| Assess
& Address
Frozen
Shoulder
by Whitney Lowe
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The
term "frozen shoulder" is commonly used to refer to
a painful condition of the shoulder that severely limits range
of motion, making the joint appear to be frozen. While the title
is common, it isn't technically accurate, and health-care practitioners
tend not to use it. Rather, "adhesive capsulitis"
is the proper term for this condition. In this article we
use both, bearing in mind it is adhesion in the joint capsule
that is the primary pathology.
As the name suggests,
the problem originates from adhesion in the glenohumeral joint
capsule. It is important to note that numerous problems in the
shoulder may be painful and limit range of motion in ways similar
to adhesive capsulitis. I have seen demonstrations of massage
techniques claiming to address frozen shoulder in which the client
clearly did not present the characteristics of adhesive capsulitis.
Instead, the client's condition indicated another shoulder pathology,
such as sub-acromial impingement. Proper and accurate assessment
is critical for effective treatment.
References