Symptoms of Frozen Shoulder

The main symptoms of frozen shoulder are stiffness, pain and decreased range of motion in your shoulder and upper arm.

You will often be unable to lift your arm over your head or away from your body nor will you be able to rotate it inwards; eventually you may not be able to move it at all. The lack of movement in your shoulder joint will interfere with your everyday tasks like getting dressed, driving, working; even completing simple things like reaching behind your back to scratch it. Muscle spasms in your rotator cuff muscles and swelling of your tendons will also limit your ability to move.

Pain is generally experienced over the front and sides of your shoulder and upper arm area (around your deltoid, biceps brachii and rotator cuff muscles) which can radiate down to your elbow and wrist, or around your upper back from your trapezius muscle, because of the restricted joint space. You will experience pain with movement (such as trying to reach across your body) and eventually at rest. However depending on the cause of your frozen shoulder, it can be referred from other areas like your neck, heart, diaphragm, liver or spleen.

Weakness in your shoulder, upper arm and back muscles will occur over time from lack of use; this can create an imbalance in your muscle strength (as the stronger muscles have to compensate for the weaker ones) and cause muscular strains and alignment issues.

Many people will experience depression, anxiety and psychological stress because of the secondary effects of the constant pain from frozen shoulder over the long term (stop working which leads to financial stress, stop participating in social and sports activities).

Some people have even experienced an increase in body odor as they find it harder to reach and clean their armpit areas. Often there can be changes in your local nerves to your sweat glands.

Progression of Frozen Shoulder

Stage 1 - The "Freezing" painful phase

You will experience a slow onset of mild pain in a generalized area of your shoulder that increases with movement and eventually at rest. Inflammation and tenderness around your joint as a result of muscle spasms and scar tissue that binds your shoulder tissues tighter creates stiffness, which will decrease your range of motion. A vicious circle then develops - the lack of shoulder movement (from trying to protect your shoulder and decrease pain) increases scar tissue development, which decreases the space in your capsule and limits your movement, creating even more stiffness. Pain is often worse at night when sleeping and/or lying on your sore side. This phase of frozen shoulder can last between 1-9 months.

Stage 2 - The "Frozen" stiff and adhesive phase

You will often find a little improvement in pain which will ease over time. This will be more localized, with tenderness around the ball of your shoulder joint. As your inflammation starts to decrease, your scar tissue will get worse and harder, which will increase your stiffness and can limit your movement to an entirely "frozen" state. Discomfort will continue to be worse with extreme ranges of movement or at night (interfering with sleep). You will often have as much as 50% less movement than in your other arm and not be able to raise it more than 40 degrees in any direction. This phase of frozen shoulder can last between 4 - 12 months.

Stage 3 - The "Thawing" and recovery phase

In the last phase, your shoulder pain decreases drastically, and your scar tissue begins to loosen. As a result your stiffness goes away slowly and your full range of shoulder movement returns gradually. External rotation (turning outward) of the upper arm improves first, followed by abduction (moving up and away from the body) and internal rotation (turning inward). This phase of frozen shoulder can last between 5 - 36 months.

Surgery may be required if you experience no improvement within 12 - 18 months of following a treatment plan from your doctor.

Should You Seek Medical Attention?

See a doctor immediately if:

• your shoulder is hot and/or extremely swollen
• you have severe pain, numbness and/or a fever
• you cannot lift your arm straight out to the side
• your symptoms prolong for over 2 weeks after trying conservative and home treatments

An Infrared Personal Therapy system is one of the most helpful tools for a damaged rotator cuff. Through the absorption of infrared thermal energy, tissues are safely and gently heated - increasing blood flow within the treated area. Your body's natural response to this increased temperature is to try to maintain a condition of homeostasis - a balanced environment or state of equilibrium throughout the body. To do this, your body responds with a rapid increase in blood flow to the area (this is known as vasodilation), increasing the supply of nutrients to injured cells and flushing out toxins (including lactic acid, commonly found in trigger points) to promote healing. Our Thermotex Platinum Pain Relief Device provides effective, non-invasive, non-addictive pain relief with no side effects.

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Ultrasound Therapy is also a helpful tool for pain prevention of a frozen shoulder, and having a mendmeshop ultrasound device at home can be a powerful and convenient treatment tool. If you have symptoms or are recovering from a hamstring injury, using ultrasound on a regular basis before your activity or throughout the day will help relax your hamstring muscles, tendons and tissues, diminish pain and inflammation, soften scar tissue and contribute greatly to the healing of your injury.

If you suffer from mild inflammation or pain after certain activities or movements use ultrasound therapy when you complete the activity and then rest and elevate your shoulder. Limit the application of ultrasound to a couple of treatments per day (the manual will recommend treatment frequency depending upon the injury). In between ultrasound treatments, maximize your pain relief and injury recovery by using the Thermotex Personal Therapy System. When you're on the go, and not near an electrical outlet, take advantage of the "where anywhere" concept of our hot/cold wraps - the highest rated wraps in the industry. Proven Performance, Proven Relief - only found at MendMeShop.com. If you have been given a treatment plan by your health professional, make sure you adhere to it to ensure pain free living. In general, people who are committed to their therapies and exercises will have the best medical outcomes.