Introduction

Frozen shoulder, also known as adhesive capsulitis, is more than just a cause of discomfort – it’s a condition that can significantly hinder daily activities and quality of life. Characterised by stiffness and pain in the shoulder joint, it’s a common ailment affecting many individuals, especially in middle age. At ‘Back in Health Osteopathy’ in Singapore, we specialise in addressing this challenging condition. Our approach combines expert diagnosis, personalised treatment plans, and a commitment to patient education, helping you understand your condition and the path to recovery.

Causes of Frozen Shoulder

---

---

The precise cause of frozen shoulder remains unclear, but it is believed to involve inflammation and scar tissue formation in the shoulder joint. It often occurs after a period of immobilisation, such as after surgery, an arm fracture, or other injuries that result in the need to restrict shoulder movement.

Certain risk factors increase the likelihood of developing a frozen shoulder. These include diabetes, which is seen in a significant portion of patients with this condition, and other health issues like heart disease, thyroid problems, and Parkinson’s disease. Overuse injuries and systemic conditions like inflammatory arthritis can also predispose an individual to a frozen shoulder.

Understanding the causes is vital for both prevention and treatment. It emphasises the importance of maintaining shoulder mobility when restricted, such as after an injury or surgery.

Diagnosing Frozen Shoulder

---

Diagnosing a frozen shoulder involves a thorough assessment by a healthcare professional. At ‘Back in Health Osteopathy’ in Singapore, our approach starts with a detailed patient history to understand the onset of symptoms and any underlying health conditions.

This is followed by a physical examination, assessing the range of motion in active and passive movements. In active movement, the patient moves the shoulder independently, while in passive movement, the doctor assists. A significant reduction in the range of motion in all directions is a key indicator of a frozen shoulder.

Imaging tests, such as X-rays or MRI scans, are sometimes used to rule out other conditions like arthritis or rotator cuff tears. These tests help confirm the diagnosis of a frozen shoulder and plan an appropriate treatment strategy. It’s important to note that early diagnosis can lead to a better outcome, as it allows for the timely initiation of treatment and management strategies.

Frozen Shoulder Treatment Options

---

---

Treatment for a frozen shoulder primarily aims to control pain and restore motion and function to the shoulder. This is typically achieved through a combination of methods:

1. Physical Therapy: This is the cornerstone of frozen shoulder treatment. Our expert therapists at ‘Back in Health Osteopathy guide patients through exercises and stretches tailored to improve shoulder mobility and strength. These exercises focus on gently stretching the joint capsule and maintaining as much range of motion as possible.
2. Pain Management: Over-the-counter pain relievers and anti-inflammatory medications are often recommended to manage pain and reduce inflammation. In some cases, stronger medications may be prescribed.
3. Joint Injections: Corticosteroid injections into the shoulder joint may be suggested for more severe cases. These injections can significantly reduce pain and improve mobility, especially in the condition’s early stages.
4. Heat and Cold Therapy: Applying heat can help loosen the shoulder up before performing stretching exercises, while cold packs can help reduce pain and swelling after exercise.
5. Education and Support: It is crucial to understand the condition, its natural course, and the importance of adhering to the treatment regimen. Our team ensures that patients are well-informed and supported throughout their treatment journey.

In rare cases where conservative treatments don’t bring relief, surgical options like joint distension or shoulder arthroscopy might be considered. These procedures involve stretching or releasing the joint capsule. However, surgery is typically seen as a last resort and is only considered when other treatments have failed to provide adequate relief.

The Role of Exercises in Managing Frozen Shoulder

---

---

Exercise is a critical component in the treatment of a frozen shoulder. It helps maintain and gradually increase the range of motion in the shoulder joint. At ‘Back in Health Osteopathy’, we emphasise a personalised exercise regimen essential for effective treatment.

Our therapists work closely with patients to design exercise programs catering to their frozen shoulder stage. These exercises typically involve:

1. Stretching: To gently stretch the joint capsule, improving flexibility.
2. Strengthening: Focusing on the muscles around the shoulder to support and stabilise the joint.
3. Range of Motion Exercises are crucial in maintaining and improving the shoulder’s mobility.

