Orthopedics Hip, Knee, and Shoulder Injuries Forum - Frozen Shoulder/adhesive Capsilitis
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Frozen Shoulder/adhesive Capsilitis

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Medical Questions-> Health Forums -> Orthopedics Hip, Knee, and Shoulder Injuries -> Frozen Shoulder/adhesive Capsilitis
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activechick

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Frozen Shoulder/adhesive Capsilitis
Posted: 02-09-07 12:19pm

Hi there.
I've been hearing about something called "adhesive capsilitis" or frozen shoulder syndrome. It's a crazy thing, and (based on my cruising around the internet) not many people are talking about it, but a great many folks suffer from it.

I talked to a research doc/surgeon at ball state memorial hospital in muncie, indiana, and this is what he told me about frozen shoulder:

it's a condition that usually occurs after minimal trauma, and is very often linked to some sort of emotional trauma that happened within the past year. The latest thinking on frozen shoulder syndrome is that it acts as an auto-immune disorder, which is where the body attacks itself. The body attacks the shoulder capsule, causing inflammation, and laying down a huge amount of scar tissue in a very short time. (his direct quote was, "it occurs very rapidly--it's just amazing.")

the patient looses almost all range of motion, and is in a great deal of pain. During the first 3-4 months, there's almost nothing you can do about it--the body wants to continue to lay down scar tissue until it burns itself out of that first phase. Another awful thing about this syndrome is that it usually goes from one shoulder right over to the other.

Traditional therapies have been amazingly ineffectual. The "ultimate" answer is surgery, which this surgeon describes as "pretty brutal." essentially, the surgery for frozen shoulder is to just rip the muscles apart forcibly or cut the shoulder capsule, leaving behind a severely compromised shoulder system.

He told me about a newer therapy called "astym" which is augmented, soft-tissue manipulation combined with stretching and strengthening. (check out astym.Com) astym is designed to break down scar tissue to encourage the body's natural healing mechanism. It helps to get rid of all that excessive scar tissue created by the syndrome, and can ease a lot of suffering.

Here's the totally weird thing about frozen shoulder: after two years or so, it resolves itself most of the time. Apparently, the body will start to gradually re-absorb the excess scar tissue, and eventually the shoulder will be released from its prison of scar. Weird, but true.

Frankly, i'd rather not wait two years. I'd go see a physical therapist and ask about astym.

Hope that helps
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