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Prevention Tips

It’s important to stick to your normal activities as much you can.

Staying active stops your muscles from getting weaker. Try to keep to a properlydesigned exercise regime; this will help you maintain or even improve the flexibility of your joints.

Maintain a healthy weight. Excess weight puts unnecessary strain on the joints.

Try to avoid doing repetitive overhead movements that exacerbate your condition. Rest only when the joints are really painful.

Arthritis and Diabetes

No. Arthritis doesn’t cause diabetes, and diabetes doesn’t cause arthritis. But diabetes can involve joint problems, and obesity and a sedentary lifestyle can contribute to or exacerbate both conditions. Recent research from the Centers for Disease Control and Prevention discovered that 52% of diabetes patients also have arthritis. Type 1 diabetes and rheumatoid arthritis are both autoimmune diseases. The body’s immune system attacks the pancreas, where insulin is made, in a similar way to the destruction of the joint lining in rheumatoid arthritis. Research pinpoints a genetic connection between rheumatoid arthritis and type 1 diabetes.

Half of all people diagnosed with type 2 diabetes are aged over 55. If you have type 2 diabetes, gaining weight and becoming less active greatly increases your change of developing osteoarthritis. Try to stay active and maintain a healthy weight to avoid putting excess pressure on your joints.

The Future

A great deal of exciting research is going on in the area of shoulder arthritis and its treatment. Experts still don’t fully understand why some people develop arthritis while others don’t. Research is underway to uncover the causes of this condition. Studies are being carried out into the efficacy of lubricating treatments for the shoulder; these are currently used to treat arthritis in the knee.

Shoulder joint replacement surgery is also under scrutiny, with experts searching for new ways to develop artificial joints.

Biological materials are tissue grafts that can encourage new tissue to grow faster in the body; this is another area of futuristic research.

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How will NAT help treat my arthritic shoulder?

NAT was originally developed in 1999 as a treatment for frozen shoulder (adhesive capsulitis).

Today, NAT is also used effectively to improve quality of live for people suffering from shoulder arthritis. As with a frozen shoulder, your therapist will use the NAT technique to help reduce pain, and increase your active range of motion (AROM).

Search for an NAT therapist HERE


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Many NAH websites contain hyperlinks to websites owned and operated by third parties. These third party websites have their own privacy notices and we encourage you to review them. We do not accept any responsibility or liability for the privacy practices of such third party websites and your use of such websites is at your own risk.

What type of personal information is collected?

When you sign up to participate in or receive a service from this website, such as a newsletter, competition, forum, or information download, we will ask for limited personal information. This can include information such as your name, postal address (ZIP), telephone or mobile number, fax number, email address, gender or date of birth. In some cases you may also be asked for information concerning your health and details of any private health insurance that you may hold. By entering your details in the fields requested, you enable NAH and its service providers to provide you with the services you select.

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NAH will use your personal information for a number of non-marketing purposes including the following:

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We may disclose your personal information to any member of our group which includes our subsidiaries as defined in section 1159 of the Companies Act 2006

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NAH may disclose your personal data where it believes it is compelled to do so by law; in particular for the prevention or detection of crime, the capture or prosecution of offenders; and the assessment or collection of tax or duty.

Occasionally, we may share your contact information with carefully selected third party companies whose products and services we feel may be of interest to you. We will keep these offers relevant to your interests. It's easy to unsubscribe from any email or mobile messages you no longer want. (see below).

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Under the Data Protection Act 1998 you have the right to request a copy of the personal information that NAH holds about you. There will be an administration fee of £10 associated with this request and will require two pieces of identification to prove your identity. Please make a written application to the Data Protection Officer, Niel Asher Healthcare Ltd, 40 Highgate West Hill, Highgate, London N6 6LS, United Kingdom.

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Changes to the NAH Privacy Policy

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In order to enable us to provide you with a personalised browsing experience, this website uses 'cookie' information collection technology. "Cookies" are small pieces of information that are issued to your computer when you enter a website. Cookies are stored by your browser on your computer's hard drive, and they can be used for a wide range of purposes, such as identifying your computer's previous visits to a website, and to ascertain the most popular features of a website.

This website uses cookies as they enable us to identify your computer when you visit the website. For example, cookies can make it possible for us to identify and automatically log in registered users of certain services on the website without the need for us to ask users for their registration details and password each time they visit. We also use cookies to develop a clearer picture of which parts of the website are the most popular to its visitors, and your preferences. Cookies are also used in behavioural advertising to identify users who share a particular interest so that they can be served more relevant adverts.

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Following recent revisions of the Privacy and Electronic Communications (EC Directive) Regulations 2003 relating to the notification and use of cookies NAH is currently working towards implementing the new requirements in line with guidance provided by The Information Commissioner’s Office.

Contacting NAH about this Privacy Policy

If you have any further questions or comments concerning your privacy, please contact;


Data Protection Officer
Niel Asher Healthcare
40 Highgate West Hill
London N6 6LS

If you don’t want to receive any more direct marketing messages from NAH or NAH partners, then please send us an email to You may also contact our customer services team by using the contact details listed on this website.

