Conditions ยท Frozen Shoulder

Frozen Shoulder: Is It Frozen, or Is It Tied Down?

Some shoulders that can't lift overhead aren't stuck in the joint at all. They're being held back by tissue somewhere else. Knowing which one you have changes everything.

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Illustration of the shoulder joint with the upper arm bone, shoulder blade, and collarbone, and a red glow at the top of the joint

Illustration: InjuryMap via Wikimedia Commons, CC BY-SA 4.0

You can't reach the top shelf. Putting on a jacket hurts. Fastening anything behind your back is out of the question. Sleeping on that side wakes you up. Somebody told you it's frozen shoulder and it'll take a year or two to thaw.

Sometimes that's exactly right. Sometimes it isn't.

Two Very Different Problems

True Frozen Shoulder

The capsule around the joint itself gets inflamed and thickens. It usually comes on gradually and moves through stages of freezing, frozen, and thawing over many months.

A Tethered Shoulder

The joint is fine, but tight tissue somewhere else is holding it back. It looks like frozen shoulder, but it can respond much faster once the tether is found and released.

A Shoulder That Wasn't Frozen

One patient came to us with shoulder pain and limited overhead motion. They'd been diagnosed elsewhere with frozen shoulder, and the standard treatment was being recommended.

The assessment found the real problem wasn't in the shoulder. The rib cage on the opposite side was restricted, and the breathing muscle underneath had become uneven. A big back muscle connects the ribs to the upper arm, so the stiffness in the ribs was pulling on the shoulder through that connection.

Treatment went to the ribs, the breathing muscle, and the tissue connecting them to the shoulder. No aggressive shoulder stretching. For that patient, motion came back and the pain resolved. The shoulder wasn't frozen. It was tied down. Read more case studies.

How We Treat a Stiff, Painful Shoulder

1

Figure Out Which Kind It Is

We test how your shoulder moves and check your ribs, breathing, upper back, and neck for anything pulling on the joint from a distance.

2

Calm the Pain

Super pulsed cold laser helps settle inflammation and pain so the muscles around the shoulder stop guarding so hard. A published case report described a frozen shoulder that was relieved with laser therapy.

3

Release the Tether

Hands-on work goes wherever the restriction actually is. That might be the shoulder, or it might be the ribs on the other side of your body.

Your protocol is matched to your healing phase. A true frozen shoulder still takes time, and we'll tell you honestly what to expect.

Not Sure Where to Start?

If you've been told to wait a year for your shoulder to thaw, it's worth checking whether something else is holding it down. An assessment can tell the difference.

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