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21 The Globe
Centre, Wellfield Road, Cardiff
Shoulder Problems
Shoulder problems can be very painful and
debilitating but luckily are rarely serious and in
most cases amenable to treatment.
they can be roughly split into five
categories.
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Frozen Shoulder Syndrome
(Adhesive Capsulitis)
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Sub Acromial Impingement
Syndrome
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Biceps Tendonitis
-
Instability
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Other (such as Osteoarthritis)
Frozen Shoulder Syndrome (Adhesive Capsulitis)
Can be a very painful and
debilitating condition that presents as stiffness in
all directions of movement and pain around the
shoulder that can radiate to the upper arm, which
can also be present at night. It should resolve
within three years without treatment.
The cause is unknown and can appear
gradually for no apparent reason but it can also be
the result of trauma, immobility or surgery. it
mainly effects those over the age of 40 and slightly
more women than men and if you have diabetes you are
five times more likely to suffer. It most commonly
presents in the non dominant arm.
There are
usually three distinct phases.
The Painful
Phase
The shoulder gradually begins to ace
You may develop painall round the shoulder, often
worst at night and when lying on the affected side
This phase can last between 2-9 months
The Stiffening
Phase
Your pain will normally stay the same. However, The
stiffness starts to really affect your daily life
you may develop difficulty with normal daily
activity such as dressing and working
Muscle wastage may be evident due to lack of use
This phase can last between 4-12 months
The Thawing
Phase
you should get a gradual increase in your range of
movement and decrease in your pain although it may
change in nature as the range of movement increases.
This phase can last between 5-12 months
What can be
done about it?
Osteopaths use a combination of soft
tissue manipulative techniques along with exercises
and self help measures such as contrast bathing to
increase healing, one pilot study showed encouraging
results using osteopathic manipulation as opposed to
traditional approaches. Due to the complex nature of this
condition we recommend that you should seek the
advice of an appropriately trained healthcare
professional who can diagnose and give specific
advice about your condition.
Sub Acromial Impingement Syndrome
Under
Construction
Biceps Tendonitis
Under
Construction
Instability
Under
Construction
Other
Under
Construction |