Frozen shoulder, clinically known as adhesive capsulitis, causes stiffness and pain in the shoulder joint. While many are aware of typical treatment options like physical therapy, medications, and corticosteroid injections, numerous lesser-known physiotherapy methods can effectively manage this condition. In this post, we will explore these unconventional strategies, their advantages, and how they can significantly enhance your recovery journey.
Understanding Frozen Shoulder
Frozen shoulder typically unfolds in three stages: the freezing stage, the frozen stage, and the thawing stage. Each phase can last several months, bringing distinct challenges for patients. Estimates show that around 2 to 5 percent of the population may experience frozen shoulder at some point in their lives, often linked to inactivity or injury. This condition is more prevalent in individuals with diabetes, affecting up to 20 percent of this group.
Integrating lesser-known physiotherapy techniques may offer quicker relief and lead to a more successful recovery.
Myofascial Release Techniques
Myofascial release is one interesting approach to managing frozen shoulder. This hands-on technique focuses on alleviating tension in the fascia, the connective tissue enveloping muscles and joints.
The therapist uses slow, sustained pressure on specific areas, improving mobility and alleviating pain. Research indicates that myofascial release can increase shoulder flexion by as much as 30 degrees in some patients, demonstrating how effective it is in enhancing mobility.

This technique is particularly helpful for individuals who also suffer from tightness and pain in the neck and upper back, common issues related to frozen shoulder.
By using myofascial release, patients often find it easier to perform traditional rehabilitation exercises.
Trigger Point Therapy
Trigger point therapy is another valuable physiotherapy technique for managing frozen shoulder. It aims to relieve the tight knots, known as "trigger points," in the shoulder region.
These knots can trigger referred pain that increases the discomfort associated with frozen shoulder. On average, patients report a 50 percent reduction in pain after just a few trigger point therapy sessions.

By applying pressure to these areas, therapists can eliminate muscle tension and promote mobility, making this technique an essential part of a comprehensive physiotherapy program.
Neurodynamic Techniques
Neurodynamic techniques may be less well-known but are critical for treating frozen shoulder. They involve assessing and mobilizing the neural structures that could be responsible for shoulder pain and mobility issues.
When nerves are irritated or entrapped, they can contribute to shoulder pain. Gentle mobilization of these nerves through specific movements can help relieve discomfort and restore shoulder function. Some studies indicate that patients can experience up to a 40 percent increase in shoulder movement after neurodynamic treatment.

Many patients are surprised by how effective these techniques can be, especially when conventional methods fall short.
Hydrotherapy
Hydrotherapy, also known as water therapy, is becoming an increasingly recognized complement to frozen shoulder treatment. The buoyancy of water can drastically reduce the strain on aching joints, allowing patients to perform therapeutic exercises without discomfort.
For example, shoulder exercises like flexion and extension in a pool setting promote strength and range of motion while minimizing pain. Patients engaging in hydrotherapy often report a significant decrease in discomfort and increased mobility, making recovery feel less daunting.
By offering a soothing environment, hydrotherapy can also encourage patients to maintain an active role in their rehabilitation, enhancing adherence to treatment.
Acupuncture
Another lesser-known option for managing frozen shoulder is acupuncture. This traditional Chinese medicine technique involves inserting thin needles into specific points to relieve pain and promote healing.
Acupuncture can enhance blood circulation and reduce inflammation. Some studies have shown that patients may experience a 60 percent reduction in shoulder pain after regular acupuncture sessions.
This method can be a strong alternative for patients seeking additional therapies alongside conventional physiotherapy.
Functional Training
Functional training emphasizes movements that replicate daily activities. This method is particularly useful for people with frozen shoulder, helping to restore normal shoulder function.
By performing specific exercises mimicking daily motions—like reaching for items or lifting—patients regain strength and coordination. Over time, many individuals notice a marked improvement in their confidence, allowing them to resume activities they may have avoided due to pain.
The Role of Patient Education
Education is vital in managing frozen shoulder effectively. A lack of understanding about their condition can lead to anxiety and reluctance to adhere to treatment.
Physiotherapists who take the time to teach patients about frozen shoulder, its stages, and the reasoning behind treatments can inspire a more engaged approach to recovery. Informed patients are likely to complete home exercises, which can significantly accelerate their healing process.
Multidisciplinary Approach
A multidisciplinary approach to treating frozen shoulder can yield impressive outcomes. Collaborating with other healthcare experts like orthopedic specialists, rheumatologists, and pain management professionals enables a comprehensive care plan.
This team approach addresses not just the physical symptoms but also the emotional and psychological aspects of chronic pain. By utilizing the strengths of various specialists, patients can enjoy a more streamlined recovery process and return to everyday activities more quickly.
Summary of Strategies
Managing frozen shoulder through physiotherapy encompasses more than just traditional methods. Integrating lesser-known techniques like myofascial release, trigger point therapy, neurodynamic techniques, hydrotherapy, acupuncture, and functional training can significantly enhance rehabilitation.
Every patient is unique, and different strategies may work better for some than others. It’s essential to explore various options with the guidance of a qualified physiotherapist.
A thorough approach to managing frozen shoulder can lead to improved outcomes, allowing patients to regain their full range of motion and enjoy an active life once again.
For those experiencing symptoms, seeking professional advice and creating a tailored recovery plan is crucial. By trying these lesser-known physiotherapy techniques, patients may uncover new pathways to pain relief and a swift return to their daily activities.
BY
DR SUJITHA S BPT
REHAB SPECIALIST
VELMARS WELLSPRING HEALTH
Opmerkingen