The term frozen shoulder encompasses a wide variety of restrictive shoulder disorders and can also be referred to as adherent bursitis, pericapsulitis, obliterative bursitis and periarthritis. Regardless of what it is called, manipulation of the joint and neuro-muscular-skeletal rehabilitation are needed to resolve the lack of mobility.
Frozen shoulder, also known as adhesive capsulitis, is a malady that affects two to three percent of the population. Often the main indicator is initial pain in the joint and decreased mobility. Frozen shoulder can affect people of any age from children to adulthood, but is most commonly diagnosed in people ranging from 40 - 70 years of age, predominantly women.
The shoulder joint itself is called a ball and socket joint. Ligaments, tendons and muscles work together to provide support, strength and the wide range of motion that enables us to move our arms and hands in a variety of positions in order to complete tasks. All the functions of the shoulder can be compromised by underlying inflammatory diseases and misuse. The specific causes of frozen shoulder perplex are varied and largely still unknown, but onset begins with initial pain, followed by restriction in mobility and finally recovery.
Frozen shoulder can often be referred to as insidious in nature. The symptoms and development of the disorder are slow and can take up to a year or two to set in. Often patients will experience pain that will increase over time. As chemical changes take place in the shoulder joint, thick strands of tissue called adhesions form and begin to restrict mobility. The lubricating synovial capsule in the shoulder joint thickens and provides less lubrication. By the time the sufferer begins to notice a significant issue in lack of mobility, the disorder has set in and requires treatment.
The good news is that although the causes of frozen shoulder are varied, treatment is straight forward and the disorder can be resolved. Often clinicians, including our experienced and caring staff, can provide the correct manipulation and physiotherapy to help you regain mobility and resolve the disorder. Contact our office so we can address your condition immediately.
Causes of Frozen Shoulder
Adhesive capsulitis (Frozen Shoulder) can be attributed to misuse and injury, myocardial infarction, upper torso surgery, such as arm and shoulder surgery or mastectomy, and even lack of use. When the shoulder joint goes unused and remains in the same position for long periods of time, such as when a patient is placed in a sling or unable to use their arm, the joint tightens and mobility is decreased. An autoimmune response in the area may cause the joint to stiffen and restrict the joint causing the initial pain. When the initial pain is not addressed, the inflammatory nature of the disorder will progress and adhesions form in the joint further restricting mobility and increasing the level of pain.
Frozen Shoulder Due to Systemic Disorders
A large population of patients who suffer from systemic diseases may be more likely to develop frozen shoulder. These systemic diseases include those who suffer from thyroid disorders such as hyperthyroid and hypothyroid, both overactive and underactive thyroid function. Other diseases include diabetes, cardiovascular disease, tuberculosis and Parkinson's Disease. Frozen shoulder treatment related to these diseases is paramount and the importance of early diagnosis followed by early manipulation and treatment are necessary, because more drastic treatments are often times not an option. Our chiropractic staff are experts in diagnosing and treating the issue to help resolve your pain and regain your range of motion, so you may return to a normal routine.
Frozen Shoulder in Surgical Patients
Patients who have recently gone through shoulder surgery such as rotator cuff repair or repair to the labrum, one of the many tendons in the shoulder, may experience frozen shoulder. Patients who have had recent mastectomy or cardiovascular surgery are at risk, as well. The reason they are more susceptible to the disorder is lack of use of the shoulder. When the shoulder remains in the same position for a prolonged period of time, the joint stiffens and the pain sets in.
Once the surgical site heals sufficiently, neuro-muscular-skeletal rehabilitation and chiropractic manipulation are highly recommended to help return range of motion to the joint and reduce pain. Our office can develop a program for you that will reduce the pain and increase the range of motion over a healthy period so you can return to a normal schedule in you life.
