We use specialist techniques to increase the range of pain-free movement within the frozen shoulder.
What is a Frozen Shoulder?
Frozen Shoulder Syndrome or Adhesive Capsulitis affects around 2-5% of the population, and has been the subject of much debate amongst healthcare professionals. It is now known that Frozen Shoulder is a chronic inflammatory process that causes a contraction in the capsule surrounding the shoulder joint. This capsular contraction is often accompanied with painful and restricted movements. Neurological changes may occur as a result of inflammation, resulting in muscles becoming switched off and changes in muscle dynamics.
Trauma to the area reduces the fluidity within the capsule, resulting in inflammation and stiffness in the capsule surrounding the shoulder joint.
Trauma may result from the following factors: Aging, Posture, Intensive or Repetitive Manual Occupations, Diabetes, Immobilisation, Fracture, or Surgery.
Restricted and painful movement of the shoulder, as a result of inflammation and stiffness. Typically this goes through a three stage process, known as pre-freezing, frozen, and thawing. This process can last as long as 30 months if not addressed appropriately.
There may also be a neurological component involved in Frozen Shoulder Syndrome causing an increased susceptibility to feeling pain, and marked muscular wasting.
How can Physiotherapy help?
A physiotherapist can use techniques to increase range of pain free movement of the shoulder which has become frozen.
During treatment, you can expect: Mobilisations of the shoulder, soft tissue techniques to relieve tender points, manipulation techniques to increase range of movement, regular stretching of the shoulder joint and advice for home exercises.
The Niel-Asher Technique for Frozen Shoulder
The Niel-Asher Technique is a hands-on treatment involving a sequenced series of pressure points and stretching maneuvers. It is performed by trained professionals, and has worked for over 60,000 clients since 1999. Some of it can be painful, while other parts are soothing. This is for a reason – our tissues have receptors in them, and they respond to different stimuli. Some respond to deep touch, others to more superficial stimulation. NAT uses various types of sensory feedback (nerve impulses) to re-program your frozen shoulder. In the early stages this can prevent the stages of frozen shoulder coming into fruition. In later stages the technique will advance you through the stages of Frozen Shoulder, allowing it to “defrost” more quickly and efficiently.
All of our practitioners are trained in the Niel-Asher Technique, and are experienced in the diagnosis and treatment of your shoulder issue.
Evidence Based Practice
At Sheffield Physiotherapy, we always strive to adopt the best clinical evidence into our practice. This ensures that you are receiving the best possible treatment outcomes.
The Niel-Asher Technique is evidence based, and has been clinically tested, along with hundreds of case histories and patient testimonials. Randomised Placebo Controlled Trials have found that NAT produces significant improvements in pain levels, active range of movement, strength and power, when compared to traditional Physiotherapy and a control group.
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