Frozen shoulder

Hi, I thought I pulled a shoulder muscle in December, but after weeks of being sore, I went for some physio and then last week I saw an orthopedic specialist. I was diagnosed with a frozen shoulder and as a 1st treatment, received a cortisone injection. I was told that for the next 6 weeks (5 left) I am not allowed to do any exercises that involves my shoulder. A week after the injection I am very sore, more than I was before. The only exercises I did in the last week was 2 long walks this week end. Anybody else that had this problem? Advise / suggestions / recommendations? What treatment did you get? Thanks

Replies

  • AnnPT77
    AnnPT77 Posts: 34,234 Member
    Hi, I thought I pulled a shoulder muscle in December, but after weeks of being sore, I went for some physio and then last week I saw an orthopedic specialist. I was diagnosed with a frozen shoulder and as a 1st treatment, received a cortisone injection. I was told that for the next 6 weeks (5 left) I am not allowed to do any exercises that involves my shoulder. A week after the injection I am very sore, more than I was before. The only exercises I did in the last week was 2 long walks this week end. Anybody else that had this problem? Advise / suggestions / recommendations? What treatment did you get? Thanks

    Do you have a physical therapy referral that will kick in at a certain point? That's what I'd be looking for.

    I know quite a few people who've had frozen shoulder consequent to breast cancer surgery, but PT has always been the way out (and very successful, for those compliant, I might add).

    I think it matters exactly what the cause of your frozen shoulder is, and individualized PT would be the ideal answer.

    Can you get a referral?

    I hope so!
  • petrocoetsee
    petrocoetsee Posts: 829 Member
    AnnPT77 wrote: »
    Hi, I thought I pulled a shoulder muscle in December, but after weeks of being sore, I went for some physio and then last week I saw an orthopedic specialist. I was diagnosed with a frozen shoulder and as a 1st treatment, received a cortisone injection. I was told that for the next 6 weeks (5 left) I am not allowed to do any exercises that involves my shoulder. A week after the injection I am very sore, more than I was before. The only exercises I did in the last week was 2 long walks this week end. Anybody else that had this problem? Advise / suggestions / recommendations? What treatment did you get? Thanks

    Do you have a physical therapy referral that will kick in at a certain point? That's what I'd be looking for.

    I know quite a few people who've had frozen shoulder consequent to breast cancer surgery, but PT has always been the way out (and very successful, for those compliant, I might add).

    I think it matters exactly what the cause of your frozen shoulder is, and individualized PT would be the ideal answer.

    Can you get a referral?

    I hope so!

    According to the orto, this is actually quite common in women my age (diabetes, etc). He was quite adamant NO EXERCISE whatsoever. According to him physio makes it worse. The shoulder will be assessed again after 6 weeks to determine the next course of action. I now have sort of the need of talking with a person that went through this, to know what I am supposed to expect/feel. Is it "normal" to feel worse than a week before...
  • snowflake954
    snowflake954 Posts: 8,399 Member
    I had frozen shoulder over 2 yrs ago and am now almost back to normal. It's a long and slow ride--be prepared. Do what your doctor suggests. Progress is slow, but you don't want to slide backwards. Mine was excruciatingly painful. Certain movements caused shooting pains in my shoulder and arm. I didn't have any cortisone injections, so can't help you there--sorry.
  • petrocoetsee
    petrocoetsee Posts: 829 Member
    I had frozen shoulder over 2 yrs ago and am now almost back to normal. It's a long and slow ride--be prepared. Do what your doctor suggests. Progress is slow, but you don't want to slide backwards. Mine was excruciatingly painful. Certain movements caused shooting pains in my shoulder and arm. I didn't have any cortisone injections, so can't help you there--sorry.

