The shoulder is one of the largest and most complex joints in the body. It is a ball and socket joint which consists of three bones (humerus, scapula and clavicle). There are some important bony landmarks in the shoulder include the acromion (a bony projection from the scapula, the clavicle: (the collar bone and the coracoid process (a hook-like projection which comes from the scapulae).

There are 18 muscles which control the 360 degree range of motion of the shoulder. These muscles provide the shoulder’s stability and strength. The rotator cuff consists of four of these muscles: supraspinatus, infraspinatus, subscapularis, teres minor. Each of these muscles has a tendon that attaches to the humerus.

Frozen shoulder is a condition characterized by chronic pain, stiffness and restricted range of motion. There are two types of frozen shoulder. The first is a true adhesive capsulitis (where small fibrous adhesions on the head of the humerus interfere with normal range of motion). The second (and much more common) type is a neurologically mediated frozen shoulder. This type is caused by a disruption of the neurological control of the various muscles of the shoulder. Muscles don’t move on their own, they require input by the nervous system. People who cannot move their shoulder in full range of motion frequently have a problem with their neurology. And as such, a neurologically-based therapy is needed to correct the problem.

Examination & Diagnosis

To determine the severity, extent and type of frozen shoulder problem you may have, we first need to do a proper work up which consists of a case history, a shoulder severity examination and x-rays of the affected areas. Orthopedic tests, neurological tests, functional range of motion, and muscle testing all need to be done. After that, the Doctor will be able to prescribe the appropriate therapies to get you well.

The most effective therapies and treatments for frozen shoulder include Myoneural Reduction (which can get phenomenal results in as little as one session), instrument-assisted soft tissue mobilization and cold laser therapy. The number of treatments you will need will be determined based on your age, and the severity of the problem.

The first thing we need to do is gather some information. We start you off by filling out some paperwork. This is the followed with a consultation (where we explore your medical history and review some of the parameters of your problem). After this, we’ll need to do an examination. This consists of checking the range of motion, doing some orthopedic tests, neurological tests and checking the strength of the muscles surrounding the shoulder joint.

To schedule a consultation, call us at 412-595-7332. We look forward to helping you get out of pain and improve your function!

Are You Ready To Live a Full, Pain-Free Life Again?

Call us today to schedule a free consultation, and determine if you are a good candidate for treatment. Our team looks forward to meeting you and creating a plan that will relieve your shoulder pain and improve your quality of life.

To schedule a consultation, call us at 412-595-7332

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