Approaching these exercises patiently is important, as progress can be slow. Consistency and regularity in performing these exercises are key to achieving the best outcomes.

Stretching Exercises for Relief

Stretching exercises play a significant role in alleviating frozen shoulder symptoms by improving the shoulder joint’s flexibility and movement. Here are some effective stretches:

1. Pendulum Stretch: Lean over slightly, allowing the affected arm to hang down. Swing the arm in a small circle, gradually increasing the circle’s diameter. This exercise helps in loosening the tightness in the shoulder.
2. Towel Stretch: Hold a towel behind your back with both hands. You can use the good arm to pull the affected arm upward to stretch it. This helps in improving the range of motion in the shoulder.
3. Cross-Body Reach: Use your good arm to lift your affected arm at the elbow and bring it up and across your body, exerting gentle pressure to stretch the shoulder.

These exercises should be performed within the comfort range and not cause excessive pain. It’s essential to start slowly and increase the intensity as the shoulder loosens.

Managing Pain and Stiffness

---

---

Effective management of pain and stiffness is a key aspect of treating a frozen shoulder. At ‘Back in Health Osteopathy’, we adopt a multifaceted approach to pain management:

1. Medication: Over-the-counter pain relievers and anti-inflammatory drugs can help reduce pain and inflammation. In some cases, stronger prescription medications may be necessary.
2. Therapeutic Modalities: Techniques like hot and cold therapy can be beneficial. Heat applications help loosen the shoulder, making it easier to perform exercises, while cold therapy can reduce pain and swelling after exercise.
3. Manual Therapy: Our skilled osteopaths employ techniques like massage and mobilisation to improve blood flow, reduce muscle tension, and enhance joint mobility.
4. Patient Education: Understanding the nature of the condition and the importance of continued movement within pain tolerance is crucial. We ensure patients are well-informed about their condition and how to manage it effectively.

Patients must understand that while managing pain and stiffness is important, these strategies should be used with exercises to ensure the best outcomes.

When to Consider Surgery

Surgery for a frozen shoulder is generally considered only after all other treatments have failed to provide adequate relief. The two main types of surgery for a frozen shoulder are:

1. Shoulder Arthroscopy: A minimally invasive surgery where tight portions of the joint capsule are cut.
2. Manipulation Under Anesthesia: The shoulder joint is moved through its range of motion while the patient is under anesthesia to stretch or tear the joint capsule.

At ‘Back in Health Osteopathy’, we consider surgical options as a last resort. We focus on thorough assessment and exhausting all non-invasive treatments before recommending surgery.

---

Why Choose ‘Back in Health Osteopathy’ for Frozen Shoulder Treatment

---

---

Choosing the right healthcare provider is crucial in effectively managing and treating frozen shoulder. ‘Back in Health Osteopathy’ in Singapore stands out for several reasons:

1. Expertise and Experience: Our team of osteopaths and therapists are highly trained and experienced in treating various shoulder conditions, including frozen shoulder. We utilise the latest evidence-based practices to ensure the most effective treatment.
2. Personalised Care: We understand that each case of frozen shoulder is unique. Our treatments are tailored to meet each patient’s specific needs and recovery goals.
3. Holistic Approach: We adopt a holistic approach to treatment, addressing the symptoms and underlying causes of frozen shoulder. This includes a focus on overall wellness and prevention strategies.
4. State-of-the-Art Facilities: Our clinic has modern facilities and equipment, ensuring patients receive the best care in a comfortable and welcoming environment.
5. Commitment to Education and Support: We believe in empowering our patients with knowledge about their condition. Our team is dedicated to providing ongoing support and guidance throughout the treatment journey.

Conclusion

Frozen shoulder can be a challenging condition, but with the right approach, it is manageable. Effective treatment requires professional care, tailored exercises, and patient education. If you are experiencing symptoms of a frozen shoulder or looking for expert care in managing shoulder pain and stiffness, ‘Back in Health Osteopathy’ is here to help.

Please contact us today for a consultation and take the first step towards regaining your shoulder health and mobility.