Shoulder Arthritis

By Sandra Lewis

Shoulder Arthritis

Shoulder arthritis is when the cartilage connecting the ball and socket joint starts to wear away. In a normal healthy shoulder, the ball (humerus) and socket (glenoid) are covered in ultra-smooth cartilage. If you’ve developed arthritis, it means that little by little this cartilage is wearing away. Without the proper layer of protective cartilage, the bones rub against one another. Your shoulder becomes stiff and painful as with a frozen shoulder.

Arthritis is either primary – due to disease or aging – or secondary – as a result of trauma or injury to the shoulder. If left untreated, the arthritic joint becomes deformed due to a loss of centering. The strain on the joint and the bones causes ligaments to shorten, and extra bone spurs will grow on the margins of the joint. These are called osteophytes.

Shoulder arthritis can affect everyone, regardless of age, gender or race. But more women are affected than men; 60% of all arthritis sufferers are women.

What causes shoulder arthritis?

It used to be thought of as inevitable “rustiness” of getting older, simply “wear and tear” on the joints. Now experts believe it’s a lot more complicated than that, so much so that the absolute cause remains something of a mystery. We do know that there are certain factors that play a part in developing shoulder arthritis.

These are:

  • Previous shoulder surgery
  • A car accident or similar trauma that dislocated the shoulder
  • Inflammation of the shoulder (primarily due to rheumatoid arthritis
  • Overuse of the shoulder
  • Being over 50 – most sufferers of osteoarthritis are in the over-50 group.
  • The auto-immune disease rheumatoid arthritis - this causes the body to attack and destroy its own cartilage. It wreaks havoc in different parts of the body, and can occur in the shoulder joint too

A particular “at risk” group are those who do a lot of overhead lifting activities, such as playing tennis or squash, or weightlifting.

What are the symptoms?

If you have a stiff and painful shoulder, and it hurts to move it, you may have shoulder arthritis in one form or another. Sufferers complain that it becomes more painful the more they move, and also that the pain wakes them up at night. Some people report feeling a “catching” and “grinding” or “clicking” sensation when they move. Some also say that the pain intensifies following a change in the weather.

Your doctor will examine you, and send you for X-rays and/or MRI scan to scope out the extent of the damage to the cartilage. If your doctor thinks you may need surgery, he will probably also request a CT scan.

What is the best treatment for shoulder arthritis?

There are several possible non-surgical treatments available, which can be effective particularly in the early stages.

Physical Therapy: The Niel Asher Technique in combination with manual therapy can dramatically stop the stiffness from getting any worse and enable you get more movement from the shoulder.

Painkillers, anti-inflammatory drugs: mild to moderate pain killers and anti-inflammatory medicines such as aspirin and ibuprofen can be helpful to relieve the symptoms. But the drugs can’t cure the condition itself and won’t stop the cartilage damage. Make sure you check with your doctor whether you can take over-the-counter medicines if you have ulcers or are taking blood thinning medicines.

Steroid injections: these are often given to provide short-term relief of the symptoms. But these may not work for everybody, and may not provide a long-lasting solution, as every patient’s shoulder arthritis is different, and not everyone responds identically to the treatment. Doctors will not carry out repeated injections over a longer period as they can in fact damage the joint further.

Applying moist heat, or ice: Icing your shoulder for 20-30 minutes three times a day can reduce the inflammation and ease the pain.

Rheumatoid Arthritis drugs: If you suffer from rheumatoid arthritis, the doctor may prescribe a drug such as methotrexate.

Dietary supplements: Glocosamine and chondriotin sulfate are used to relieve pain. There is little scientific evidence, however, to support the use of these supplements in treating arthritis. The FDA does not test dietary supplements; check with your doctor before taking dietary supplements.

Hyaluronan injections: Hyaluronan is a substance that occurs naturally in joints, and acts as a lubricant and as a shock absorber. These injections are effective as a “lubricant” for sufferers of arthritis who don’t need surgery, and are used in athletes too, to reduce inflammation in the joint. These injections don’t have the same side effects as steroid injections.

Do I need surgery?

Nowadays doctors choose the least invasive approach necessary in order to offer longterm pain relief and give you back the use of your shoulder. Surgical treatments include:

Arthroscopic Treatment

This is a therapy where the surgeon “tidies up” the joint, cuts away the damaged cartilage and smoothes the joint, to relieve symptoms. Mainly young people have this treatment, and those who do not want to undergo a full shoulder replacement operation.

Shoulder Replacement

Where all other measures have failed or are unsuitable, shoulder replacement (arthroplasty) is necessary. There are different kinds of shoulder replacement operations, some more invasive than others. It’s up to you, your doctors, and your family, to decide together on the best form of surgery for you.

“As a 96-year-old with an arthritic shoulder which on certain movements was causing me excruciating pain, I went to the Orthopaedist. He said, " There is nothing for an orthopaedist to do." I then approached Simeon Asher who made no promises but commenced a course of treatments using his frozen shoulder technique. After a few months, the movement of my arm was freer and the pain had gone. Because of the arthritis, my shoulder will never be 100% again, but I can now live comfortably with it (experiencing only a mild ache from time to time) because I no longer suffer the extreme pain” Jean Levin, June 2013

Download our FREE Guide to Frozen Shoulder