • Periods of a cold clammy sensation into the hand on the affected side.
  • Occasional neck pain, headaches, and upper back pain can also be experienced.

Causes:
The most common cause of any frozen shoulder is tendonitis of any of the four rotator cuff muscles or of the biceps muscle. The rotator cuff is the term used to designate the four main muscles of the shoulder that provide stability to the joint when the shoulder is in motion. Since the shoulder joint is NOT a structural stable joint, these four rotator cuff muscles act like guy wires on a tall television transmission tower, holding the upper arm bone in position at all times. Here is a partial list of the most common causes for the development of a frozen shoulder.

  • Tendonitis/bursitis of any tendon in the shoulder region.
  • Fractured humerus (upper arm bone)
  • Fractured scapula (shoulder blade)
  • Pinched nerve in the neck where it exits the side of the vertebra.
  • Pinched nerve in the neck due to a muscular dysfunction in the region
  • Side-effect resulting from surgery/radiation of breast cancer treatment.
  • Shoulder separation (See the link in this section)
  • Shoulder dislocation (See the link in this section)

Mechanism: Why Does the Shoulder Freeze?

Every joint in our body has an enormous number of receptor cells that report such things to our brain as movement, pressure, temperature, and muscle/tendon fibre health. These receptor cells are the only means our brain has to know what is happening with joints and all of its structures as muscles, tendons, ligaments, cartilage, and bones.

Since the shoulder is not a full structurally secure joint like our elbow, it relies on the ligaments that hold the bones together to be healthy and preventing any excessive movements from taking place that would damage the joint. It also relies on the tendons and muscles which provide movement to the joint to be healthy as well.

If any of these receptor cells begin to report a problem with the ligaments, tendons, muscles or bones themselves, an automatic guarding mechanism occurs seeing any or all of the four rotator cuff muscles go into a shortened guarding posture. Basically, the shoulder goes into a partial or total frozen state as a means to protect it from any further damage. Injuries to the soft tissues of the joint are seen by our brain as a potential joint problem and any resulting guarding action is an instantaneous response mechanism intended to limit joint movement as a means to protect it from further damage.

If the injury to any of the joints structures is mild in nature, then the guarding will also be mildly restrictive in nature. Conversely, if the structures are injured severely, the guarding response may also be aggressive seen by a significant freeze of the joint.

Why Are We So successful in resolving Frozen shoulder?
If you have just read the section above of why the shoulder freezes or is severely restricted in its ranges of motion, you would have surmised that there is an injury of one or more of the structures which comprise the joint. The number one cause is TENDONITIS! It's that simple. To unfreeze this frozen shoulder, we must identify and resolve the tendonitis.

Once the receptors begin decreasing their signals to the brain as a result of the improving tendon situation, the muscles being placed in a shortened guarding posture will begin loosening thus freeing up the joint.

If a bone fracture is responsible for the frozen shoulder, then the shoulder will not begin to loosen until the fracture site heals and the pain and soft tissue receptors in the region decrease their signal production.

We employ our skill in the use of radial shockwave therapy to resolve any identified soft tissue dysfunctions in the region responsible for freezing the shoulder. In a matter of weeks, we can begin releasing any frozen shoulder by providing a rapid and enormously effective type of therapy to resolve the soft tissue dysfunctions.

We employ the amazing healing capability of Magnetic Bio-Stimulation therapy to rapidly heal any bone fractures in either the humerus or scapula. As the fracture sites begin to heal, the receptors in the region begin decreasing in intensity; the shoulder muscles begin to release their hold on the joint.

Conclusion:
Frozen shoulders can be totally released in less than 2 months, and as soon as 3 weeks under good circumstances. Our therapeutic use and the combination of shockwave and neuromuscular therapies provides the most efficient type of therapy to resolve soft tissue injuries and dysfunction. Our use of magnetic therapy provides the optimal environment for all injured and dysfunctional tissues to heal in as brief a time period as possible.

     

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