Long Term Frozen Shoulders Improved by More than 80% in 2 Weeks
13 Apr 2015 by Maddi Boyer
- To reach overhead e.g. hanging clothes, reaching in high cupboard (3/10)
- To carry bags without pain (6/10)
- To do weight bearing activity e.g. Pilates exercises (5/10)
We performed a systematic assessment of
- Neurodynamic tension in both upper limbs
- Severely restricted shoulder movement bilaterally (Flexion, Abduction, External Rotation)
- Tight posterior shoulder capsule bilaterally
- Muscles guarding around both shoulders and right side of the neck (scalenes, upper trapezius)
- Stiff neck (C6-7) and thoracic (T1-2, T9-10) segments
- Over-activation of upper trapezius with active shoulder movements
Following the reassessment, we were confident that we had found the main driver of her shoulder problems. With more treatment of her neck, the shoulder mobility got to 90% and it only needed a few minutes of local work on each shoulder to get back to full range.
To make sure she doesn’t overload her neck area again, I gave her postural exercises and attended a Pilates reformer session with her to make sure she was doing the exercises appropriately. I also discussed
This case demonstrates that even if there is a diagnosis of local problems where the pain is, other areas in the body can affect the overall condition and without a thorough assessment, we can’t be sure we are treating the main driver of the condition to get the best result.
If you would like to learn more about the neuroscience behind the approach we used with