Chiropractic Treatment of Frozen Shoulder
Chiropractic therapy for frozen shoulder can produce the results you need and resolve your frozen shoulder. Our staff will evaluate your baseline range of motion and pain level to develop a plan tailored to you. In-office neuro-muscular-skeletal rehabilitation coupled with exercise you may do at home will address and increase your range of motion. It will also build the muscle to prevent muscular atrophy or the shrinkage of important muscles in the shoulder. Coupled with treatment for inflammation in the joint space, patients can see improvement over a period of time and resolution of the disorder.
Hard work is the key. Failure to work on stretching in the office as well as at home can delay the recovery process. Trust our staff to direct you along the path to recovery.
http://www.mayoclinic.com/health/frozen-shoulder/DS00416/DSECTION=risk-factors http://www.aafp.org/afp/990401ap/1843.html http://www.healthgrouponline.com/frozenshoulder.html
"Jina ""mabega ya barafu"" linahusu aina mbalimbali za matatizo ya mabega na pia inaweza kutajwa kama ""bursitis ya kushikamana,"" ""pericapsulitis,"" ""bursitis ya kufuta"" na ""periarthritis.""" Bila kujali jinsi inavyoitwa, udhibiti wa viungo na ukarabati wa neva-misuli-kifupa zinahitajika ili kutatua ukosefu wa mwendo. Mvua ya mabega, pia inajulikana kama capsulitis, ni ugonjwa ambao huathiri asilimia mbili hadi tatu ya watu. Mara nyingi dalili kuu ni maumivu ya awali katika kiungo na kupungua kwa mwendo. Mvuke wa bega unaweza kuathiri watu wa umri wowote kutoka watoto hadi watu wazima, lakini mara nyingi hupatikana kwa watu wa miaka 40-70, hasa wanawake. Kiungo cha bega lenyewe huitwa kiungo cha mpira na cha soketi. Ligaments, tendons na misuli hufanya kazi pamoja kutoa msaada, nguvu na mbalimbali ya mwendo ambayo inatuwezesha kuhamisha mikono yetu na mikono katika nafasi mbalimbali ili kukamilisha kazi. Kazi zote za bega zaweza kuathiriwa na magonjwa ya uchochezi na matumizi mabaya. Sababu za kipekee za mabega ya barafu ni tofauti na bado haijulikani, lakini mwanzo huanza na maumivu ya awali, ikifuatiwa na kizuizi cha mwendo na hatimaye kupona. Mabega yaliyohifadhiwa mara nyingi yanaweza kutajwa kuwa yenye hila. Dalili za ugonjwa huo ni polepole na huanza baada ya mwaka mmoja au miwili. Mara nyingi wagonjwa watapata maumivu ambayo yataongezeka kadiri wakati unavyopita. Mabadiliko ya kemikali yanapotokea kwenye kiungo cha bega, nyuzi nzito za tishu hufanyizwa na kuanza kuzuia mwendo. Kifuniko cha synovial kinachotibu katika kiungo cha bega huongezeka uzito na hutoa mafuta machache. Kufikia wakati mgonjwa anapoanza kuona tatizo kubwa la kukosa mwendo, ugonjwa huo umeanzishwa na unahitaji kutibiwa. Habari njema ni kwamba ingawa sababu za kuanguka kwa bega ni tofauti, matibabu ni ya moja kwa moja na ugonjwa huo unaweza kutatuliwa. Mara nyingi madaktari, ikiwa ni pamoja na wafanyakazi wetu wenye uzoefu na wa kujali, wanaweza kutoa udhibiti sahihi na physiotherapy kukusaidia kupata tena mwendo na kutatua ugonjwa. Wasiliana na ofisi yetu ili tuweze kushughulikia hali yako mara moja. Ugonjwa wa kifua cha barafu (Frozen shoulder) unawezekana kutokana na upasuaji wa kiuno, upasuaji wa mkono na