Acupuncture for Frozen Shoulder (Adhesive Capsulitis)
Is it possible to undergo physical therapy and acupuncture for frozen shoulder, which causes pain and limits the ability to raise the arm? Will there be any side effects? (P.S.
My father is 56 years old this year.)
Ming Qing, 30~39 year old female. Ask Date: 2007/09/08
Dr. Chen Xianchang reply Rehabilitation
Hello, sir: Thank you for your inquiry.
Here are my responses and suggestions: 1.
Acupuncture generally has analgesic and qi-regulating effects, and it can complement physical therapy.
2.
However, when performing acupuncture, it is best to achieve and disperse qi to avoid swelling and pain at the acupuncture site.
3.
If there are any wounds at the acupuncture site, heat application is not advisable to prevent infection.
Reply Date: 2007/09/08
More Info
Frozen shoulder, also known as adhesive capsulitis, is a condition characterized by stiffness and pain in the shoulder joint. It typically progresses through three stages: the freezing stage, where pain increases and range of motion decreases; the frozen stage, where pain may diminish but stiffness remains; and the thawing stage, where mobility gradually improves. Given your father's age of 56, it's not uncommon for individuals in this age group to experience frozen shoulder, particularly if there are underlying conditions such as diabetes or a history of shoulder injuries.
Both acupuncture and physical therapy are recognized as effective treatment modalities for frozen shoulder.
Acupuncture: This traditional Chinese medicine technique involves inserting thin needles into specific points on the body. Research has shown that acupuncture can help alleviate pain and improve range of motion in patients with frozen shoulder. The mechanism is thought to involve the release of endorphins, which are natural pain-relieving chemicals, and the promotion of blood flow to the affected area, which can aid in healing. Acupuncture is generally considered safe when performed by a qualified practitioner, with minimal side effects. Some patients may experience slight soreness at the needle insertion sites or minor bruising, but serious complications are rare.
Physical Therapy: This approach focuses on exercises and manual therapy techniques to restore movement and function to the shoulder. A physical therapist can design a personalized rehabilitation program that includes stretching and strengthening exercises, which are crucial for improving range of motion and reducing pain. Physical therapy can also involve modalities such as ultrasound, electrical stimulation, or heat and cold therapy to further alleviate discomfort and promote healing.
Combining acupuncture with physical therapy can be particularly beneficial. While acupuncture can help manage pain and inflammation, physical therapy can address the mechanical aspects of the shoulder's stiffness. This integrative approach may lead to more significant improvements in function and pain relief than either treatment alone.
Regarding potential side effects, both acupuncture and physical therapy are generally safe. However, it's essential to ensure that your father receives treatment from licensed professionals. In rare cases, acupuncture can lead to infections if sterile techniques are not followed. Physical therapy, while safe, may cause temporary discomfort as the shoulder is mobilized and exercised, especially if the condition is severe.
In conclusion, both acupuncture and physical therapy can be effective in managing frozen shoulder. They can complement each other well, providing a holistic approach to treatment. It’s advisable for your father to consult with his healthcare provider to develop a comprehensive treatment plan that includes both modalities, ensuring that he receives the most effective care tailored to his specific condition. Regular follow-ups will also help monitor progress and adjust the treatment plan as needed.
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