It occurred to me recently a case of a young woman with frozen shoulder, in the acute phase, I would say hyperacute.

The pain had risen gradually and subtly from a few weeks and became almost unbearable in the last 24 hours with complete inability to move even a few degrees of the shoulder joint.

A pain so alive, even at rest, to take your sleep despite the painkillers.

The picture was no doubt of frozen shoulder, which differs from the other pathology of the shoulder because of the presence of an abrupt functional impotence.

In frozen shoulder the shoulder joint is too stiff and sore to the ultra passive mobilization and more 'on all planes of motion, the patient can no longer perform normal tasks, and sleep is disturbed by the pain that worsens with the rest as well as all the most trivial movements of the upper limb.

How to scientifically explain these cases of functional block? In terms they are called periarthritis scapoloamerali orthopedic conditions or acute inflammation of periarticular fibrous structures, sometimes accompanied by thickening of tissue in the time visible on ultrasound and magnetic resonance imaging and the possible formation of adhesion of the joint capsule, in which case we speak of adhesive capsulitis.

There is no known triggering event, in fact there is no external trauma or infection may be present favoring a condition characterized by chronic tendinopathy of a more or less serious or a previous trauma. But what triggers the debilitating acute event and dare I say?

In chemical terms is a mild inflammation with little swelling and sometimes a minimum rise in temperature. In terms physiotherapy Mc Kenziani one can speak of a derangement of the correct movement or alteration of non-specific. In terms of energy one can speak of a block of the local circulation of blood and energy.

The case is also characterized by chronic fatigue background, migrants often multiple joint pains, recurrent episodes of frozen shoulder, alternating sides, with a frequency of about one episode per year, always arise after prolonged emotional stress or extreme fatigue.

In Chinese medicine we talk about a weak constitution of the spleen with a tendency to stagnant liver heat and moisture accumulated fund in the shoulder as a response to a possible uncontrolled ascent of liver yang.

Chinese right? Exactly! It 's a language completely incomprehensible to the patients but also for physicians not experienced in the part of Chinese medicine. So how do we explain in simple terms without going crazy visionaries? We could say that it is an acute inflammatory pain of visceral origin internal call.

We eat food, but also of emotions and attention not only to air and then select the foods and avoid places with too much smog and preferably not to smoke but is also useful to avoid as much as possible and try to stay away from negative emotions by teaching them to clean and select those too.

In this case, the basic constitution which is compounded by extreme tiredness and previous shoulder joint disorders were decisive.

What I suggest is to consider this disease as more energy and the interior than others (why responds very well to acupuncture). The treatment of frozen shoulder maneuvers in the absence of osteopathic and acupuncture is extremely painful and long.

Only if treated with NSAIDs (nonsteroidal anti-inflammatory) and gymnastics, which provides rehabilitation requires at least 6 weeks of physical therapy, with sessions often very painful and very slow recovery articulate, speaking in average time to complete recovery in about a year cases treated only with drugs alone.

The patient despite a phobia for needles is still resorted to my study, especially because near the start to the long-awaited holiday. I run three acupuncture treatments close together, one a day and prescribed an herbal recipe aimed at shoulder pain, resulting in a joint recovery of 90% (initial passive range of motion not later than the 40th and final over 170 °) with a control more than satisfactory pain relief at rest and during mobilization.

The patient is then left for the holidays with his herbs and exercises self-treatment to obtain full recovery of functional status prior to being painful and lock joint in a week, helped by trattanmento well as acupuncture and herbal medicine from the sea and from the sun.

Certainly be worth a question on the effectiveness of treatment and then almost miraculous nature of the disease.

Perhaps we should consider the possibility that an internal imbalance, we just called visceral fat, may be responsible not only for the so-called psychosomatic disorders but also of physical connotation with real anatomical detectable by tests, upset too often seen as merely mechanical problems or orthopedic.

This condition is called frozen shoulder just because it is the symptom not the cause to have been identified. Its nature is unknown but certainly to be found in a sphere not only anatomical.

Be observed in particular that the most striking women and adulthood between 30 and 50 years, this to indicate that there is probable cause degenerative placing it at a later age and not a purely physical cause that would committed similar, if not more, male sex.

The shoulder in Chinese medicine is related both with the intestines and liver, and then the organ with which we have called visceral disease. It 'one thing to keep in mind for other disorders of the shoulder more and more frequent, systematically before surgery.

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• Acupuncture: the courage to propose
• Acupuncture in pregnancy. Useful but ignored.
• The Chinese herbal medicine: an important tool in pain

Tags: Acupuncture , physiotherapy , frozen shoulder

Article published by Cathe on 02/07/2009 at 1:07 am in the category Acupuncture , Articles , Physical Medicine , Chinese medicine . You can check out the comments to this entry through the feed RSS 2.0 . You can leave a response , or trackback a call from your site.