    Thanks for the response. I never knew how painful just putting on bra can be. That expression "it stands out like a sore thumb" is so freeking true. You don't realise to what extent you use a body part until it is sore. Then you feel it ALL THE TIME. Doesn't matter if you sit down, stand up, lie down, reach out to pick up a pen. Yesterday I was holding on to a chair, some one called me and without releasing my hold on the back of the chair I just turned sideways, resulting in my arm going backwards. I felt like bawling like a child
  • youngmomtaz
    youngmomtaz Posts: 1,075 Member
    Physio! I was a massage therapist until I recently changed careeres. Working in partner with patients and their physiotherapists was so enjoyable! Anyway, you should be seeing a Physio, they will give you some very mild mobility moves to do to help you with range of motion without pain. There is so much you can do at home(I am not going to list it, you really need to be assessed by your physiotherapist), know that most frozen shoulders take about a year to heal, that is if you are compliant and put in the work, frozen shoulders suck so much! They have got to be the most frustrating “injury”. Have patience and be cautious in all your day to day activities.
  • ceiswyn
    ceiswyn Posts: 2,256 Member
    I've never had frozen shoulder, but I have a long-standing shoulder condition and once had a steroid injection for it; it has never hurt more than it did after that flippin' injection! Steroid injections, by my limited understanding, are a bit of a 50:50; sometimes they help a lot, sometimes they just hurt and don't help at all.
  • workinonit1956
    workinonit1956 Posts: 1,043 Member
    I had a frozen shoulder a couple of years ago. No trigger that I can think of. I did not have any treatment for it and it took almost a year to completely resolve—the last few months were much less painful, I just had restricted movement.
  • swirlybee
    swirlybee Posts: 497 Member
    I have shoulder impingement resulting from a fall. I got the cortisone shot a week and a half ago, and I agree, it hurt more than the original pain. It went away after a week and my pain is only slightly less than what i was originally. I *think* I've gotten a bit of range of motion back but I may just be compensating by using different muscles. It feels like I may be losing some strength too. I agree, putting on a bra is impossible. Quick movements like you mentioned are excruciating. My doctor didn't recommend physical therapy but he thought that the cortisone shot would solve everything. I moved up my follow up appointment because it hasn't improved. Or I may have made it worse.
  • solieco1
    solieco1 Posts: 1,559 Member
    Good PT can do wonders fairly quickly.
  • Maxxitt
    Maxxitt Posts: 1,281 Member
    edited March 2019
    Had a frozen shoulder for months and months before seeking medical treatment. My primary care was pretty useless (take NSAID for two weeks and come back if it's not better) but I asked for and got a referral for physical therapy which fixed me up. So when I messed up the other shoulder, I went in and asked for PT right away. It worked again. I still do some of the rehab exercises years later as part of my warm up before lifting.
  • 33gail33
    33gail33 Posts: 1,155 Member
    edited March 2019
    I had idiopathic frozen shoulder in 2015 and to be honest I think the only thing that helps is time. I had loads of physiotherapy and massage therapy that was excruciatingly painful, and in hindsight, I don't think it was worth the pain. My shoulder was so "frozen" that I couldn't open my car door, or dress myself. I would go to massage where she would try to work it and it was almost unbearable (for someone who has delivered three 10 lb babies, and had two herniated discs). It gradually loosened but I honestly believe it would have done it with or without treatment, so if it happened again I would just wait it out in the knowledge that it would resolve eventually.
    If you catch it before it freezes completely, then cortisone and physio should help. By the time I got to the specialist for my right shoulder it was too late (yay Canadian health care) but by then the other shoulder was starting to twinge and 3 cortisone shots in that one prevented a repeat of the cycle in that one. But it was still pretty painful and took several months to resolve completely.
    I don't really get what exercises you could even do if your shoulder is frozen until it starts to loosen up, if you can't move your shoulder you can't move it. I couldn't move my arm more than about 2 inches out from my side. Now 4 years later I still have a bit of imbalance of my deltoid muscle on that side where it atrophied, but no one else would notice but me.
    Good luck whatever you choose. I feel your pain. I wouldn't wish frozen shoulder on anyone.
  • durhammfp
    durhammfp Posts: 494 Member
    Time does seem to heal this kind of wound. Some people find their frozen shoulder unfreezes on its own but it can take many months if not years. I personally had a great response with my PT at Duke Medical... he was the same guy who used to advise the Duke University baseball pitchers and help them with their shoulders.

    Believe it or not, my PT's main treatment was teaching me how to do an exercise called the 90 90 Hip Lift with Balloon. It looks crazy and ridiculous, but if done properly, this breathing exercise can push your rib cage down (very slowly) and pull the scapula down with it, taking it off the shoulder capsule so the range of movement improves. I must have recovered 30% to 40% of my range of motion in less than a week. It really was a miracle.

    More here at the following links, with the caveat that I am not a medical professional and I am not suggesting you should pursue any medical intervention without the assistance and supervision of appropriate professional help:

    https://www.youtube.com/watch?v=4GoqjoEXaAw
    https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2971640/

    On the other hand, my partner is going through the same thing and getting more traditional shoulder exercises with dry needling and more intense back/shoulder massages and seems to be doing great.

    This is all to say that there is more than one way to skin a cat... but getting a PT who is really good and experienced can help a lot. I was 97% recovered with no residual pain in about 4 months. Good luck! I hope you get better soon.
  • 33gail33
    33gail33 Posts: 1,155 Member
    ceiswyn wrote: »
    I've never had frozen shoulder, but I have a long-standing shoulder condition and once had a steroid injection for it; it has never hurt more than it did after that flippin' injection! Steroid injections, by my limited understanding, are a bit of a 50:50; sometimes they help a lot, sometimes they just hurt and don't help at all.

