|Impingement Syndrome and Frozen Shoulder are very similar because they effect the shoulder joint but there are some differences. Lets look at both and see what we can do about them.
Impingement Syndrome (I.S.):
What are the Symptoms?
What can be done?
1. Stretching exercises
2. Proper alignment of the shoulder in the joint space
3. Muscle and tissue loosening with massage or sastm (a Graston Technique)
4. Ultrasound, Tens machines can also be used to stimulate the area
What is a frozen shoulder (Adhesive Capsulitis)?
What causes a frozen shoulder?
If you are diabetic, have chronic Rheumatoid Arthritis or have recently had chest or breast surgery you are at a higher risk of getting Frozen Shoulder. Also, long term non-movement of the arm in its normal range of motion can develop frozen shoulder.
How do we know you have frozen shoulder?
During examination we will move your arm and see where its limitations are. Orthopedic tests will be administered to test strength and neurological testing will be performed.
If necessary, an x-ray with contrast dye injected (Arthography) into the shoulder joint can show problems with the capsule. Also an MRI can be taken to see soft tissue damage.
In order to help with this problem, proper stretching of the arm and rehabilitation is required. Stretches must be done everyday to keep good blood flow, movement and mobility. Here is the bad news….once you have frozen shoulder or impingement syndrome, you have to keep stretching. It can and will come back.
Both of these problems need a lot of time for rehabilitation. It can sometimes take be 6-8 months to get back to full function. Be patient, it will happen, just a lot of hard work to get you back in the swing of things again.
It can be tricky but in either case, our Redwood City Chiropractic office can help.