Young woman with frozen shoulder pain. She is holding her schoulder. Over white background. The hurting area was saturated in red to symbolize the pain.

Frozen Shoulder

 

One of the most common forms of shoulder pain is an ailment known as Adhesive Capsulitis or commonly referred to as, “frozen shoulder.” Frozen shoulder causes stiffness and pain in the shoulder joint and can lead to a loss of movement completely.

However, unlike more well-known conditions – such as shoulder arthritis, impingement, and rotator cuff injuries — it is often not identified as the source of someone’s discomfort until symptoms have become more severe.

This is why it’s important to know about the condition/recognize symptoms, so you can see an orthopedic specialist, like Dr. Jane Hoashi, at Xcell Medical Group, for early diagnosis and treatment.

 

Typically, there are three stages of frozen shoulder. 

  1. The first stage starts with an individual noticing limited movement within the shoulder joint. It causes severe pain and inflammation as well.
  2. In the second stage, the fluid around the joint begins to thicken and movement becomes even more restricted. Sometimes during this stage shoulder pain can subside, but the movement is more severely restricted.
  3. The final stage of frozen shoulder is when the shoulder starts to recover. The inflammation decreases and movement starts to return, although it may never be back to the full movement. Sometimes the whole process of recovery from a frozen shoulder can last up to 3 years.

 

People 40 and older, particularly women, are more likely to have frozen shoulder, as well as people who’ve had prolonged immobility or reduced mobility of the shoulder.  Your risk of developing frozen shoulder increases if you’re recovering from a medical condition or procedure that prevents you from moving your arm.

Frozen shoulder, like any loss of mobility, is scary. The good news, though, is that early treatment will dramatically reduce the onset of severe stiffness and pain.

If you are experiencing any pain or feel that you are showing the signs of a frozen shoulder, make an appointment to see your experienced care team at Xcell Medical Group today!

 


If your shoulder pain is caused by a work-related injury, Xcell Medical Group is an Ohio Bureau of Workers’ Compensation certified provider.


 

Non-Surgical Treatment Options for Shoulders at Xcell Medical Group

 

Joint Injections

When joint pain does not resolve in a reasonable amount of time with OTC medication and/or physical therapy, an injection of medication directly into the joint is a frequently performed procedure.

 

What is in a joint injection?

diagram of a shoulder joint injectionA joint injection typically contains a local anesthetic and a corticosteroid; other shoulder joint injections can include biologics. The local anesthetic, similar to what you might receive at the dentist, provides early pain relief, while the steroid suppresses inflammation and decreases swelling for long-term pain relief.

In addition to treating joint pain, the injections are used as a diagnostic tool. The local anesthetic has a numbing effect in the joint, and the amount of immediate pain relief experienced will help confirm or rule out the joint as a source of pain.

 

How are shoulder joint injections administered?

A joint injection is used to treat inflammatory joint conditions such as arthritis, gout, bursitis, tendonitis, and osteoarthritis.

The injection is performed by using ultrasound to guide exactly where the needle needs to go into the affected joint and distributing an anti-inflammatory agent. The most common of these is a corticosteroid (cortisone shots). 

 

What can be expected after a shoulder joint injection?

After the injection, you may experience immediate but temporary pain relief from the local anesthetic.

Because steroids need a few days to deliver noticeable benefits, there is a chance of the pain returning or even worsening. If the pain worsens, it usually subsides within a day or two.

Generally, it’s recommended that you take it easy the day of the procedure, but return to your usual activities the following day. You can ice down the injection site and take an over the counter NSAID, like ibuprofen, for pain relief.

Although joint injections do not change the underlying condition, they can break the cycle of pain and inflammation and allow time for exercise or physical therapy to strengthen muscles and get the joints moving again in order to decrease ongoing problems.

 


Xcell Medical Group also uses hyaluronic acid joint injections for shoulder pain in some instances. Please ask our knowledgeable staff as to what treatment option would be best for your specific case.


 

For even longer-lasting benefits, Regenerative Therapy treatments may be recommended depending on your condition.

 

Regenerative Therapy Options for Shoulder Pain

 

Platelet-Rich Plasma Injections/PRFM

Platelet-rich plasma (PRP) has been used since the 1970s in medicine for multiple purposes. The last decade has seen a tremendous focus on PRP applications in musculoskeletal medicine. The potential for PRP to promote tissue healing following injury or disease is attractive to many physicians, researchers, and patients alike.

  • Platelet-rich plasma (PRP) injections administer concentrated platelets from the patient’s own blood into damaged cartilage and tendons to reduce pain and to aid in the healing process.
  • PRP rebuilds these tissues and can be used for common tendon injuries, such as tennis elbow, and to repair cartilage due to osteoarthritis or other damage.
  • PRP injections consist of extracting a blood sample, concentrating the platelets, and injecting them into injured areas of the body.
  • PRP injections are sometimes performed in a series, but many patients only require one injection to see results.

 

Dr. Lauchlin McKeigan, Chiropractic Physician at our sister location, Eastside Medical Group in Cleveland, has seen firsthand the positive healing effects of PRP treatment in his shoulder tear. 

 

MRI report shoulder tear before PRP treatment
MRI report before PRP treatment (click to enlarge)

 

MRI report shoulder tear after PRP treatment
MRI report after PRP treatment (click to enlarge)

Amniotic Fluid Matrix Allograft*

This new breakthrough treatment option provides pain relief and healing without the risks of surgery, general anesthesia, hospital stays, or prolonged recovery and downtime from life.

  • Acellular, frozen, non-irradiated, 100% pure amniotic fluid matrix allograft
  • Retains its bioactivity with more than 200 growth factors proven present
  • Membrane and chorion free
  • Able to be injected through as small as a 30 gauge needle

*White Paper

 

Umbilical Cord Matrix / Wharton’s Jelly Allograft*

Umbilical Cord Matrix/Wharton’s Jelly Allograft contains growth factors and an abundant amount of live nucleated cells, including mesenchymal stem cells that secrete anti-inflammatory and immunomodulatory properties that optimize the cellular environment in a joint to assist in advanced healing.

  • Donors are selected following an intensive and complete medical review and pre-natal evaluation prior to delivery
  • Contains a dynamic environment consisting of a variety of growth factors, cytokines, scaffolding, hyaluronic acids, mesenchymal stem cells, and chemokines
  • Derived exclusively from the umbilical cord after healthy delivery of a baby
  • Immune-privileged so there is no chance of rejection. 

*White Paper

For now, most of these Regenerative Therapies are not covered by insurance, although some insurance providers, including Medicare and Workers’ Comp, are starting to cover a portion of the price on a case by case basis.

 


 

We combine all of our shoulder therapy treatment plans with a combination of comprehensive therapeutic exercises, chiropractic care, and medical-massage to achieve maximum results with our program!

To learn more about our Comprehensive Shoulder Treatment Options, contact our team at Xcell Medical Group in Elyria, Ohio.

 

Shoulder Pain Consultation
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