    When I got my first cortisone injection I thought I died and went to heaven. After 12 months of pain I think I cried from the relief of being finally pain free. It wasn't permanent but it was definitely worth it to me to have that relief while I healed.

    I do find it interesting that now 4 years later I have no pain whatsoever in the shoulder that froze completely, and I had no cortisone shots in. The other shoulder, I had a lot of pain but it didn't "freeze" completely like the first one, I had 3 cortisone shots. That shoulder I do still get some tendonitis type pain. So I don't know if the shots have anything to do with that, but it is worth considering I guess.
  • petrocoetsee
    petrocoetsee Posts: 829 Member
    Thanks for all the replies. Much appreciated
  • Chris144mph
    Chris144mph Posts: 66 Member
    Im currently in month 11 of my second frozen shoulder (cause not known) & have have cortisone shot followed by hydrodistension in my shoulder in October . This caused a lot of pain a few days after (i had just got used to the zingers easing) that lasted another month.
    Now i have no pain and began physio in January, just massage of muscles surrounding shoulder blade with gentle swings, folded arm raises etc. I can now jog with arms moving and can raise arm parallel to the ground. Its a slow process im afraid. Cortisone doesn't work for everyone. My first shot did nothing but the second one (the hydrodistension) was ultrasound guided and stopped the pain after a week/10 days.
    Tip; a vest top with support instead of a bra and step into it! Wear a light sling when waking out (more as a warning to those around you not to bump into you... Im only too familiar with that pain!)
    Alternate heat then cold on shoulder to relax shoulder
    LOTS OF PILLOWS AROUND YOU IN BED! SERIOUSLY BUILD A FORT! gives you support and hopefully you will be able to get a decent sleep.
    Use a broom handle to help with swing exercises but don't push to far.. Trying to push through the pain will cause more harm than good

    I wish you well but remember its a long healing process. Accept help. Support of friends and family is the key.
    Sending gentle hugs.
  • spiriteagle99
    spiriteagle99 Posts: 3,745 Member
    I damaged my shoulder doing a pushup challenge. Several months later, after babying it too much, I was heading toward frozen shoulder when I went to the doctor. I couldn't lift my arm more than halfway. The orthopedist gave me a cortisone shot, which did nothing, in case it was bursitis rather than a torn rotator, and sent me to PT. Progress was very slow, but it did happen. After a couple of months I stopped the PT and just did the exercises at home until I had full range of motion.
  • bobshuckleberry
    bobshuckleberry Posts: 281 Member
    I went to chiropractor. They used a blade massage technique, regular massage, KT tape and gave me exercises to do with two pounds weights. Was able to resolve the impingement without shots or surgery. I did not stop exercising, I modified my activity.
  • debrakgoogins
    debrakgoogins Posts: 2,033 Member
    He was quite adamant NO EXERCISE whatsoever. According to him physio makes it worse. The shoulder will be assessed again after 6 weeks to determine the next course of action. I now have sort of the need of talking with a person that went through this, to know what I am supposed to expect/feel. Is it "normal" to feel worse than a week before...

    Get a second opinion. I went through this a couple years ago. If after physio you still see no progress, you might ask about a manipulation under anesthesia.
  • Ssssss666666
    Ssssss666666 Posts: 560 Member
    I had frozen shoulder over 2 yrs ago and am now almost back to normal. It's a long and slow ride--be prepared. Do what your doctor suggests. Progress is slow, but you don't want to slide backwards. Mine was excruciatingly painful. Certain movements caused shooting pains in my shoulder and arm. I didn't have any cortisone injections, so can't help you there--sorry.

    Yes just the same for me, it took a few years to completely heal how ever I was given exercises to do. It is a long process I'm afraid, I was told the injection is a very painful thing to go through and opted not to go down that road. I do hope the injection means you don't have the condition too long.
  • leiflung
    leiflung Posts: 83 Member
    I do a LOT of yoga and I find yin yoga helps with my shoulder so much. I try to do this pose for at least 5 minutes every day:

    https://www.yogajournal.com/.image/ar_3:2,c_limit,cs_srgb,fl_progressive,q_auto:good,w_800/MTQ2MTgwNzA3MTA1NzExNTQ5/supportedfish-summer-yin.jpg1k8zjyywftzc.png

    Also helpful for me has been a foam roller. This video has the shoulder exercises I use for my frozen shoulder.

    https://www.youtube.com/watch?v=XSjMelzl850

    After about 3/4 weeks, my shoulder is now popping when I stretch it. That may seem stranger but it's exactly what happened with my lower back when it first started improving. The first change I noticed was that tilting my pelvis forward would pop my lower back. Now I never have lower back pain.