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  • Chris Heunis

Frozen Shoulder

The shoulder, essential for movement, operates as a modified ball and socket joint between the humerus and the shallow cup of the scapula.

Though this allows wide-ranging motion, it's somewhat unstable. The rotator cuff, consisting of four critical muscles, partnered with ligaments, stabilizes the joint. A lubricating capsule surrounds it, facilitating smooth motion.


However, with adhesive capsulitis, or Frozen Shoulder, this capsule thickens and tightens, resulting in pain and restricted movement.



 ·       Progressive stiffness, hindering simple tasks like dressing.


·       Severe nighttime pain disrupting sleep.


·       Quick atrophy of shoulder muscles, especially deltoids and rotator cuff group.


·       Crepitus (grinding noise during movement) due to decreased synovial fluid.


·       Sharp pain with shoulder elevation or external rotation.






·       Trauma, like fractures, can lead to secondary frozen shoulders.


·       Primary frozen shoulders appear without known causes.


·       Increased fibroblasts cause a sticky, thickened joint capsule.


·       Persistent inflammation may resist initial anti-inflammatory treatments.


·       Untreated tendonitis, notably in biceps / rotator cuff, can trigger the condition.


·       Treatment and Rehabilitation Measures:


·       "Pendulum exercise" for gravity-aided, passive mobility.


·       NSAIDs, like ibuprofen, with variable efficacy.


·       Corticosteroid injections, providing relief by reducing inflammation.


·       Physical therapy: wall crawls, towel stretches for muscle tone & mobility.


·       Recognize and manage associated conditions, notably diabetes.

If you need assistance in the aforementioned then please feel free to schedule a consultation session with Chris Heunis.

Chris Heunis

Clinical Therapist

Healing Hands Jeffreys Bay & Eastern Cape

Member of CAMS (Complimentary & Alternative Medical Science) Institute 

Tel No: 084 767 2913

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