The pain would wake me up after about 3 hours sleep!
I am writing to thank you for your book you sent me on “how to treat your own frozen shoulder”.
I initially had been to a chiropractor (3 visits) and then an Osteopath Clinic (a teaching clinic attached to RMIT University) for three visits and was quite nervous when I received your book as I was in considerable pain and nothing had helped up to that point. The pain started around June with what I thought was a slightly pulled muscle when I was working in the garden and progressively got worse such that I went to the chiropractor in mid August. By the end of September the night pain began and would wake me up after about three hours sleep and I would have to get up and take some Nurofen. I would put ice and/or heat packs on the arm until it subsided enough so that I could go back to bed for another few hours sleep.
After I received your book my wife, Yvonne became my therapist and we commenced treatment on the 7th Nov 2010. In two to three weeks the pain had subsided considerably and by the end of December the night pain had gone but I still had some pain in the arm during the day and my range of movement had not improved very much. Flexion had improved from 90° to approx. 120° but Abduction was still 90°.
I read your book again and decided that we had probably not been apply sufficient deep pressure to the trigger points because of the pain I had been in and so on the 10th Jan 2011 began apply more pressure. After two treatments the pain in the arm is almost gone (I would describe it now as an occasional slight discomfort) and flexion had improved 20 to 30° and Abduction by 45°. We have now completed four treatments and both Flexion and Abduction are approx. 170° and I am confident the full range of movement will return in the next couple of weeks.
For your information I also had my neck and back massaged using Chinese pressure massage once a week to help relax my neck and back muscles which as you would know tend to get very tight. I don’t believe this made any difference to my Frozen shoulder although I would be interested in your opinion as to whether this type of massage would interfere with the treatment.
I plan to visit the Osteopathic Clinic next week so they can see my improvement and show them your book so that they can evaluate it themselves and hopefully allow your treatment to be used to help others.
Thanks again and best wishes
Greg and Yvonne Moodie
Alternative Ways to
Manage Your Pain
Frozen shoulder has an autoimmune component as it is inflammation caused by natural tissues of the body. Having said that, your diet should include foods rich in vitamin D, as this will play a part in strengthening your immune system and decreasing the chances of an autoimmune problem. An example of Vitamin D rich foods include salmon, sardines and egg yolk. Silica is a mineral found in vegetables and roots that helps to restore elasticity to body tissues. Silica rich foods include leafy green vegetables, beets, whole grain breads and cereals
There are foods that we eat on a daily basis that aggravate our bodies and cause inflammation, avoiding these foods can also assist in the control of the inflammation in the shoulder. Caffeine increases the inflammatory markers in your blood and can cause inflammation and muscle stiffness. Products containing caffeine include coffee, many teas, colas and chocolates.
|“There are foods that we eat on a daily basis that aggravate our bodies and cause inflammation”|
Hot and Cold therapy is a simple and effective therapy that you can do on your own by alternating between hot and cold packs on the painful area. The heat helps to soften the muscles in the area and reduce pain. The alternating of the 2 temperatures causes your blood vessels in the area to widen with heat and constrict with cold. This action of the blood vessels will affect blood flow to that area and assist in decreasing your pain and inflammation.
Trigger points are commonly found in people with frozen shoulder around the affected area. They are a taut band of muscles that cause pain. A massage targets the trigger point areas in your body to ease discomfort and restore body equilibrium. Massage therapy loosens the muscles and increases the blood flow to the area, limiting the inflammation and reducing the scar tissue..
One of the most common forms of Chinese Medicine used in the treatment of frozen shoulder is acupuncture as it is known to be successful in the reduction of pain. Studies have shown that those who carry out stretch exercises in conjunction with acupuncture display a significantly higher improvement than those following a stretching program without acupuncture. In short, acupuncture can change the biochemical and physiological conditions of your body through the stimulation of target areas on the surface of your skin.
Try adding some spice to your diet; it will go a long way. Turmeric often found in curry spices, ginger and cayenne work as natural anti-inflammatories. The perk is that they are tasty and add some extra flavor to your meal and they don’t lead to drowsiness.
Pain Management is one of the key concerns in frozen shoulder. We explore the options to relieve your pain.
By Chana Janovsky, Staff Writer
Frozen shoulder is known as an inflammatory condition and treatment is mainly focused on two things. Pain relief, alleviating and managing pain and maintaining the range of motion of the joint. A limited range of motion can complicate the recovery process and lead to added pain and discomfort, as well as restricted movement.
The treatment of frozen shoulder is a lengthy process, and therefore pain management is one of the key focuses during treatment. The most common form of pain relief to supplement the treatment of frozen shoulder is medication. Medications commonly used are NSAIDS (nonsteroidal anti-inflammatory drug) and your corticosteroids (steroidal drugs). Your non-steroidal drugs usually come in the oral form and your steroidal drugs come in either an oral or injection form.
