Can frozen shoulder be cured?

Dec 04, 2022 Source: Cainiu Health

Dr. Xu Shuai

Introduction

Frozen shoulder generally refers to periarthritis of the shoulder, which is usually treatable. Periarthritis of the shoulder is a chronic inflammatory condition caused by damage to the shoulder joint capsule and surrounding ligaments, tendons, and synovial membranes due to various factors. This condition may result from degeneration of joint soft tissues or pain caused by cervical spondylosis, biliary tract diseases, and other conditions that refer pain to the shoulder area.

Frozen shoulder generally refers to periarthritis of the shoulder, which is usually curable.

Periarthritis of the shoulder is a chronic inflammatory condition caused by damage to the shoulder joint capsule and surrounding ligaments, tendons, and synovial membranes due to various factors. This condition may result from degeneration of joint soft tissues or be associated with cervical spondylosis, biliary tract diseases, and other conditions that cause pain radiating to the shoulder. It typically presents as shoulder pain and restricted movement. The disease often has a certain degree of self-limitation and may resolve spontaneously over time. However, if symptoms are severe, patients can take glucocorticoid medications under medical supervision to reduce inflammatory exudation and relieve pain. Commonly used drugs include prednisone acetate tablets and betamethasone tablets. If conservative treatment fails, surgical options such as shoulder joint release surgery may be considered to improve joint function and restore normal range of motion; in most cases, the condition can be cured.

If patients with severe symptoms do not receive timely treatment, recurrent episodes of arthritic pain and limited mobility may occur, affecting daily activities. However, it generally does not impact life expectancy.

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What is frozen shoulder in women?

In general, frozen shoulder in women is a common shoulder pain condition, possibly caused by factors such as muscle strain, degenerative changes in the shoulder joint, and endocrine fluctuations. Besides these common causes, it may also result from rotator cuff injury, thyroid dysfunction, diabetes, and other conditions. It is recommended to seek timely medical evaluation at a hospital to determine the underlying cause and receive targeted treatment accordingly.

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Can young people get shoulder periarthritis?

Young people can develop periarthritis of the shoulder. If young individuals do not take proper care to protect their shoulder joints, they are prone to shoulder injuries, exposure to cold, and prolonged poor posture. These factors can lead to strain of the muscles and tendons surrounding the shoulder joint, resulting in localized chronic inflammation and adhesions, which cause periarthritis of the shoulder, manifesting as shoulder pain and restricted movement. The causes of periarthritis of the shoulder in young people include:

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Which department should I visit for cervical spondylosis and periarthritis of the shoulder?

For cervical spondylosis or periarthritis of the shoulder, it is recommended to consult an orthopedic surgeon, a rehabilitation medicine specialist, or a physician specializing in acupuncture and massage therapy. If the diagnosis remains unclear, it is advisable to first visit the orthopedics department, as orthopedic physicians possess strong clinical diagnostic expertise. In general, a definitive diagnosis can be established through physical examination and/or imaging studies—such as cervical X-rays, CT scans, or MRI—and appropriate treatment can then be initiated. However, orthopedics offers relatively limited treatment options.

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Why does acupuncture for shoulder periarthritis make it worse?

Under normal circumstances, the phrase "the more acupuncture administered for shoulder periarthritis, the more severe it becomes" refers to a worsening of symptoms after acupuncture treatment. This may be related to factors such as excessive fatigue, cold exposure, abnormal shoulder joint structure, muscle imbalance, or joint degeneration. In daily life, it is important to maintain correct sitting and standing postures and avoid prolonged poor positioning of the shoulder.

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Can shoulder periarthritis be treated with gua sha?

Patients with periarthritis of the shoulder (frozen shoulder) may undergo gua sha therapy. Gua sha can be combined with acupuncture, physical therapy, moxibustion, cupping, puncture, and bloodletting to enhance its effects of promoting blood circulation, resolving blood stasis, expelling pathogenic factors, and detoxifying. Functional exercises are highly beneficial for relieving pain associated with periarthritis of the shoulder, as gua sha helps regulate Qi and blood flow, invigorate blood circulation, resolve blood stasis, unblock meridians and collaterals, and expel pathogens while promoting detoxification.

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What is shoulder periarthritis?

Periarthritis of the shoulder is a painful condition affecting the shoulder joint. The main symptoms include shoulder pain, swelling, sensitivity to cold, and restricted movement, which may worsen at night or after exposure to cold or fatigue. The affected shoulder cannot be extended backward or lifted properly, making daily activities such as undressing, combing hair, and washing the face difficult. In the early stages, periarthritis of the shoulder is primarily characterized by pain; in later stages, it is mainly marked by shoulder stiffness and limited range of motion.

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Can periarthritis of the shoulder be completely cured?

Frozen shoulder (adhesive capsulitis) can be completely cured. As a self-limiting condition, frozen shoulder is characterized by sterile inflammation of the soft tissues surrounding the glenohumeral joint—hence its alternative names, “frozen shoulder” and “adhesive capsulitis.” This inflammation leads to swelling, soft-tissue adhesions, and capsular contracture, ultimately resulting in shoulder pain and functional impairment. The disease course is typically prolonged, often requiring approximately six months to one year for full recovery.

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Is minimally invasive needle-knife therapy effective for treating adhesive capsulitis (frozen shoulder)?

The small needle knife can play a certain therapeutic role in the treatment of periarthritis of the shoulder. By inserting the needle knife into the periarticular tissues of the shoulder and performing precise cutting, it helps relax the local fascia and joint capsule. This procedure often alleviates adhesions within the affected joint, relieves compression of local blood vessels and nerves caused by the pathology, reduces inflammation, and enhances local blood circulation—particularly beneficial for severe adhesive capsulitis (frozen shoulder) with bursitis.

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