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Frozen shoulder

Case 1:
Mrs Fallon had suffered from frozen shoulder on the right side for 3 months. She visited Chinese Medical Centre in Nenagh on 26 May in 2008 and complained she had a pain and stiffness in her shoulder 3 months ago. The symptoms was getting worse. Her arm on the right side was difficult to lift. and the pain reflected to her back and neck on the right side. The areas of the pain was sensitive to cold. She received acupuncture, cupping, tuina massage and heat treatment. After 5 sessions, the pain and stiffness in her shoulder had been relieved a lot. After 10 sessions, She had a perfect shoulder.
Case 2:
The patient who is a 49-year-old male have had a pain and stiffness in his shoulder on the right side for over one year. The condition was getting worse, the pain and aching radiated to his neck, he was uncomfortable to turn his head, and difficult to dress. He visited Chinese Medical Centre in Nenagh on February 19 in 2010 and received 6 sessions acupuncture, cupping,and heat treatment. After one month, the troubles of his shoulder and neck have completely gone.
Case3:
The patient who is 82-year-old housewife have suffered from frozen shoulder for nearly one month. The pain and stiffness in her shoulder on the right side was so bad that her arm on the right side was difficult to lift. She visited Chinese Medical Centre in nenagh on January 22 in 2011 and received acupuncture, cupping, heat treament. After 2 sessions, she felt a little better. She hoped the symptoms was relieved quickly, so she received the injections of corticosteroid drugs for 2 times. Since then,  the pain in her shoulder  became worse, her arm can't move. She came back for acupuncture on February 19 in 2011.  She got 6 sessions acupunture, After one month, her shoulder on the right side has complete returned to normal.

Frozen shoulder,
also called adhesive capsulitis, causes pain and stiffness in the shoulder. Over time, the shoulder becomes very hard to move. Symptoms: Pain from frozen shoulder is usually dull or aching. It is typically worse early in the course of the disease and when you move your arm. The pain is usually located over the outer shoulder area and sometimes the upper arm.

Your shoulder is a ball-and-socket joint made up of three bones: your upper arm bone (humerus), your shoulder blade (scapula), and your collarbone (clavicle).
The head of the upper arm bone fits into a shallow socket in your shoulder blade. Strong connective tissue, called the shoulder capsule, surrounds the joint. To help your shoulder move more easily, synovial fluid lubricates the shoulder capsule and the joint.

In frozen shoulder, the smooth tissues of the shoulder capsule become thick, stiff, and inflamed.

The hallmark sign of this condition is being unable to move your shoulder - either on your own or with the help of someone else. It develops in three stages:

Freezing
In the"freezing" stage, you slowly have more and more pain. As the pain worsens, your shoulder loses range of motion. Freezing typically lasts from 6 weeks to 9 months.

Frozen
Painful symptoms may actually improve during this stage, but the stiffness remains. During the 4 to 6 months of the "frozen" stage, daily activities may be very difficult.

Thawing
Shoulder motion slowly improves during the "thawing" stage. Complete return to normal or close to normal strength and motion typically takes from 6 months to 2 years.

Cause
The causes of frozen shoulder are not fully understood. A few factors may put you more at risk for developing frozen shoulder.

Diabetes. Frozen shoulder occurs much more often in people with diabetes, affecting 10% to 20% of these individuals. The reason for this is not known.

Other diseases. Some additional medical problems associated with frozen shoulder include hypothyroidism, hyperthyroidism, Parkinson's disease, and cardiac disease.

Immobilization. Frozen shoulder can develop after a shoulder has been immobilized for a period of time due to surgery, a fracture, or other injury. 

 
Specific exercises will help restore motion. These may be under the supervision of a physical therapist or via a home program. Therapy includes stretching or range of motion exercises for the shoulder. Sometimes heat is used to help loosen the shoulder up before the stretching exercises.. Below are examples of some of the exercises that might be recommended.

1.External rotation — passive stretch. Stand in a doorway and bend your affected arm 90 degrees to reach the doorjamb. Keep your hand in place and rotate your body as shown in the illustration. Hold for 30 seconds. Relax and repeat.

2.Forward flexion — supine position. Lie on your back with your legs straight. Use your unaffected arm to lift your affected arm overhead until you feel a gentle stretch. Hold for 15 seconds and slowly lower to start position. Relax and repeat.

3.Crossover arm stretch. Gently pull one arm across your chest just below your chin as far as possible without causing pain. Hold for 30 seconds. Relax and repeat.

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