Frozen shoulder

‘Frozen shoulder’; shoulder adhesive capsulitis

The main shoulder joint is formed between the ‘ball’ at the top of the upper arm bone (humerus) and the ‘socket’ that is part of the shoulder blade (glenoid cavity). The joint is surrounded by a bag or ‘capsule’ that has an inner lining that produces a lubricant fluid to help shoulder movements. ‘Frozen shoulder’ describes a stiff, painful shoulder occurring in middle-age that may come on after minor trauma or spontaneously. The capsule and its reinforcing ligaments (‘elastic bands’ that are placed to prevent overstretching of the joint) are affected and the joint gradually stiffens with scar tissue forming within the joint. Patients complain of pain on lifting the arm into the overhead position or placing the arm behind the back. A proper diagnosis is needed as shoulder pain can also come from the neck or arise from structures being pinched at the shoulder. The pain tends to settle in approximately two years without treatment but the stiffness can remain unless the joint is stretched.

Physiotherapy can help the condition to settle more quickly with mobilising and stretching techniques, applied at the right stage of the condition, with an explanation of the condition, reassurance and home exercises. A steroid injection, or a series of injections, may be given if the pain is persistent.

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I visited Audra Rackauskaite at Atkins Practice in November 2015 after anterior cruciate ligament surgery in March 2015. I had tightness around the gastrocnemius and hamstring tendon heads which I damaged in injury. Audra was very good at relieving my tightness and pain through various techniques including STR. She aided my recovery from training by relieving tension in my quadriceps, calves and hamstrings.

Her attention to detail was great and she allowed me to increase my levels of rehabilitation all the way back to full training. She as helped me immensely on the road to recovery and competing at Rio 2016.

Thank you Audra.

JJ Jegede Great Britain International Long Jumper