- Overview of Frozen Shoulder
- Signs and symptoms of frozen shoulder
- Risk factors for frozen shoulder
- Prevention of frozen shoulder
- Symptoms of frozen shoulder
- Why does shoulder pain worsen at night for frozen shoulder patients?
- Diagnosis in frozen shoulder
Overview of Frozen Shoulder
Studies have shown that
- near about 2-3% population in the world is suffering from frozen shoulder nowadays.
- Women are more effective than men
- Affecting age is 40 to 60 years commonly.
- Some people may experience sever pain at night disrupting sleep
Signs and symptoms of frozen shoulder
It begins gradually, gets worse over time and then resolves usually within 1 to 3 years.
Symptoms the characteristics of frozen shoulder
- Active movement pain history in frozen shoulder
- Shoulder painful in most of the directions and also by passive movement
Frozen shoulder needs to be clearly diagnosed as it may be intermingled with other problems
Risk of developing frozen shoulder increases with some medical conditions or some procedures that hamper you from moving arm, such as mastectomy, a fracture or a stroke.
They are not clear factors that why it happens to some people, but the incidence of occurrence is in the persons having diabetes or who recently had a surgery or fracture in arm thus immobilization of shoulder.
The main risk factors causing stiffness may include
Risk factors for frozen shoulder
- 40 and older
- particularly women are likely to have it.
Immobilization or reduced mobility factor
- Rotator cuff injury
- Recovery from surgery
- Fracture arm
- cervical disc disease
- immobilization of shoulder injury.
Systemic disease factor for frozen shoulder
There are certain diseases which appear develop frozen shoulder risk.
these may include
- Cardiac disease
Prevention of frozen shoulder
As we have seen the most common cause of frozen shoulder is the immobility of the joint that may occur, while recovering from a shoulder injury, fracture or Stroke,
It can be prevented by following exercise routine to maintain range of motion in shoulder joint.
Friends, I know that the frozen shoulder is a devastating disease resulting in many daily routine restrictions and making the person dependent on some other for some particular posturs like combing, dress changing etc.
The good news about frozen shoulder is that it can get better on its own, within 12 months to 18 months and with the help of some exercises at the right stage, it results in improving mobility function. even some people recover without regular therapy.
It’s always my try to advise people that the recovery will take some time with but it will be fine helping with exercises so that problem will recover soon.
But the bad news is it can take its own time, lasting from 1 to 3 years with full recovery or in some cases may have some residual stiffness of shoulder.
Symptoms of frozen shoulder
It is the first stage in which any movement of
in this condition, it is more resistant to treatment or exercise and the shoulder will get sore, if we will forcefully try to stretch our mobilized it.
In this stage pain may begin to lessen but shoulder may remain stiff.
as shoulder freezes and becomes less painful, moving it within available range will be possible without forceful act.
Thawing stage, recovering phase
This is the last stage where the range of motion in Shoulder begins to improve.
causes of shoulder stiffness
To understand the causes, lets, first discuss the anatomy of the shoulder
Anatomy of the shoulder
- Humorous that is upper arm bone
- Scapula that is shoulder blade
- Clavicle that is
The ligaments and tendons that are attached to the shoulder joint are encased in a capsule of connective tissue.
This capsule thickens around the shoulder joint, it restricts its movement, causing frozen shoulder, thereby, the name adhesive capsulitis.
Frozen shoulder as described in Ayurveda
In Ayurveda frozen shoulder is caused by increased vata dosha, it is called as apbahuka in Ayurveda.
In Ayurveda 80 types of vata nanatamaj Roga are described that are caused by vitiated vata dosha.
One of them is apbahuka, that can be correlated with the frozen shoulder.
Causes of Frozen Shoulder According to Ayurveda
these are described as:-
- Excessive exposure to wind or air conditioner causing Vata Dosha vitiation
- Any injury to Marmas i. the vital parts of the body surrounding
- Diets and activities that can aggravate vata dosha
- Intake of excess pungent, bitter and astringent taste food.