What is inflammation and how do Anti-inflammatories help?
Inflammation is the bodies attempt to protect itself and its tissues from something that appears foreign to it, and to begin the healing process. One of the actions of inflammation is dilation (widening) of the blood vessels in the area,“These medications target the enzymes that produce prostaglandins, blocking their production and ultimately decreasing your pain” causing swelling, heat and redness. When body tissue is damaged this causes the body to release Histamine, Bradykinin, Leukotrienes and Prostaglandins into the blood. Histamine and Bradykinin are the ones responsible for the swelling and redness that you experience. Leukotrienes and Prostaglandins are the ones you can blame for your increased body temperature and sending the signal to your brain that you body is experiencing pain.
Anti-inflammatories can be both over the counter (OTC) or prescription medication from your doctor. The OTC medications which are usually taken for short term use include your Aspirin, Ibuprofen, Ketoprofen such as Actron and Naproxen such as Aleve. For effective pain relief, medication such as Ibuprofen should be taken at the same time daily.
OTC anti-inflammatories may cause drowsiness in some people, but you can take them during the day. Prescription medications are the ones you should be concerned with as they can lead to drowsiness. They should be taken at night to avoid any accidents linked to drowsiness. Prescription medications are usually stronger and are taken for a longer period of time they include Daypro, Naprosyn and Voltaren.
Anti-inflammatories are very smart. As mentioned before, prostaglandins are the ones responsible for the pain that you experience. These medications target the enzymes that produce prostaglandins, blocking their production and ultimately decreasing your pain. While both non-steroidal and corticosteroidal anti-inflammatories affect the production of prostaglandins, corticosteroids also affect the function of your white blood cells, your body’s defense cells in the blood, and therefore have an effect on your immune system as well. With all medication, there is a risk of side effects and all medication regimes should be discussed with your doctor.
Side effects of anti-inflammatories
The possible side effects from NSAIDs are far less severe than those that can occur from corticosteroidal medication. Non-steroidal drugs may cause gastrointestinal disturbances and allergic reactions, especially in those who suffer from asthma. Steroidal drugs may cause side effects such as kidney dysfunction, high blood pressure and erectile dysfunction.
Blood Pressure and kidney problems. High doses of anti-inflammatories can eventually lead to kidney failure. Those sneaky prostaglandins are also found in your kidneys and the pills can cause a decrease flow of blood to your kidneys causing them to work more slowly. Kidneys are responsible for cleaning out the blood, and their slow work can lead to a buildup of fluid in the body which results in an increase in your global blood pressure.
Gastrointestinal Tract Problems. Prostaglandins vary in their type and function. While the type that you don’t like are responsible for your swelling and pain, there is another very useful type that is responsible for protecting the stomach lining from the very acidic stomach juices. Anti-inflammatories block the production of prostaglandins and although this limits your pain, it also leaves your stomach, esophagus and intestines unprotected and wide open to an acidic attack. This can cause problems in these areas including ulcers and discomfort as well as nausea and vomiting. With this information in hand you can now understand why it is very important to take this medication as the packaging outlines, which usually encourages the medication to be taken with food to protect your stomach.
Vivienne Parry recovered nearly full range of motion within 6 weeks of starting treatment with the Niel-Asher Technique
I stumbled on a slippery slope at a fireworks party in November, and I was surprised when an electric shock of pain shot down my arm, despite it being only a minor fall.
The pain disappeared quite fast, but within a couple days I started to feel a dull ache in my upper arm region and shoulder.
I found that even the the slightest knock to my arm would create a spasm of severe pain.The pain started to become worse at night; I started to suffer from lack of sleep; and even simple tasks like getting dressed became more and difficult. Days later and I could hardly move my arm at all.
As a full time science broadcaster, the severe pain and lack of movement was seriously affecting my job and ability to work.
A couple of weeks after my fall, I was diagnosed by my family doctor as having a frozen shoulder.
I soon found that the internet is jammed full sites offering potential ‘cures’ — gel saddlebags to put over the shoulder were among the most bizarre I found. Then I found the Niel-Asher Technique, that involves pressing hard on certain points in the shoulder to ‘release’ the muscles and restore movement. I decided to give it a try — and the results were impressive.
This technique was developed around the theory that the shoulder pain causes the brain to switch off the muscles round the joint to try to protect it.
The theory goes that this safety mechanism actually contributes to the immobility and may do more harm than good. In fact, movement actually helps reduce inflammation, thereby stimulating the flow of healing molecules to the joint.
I must admit that I found the first treatment session quite painful as it necessitated pressing hard for about 20 seconds on five points on my upper arm and shoulder.
However, the good news is that the pain was significantly less that night and within two treatments, the pain had actually had gone. I had nearly a full range of movement within six weeks.
The best part for me - I can get back to my gardening!
Read More Frozen Shoulder Case Histories