bega, au upasuaji wa mastectomy. Wakati kifundo cha bega kinapokuwa hakitumiki na kinabaki katika nafasi ileile kwa muda mrefu, kama vile wakati mgonjwa anapowekwa kwenye sling au hawezi kutumia mkono wake, kifungo hicho hufinyangwa na mwendo hupungua. Jibu la autoimmune katika eneo hilo linaweza kusababisha kiungo kuwa kigumu na kuzuia kiungo kusababisha maumivu ya awali. Wakati maumivu ya awali hayashughulikiwi, hali ya uchochezi ya ugonjwa huo itaendelea na kuunganishwa kwa pamoja kuimarisha mwendo na kuongeza kiwango cha maumivu. Mabega yaliyohifadhiwa kwa sababu ya matatizo ya mfumo Idadi kubwa ya wagonjwa wanaosumbuliwa na magonjwa ya mfumo wanaweza kuwa na uwezekano mkubwa wa kuendeleza mabega yaliyohifadhiwa. Ugonjwa huu wa mfumo wa tezi-kibofu unaathiri watu walio na matatizo ya tezi-kibofu kama vile hyperthyroidism na hypothyroidism, na pia watu walio na overactive na under-active thyroid function. Magonjwa mengine ni pamoja na kisukari, ugonjwa wa moyo, kifua kikuu na ugonjwa wa Parkinson. Matibabu ya mabega ya barafu yanayohusiana na magonjwa haya ni muhimu sana na umuhimu wa utambuzi wa mapema unaofuatwa na udhibiti wa mapema na matibabu ni muhimu, kwa sababu matibabu makubwa mara nyingi sio chaguo. Chiropractor wetu ni mtaalamu wa utambuzi na matibabu ya ugonjwa wa chiropractor, na wanaweza kukusaidia kupata tena mwendo wako wa kawaida. Kwa wale ambao wamepitia upasuaji wa bega kama vile ukarabati wa rotator cuff au ukarabati wa labrum, moja ya tendons nyingi katika bega, wanaweza kupata bega iliyopunguzwa. Wagonjwa ambao wamepatwa na upasuaji wa mastectomy au upasuaji wa moyo na mishipa ya damu hivi karibuni wako katika hatari, pia. Sababu ya kuwa wao ni zaidi nyeti kwa ugonjwa ni ukosefu wa matumizi ya bega. Mabega yanapobaki katika hali ileile kwa muda mrefu, kiungo hicho huimarika na maumivu huanza. Mara baada ya eneo la upasuaji kupona vya kutosha, neuromuscular-skeletal rehabilitation na chiropractic manipulation ni sana ilipendekeza kusaidia kurudi mbalimbali ya mwendo kwa pamoja na kupunguza maumivu. Ofisi yetu inaweza kuunda programu ambayo itapunguza maumivu na kuongeza wigo wa mwendo kwa kipindi cha afya ili uweze kurudi kwenye ratiba ya kawaida katika maisha yako. Chiropractic: Chiropractic kwa ajili ya frogs inaweza kutoa matokeo ya kutosha kwa ajili ya frogs. Wataalamu wetu wa matibabu watakagua kiwango chako cha msingi cha mwendo na kiwango cha maumivu ili kuunda mpango uliokamilishwa kwako. Upasuaji wa misuli na mifupa ya neva na mazoezi ya mwili ya nyumbani yanaweza kusaidia kupunguza uzito wa mwili. Pia, huongeza nguvu za misuli ili kuzuia kupungua kwa misuli au kupungua kwa misuli muhimu ya bega. Pamoja na matibabu ya uvimbe katika nafasi ya pamoja, wagonjwa wanaweza kuona uboreshaji kwa kipindi cha muda na utatuzi wa ugonjwa. Kazi ngumu ndiyo ufunguo. Kushindwa kufanya mazoezi ya kunyoosha mwili ofisini na nyumbani kunaweza kuchelewesha mchakato wa kupona. Weka imani katika wafanyakazi wetu kukuongoza kwenye njia ya kupona. "Hii ni kwa sababu ya ""mwisho wa siku"" (mwisho wa siku) wa ""mwisho wa siku"" (mwisho wa siku) wa ""mwisho wa siku"" (mwisho wa siku) wa ""mwisho wa siku"" (mwisho wa siku) wa ""mwisho wa siku"" (mwisho wa siku)."