In Ayurveda, apbahuka is described as a pure vata dosha, where vitiated vata dosha absorbs the fluid i.e. kafa, from the joint, making it stiff.
Why does shoulder pain worsen at night for frozen shoulder patients?
Its a very common complaint as asked by my patients of frozen shoulder, that their pain aggravates in night while sleeping.
Their complaints are
- It hurts, no matter at which side you try to sleep.
- pain worsens when you shift from one side to another.
- Pain may also worsen by raising arm
The shoulder joint is one of the most flexible joints of the body, allowing the movements in all directions.
In frozen shoulder, there are adhesions in the capsule of the joint, causing restrictive movements, so while sleeping, this joint may be painful due to overuse of it, unknowingly.
Also, pain can worsen due to pressure effects while sleeping.
Diagnosis in frozen shoulder
Usually frozen shoulder can be diagnosed by signs and symptoms
But there is also the need of physical examination to differentiate it from some muscle tear or tendon stretch
Physical examination is done in certain ways to check for pain and get the evaluation of
There may be need of some imaging tests like X rays or MRI to rule out care for fracture or some other problem.
Treatment of frozen shoulder Naturally
In Ayurveda treatment of any ailment is done by understanding the cause of illness, the nature of
In this case, Ayurveda treatment aims to bring vitiated Vata Dosha in equilibrium and in result, relieving the stiffness.
So it is treated by both with Ayurveda medicines and therapies that includes ayurvedic diet and exercise.
Therapies and medicines may vary from person to person according to the severity of ailment.
The duration of treatment may vary from 7 to 21 days depending upon the severity of the frozen shoulder along with oral medications for 2 to 3 months.
The line of Treatment For Frozen shoulder
It’s as under:-
Snehana or Abhyanga or medicated massage
Swedana or Sudation
After the massage of the affected part, steam is given to that part, that helps to stimulate the nerve endings. and, also, improves blood circulation.
Some other Ayurveda treatments include
- Patra Pind Swed
- Churna Pind Swed
- Shashtika Shali Pind swed
The aim of all these therapies is to reduce Vitiated Vata Dosha
This treatment is done for at least 7 to 14 days regularly to relieve the stiffness and increases the range of motion.
Ayurveda Medicines are also used along with this therapy aiming to reduce pain and inflammation.
Some commonly used medicines are
- Yog Raj guggul
- Keshoradi Guggul
- Vishmushti Vati
- Tab rumalya
- Mahanarayan Tail
- Dash mularisht.
- But these medicines should be taken by Doctors advice.
Other Commonly Used Treatments
It also involves controlling shoulder pain and preserving
Some anti inflammatory medicines can help reducing pain and inflammation associated with frozen shoulder
With the help of physiotherapist some range of motion exercises can be practice to help is to recover as much mobility in Shoulder as possible.
Surgical and other therapies
Mostly frozen shoulder can get better on their own with in 12 to 18 months but if there is persistent symptoms can be
Where corticosteroids are injected into shoulder joint to help decrease in pain and improve shoulder mobility
Here, under general anesthesia manipulation of the shoulder joint is done in different directions to help loosen the tightened tissue.
In some cases injecting sterile water into the joint capsule can help to stretch the tissue and make it easier to move the shoulder joint.
She is very rare for frozen shoulder but in last case of no improvement it can be done to remove scar tissue and adhesions from inside the shoulder joint.
Friends, as we have gone through a very common problem of the shoulder joint, its causes symptoms, stages, diagnosis, and treatment, in detail.
So now, we have come to this conclusion that frozen shoulder is a self-limiting disease, but we can help out with the help of a few medications, therapies and exercises to make the recovery fast and reduce the symptoms to ease the patient, so that they can perform his or her daily activities without any Hustle bustle.
Also here my advice is, to have patience and undergo gradually its course going on without any surgical or injectable intervention.
Gentle massage, Limited anti-inflammatory medicines, and a few gentle exercises and yoga can help to recover your problem in a healthy way.