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Adhesive
Trigger points cause pain more often than any other condition, are drastically under- Capsulitis Facts:
diagnosed due to lack of information. Trigger points are specific, hyperirritable and
Frozen Shoulder (a.k.a
hypersensitive areas in muscle that suffer from decreased circulation, adhesive capsulitis)
increased contraction and spasm. Lack of circulation creates a high anomaly of often occurs for no
known reason and
toxins and increased nerve sensitivity that can range from low ache to sharp pain. Now causes stiffness and
just because the trigger point causes the pain does not mean that the spot is painful pain in the shoulder
joint.
itself. When the pain causing spot is painful it is called a primary trigger point. However,
pain can also manifest itself in areas away from the active trigger point - such pain is Frozen shoulder is
called referred pain. caused by inflamation
of the joint lining
which causes scar tissue
A significant trigger point nodule
to form around the
can often be noticed as a small joint. This scar tissue
lump in the muscle, usually no restricts movement in
the shoulder joint.
larger than a pea. Less
substantial trigger points are not Diabetes is a risk factor
so noticable by a lump, but are for Frozen Shoulder,
affecting about 27% of
easy to find anyway - just search people with diabetes.
Shoulder your own muscles for the spots
Injuries & that feel most tender; they will About 70% of people
Conditions with frozen shoulder are
transmit pain pain when you women
Frozen Shoulder press on them. You may not be
(Adhesive Capsulitis)
able to locate a trigger point by About 70% of people
Frozen Shoulder Anatomy
with frozen shoulder are
Frozen Shoulder feel, but it will always hurt when aged between 40 and
Symptoms
you press on it. 60.
Frozen Shoulder Causes
Frozen Shoulder
Diagnosis
It is not uncommon to find a "taut About 11% of people
with frozen shoulder are
Frozen Shoulder band" of muscle stemming from
women with thyroid
Treatments
an advanced trigger point; this disorders.
Frozen Shoulder Exercise
Frozen Shoulder
taut band will feel much like a
Prevention About 11% of people
small cable. These taut bands
with frozen shoulder
Shoulder Impingement
Syndrome
extend from the trigger point suffer from Parkinson's
outward and can be mistaken for Disease.

a tendon, and it is these taut

High risk factors for
bands, brought on by trigger adhesive capsulitis:
points, that keep your muscle
Diabetes
in a state of tension. Taut
Stroke
bands that are found in shoulder
Heart Disease
muscles are directly attributable
to lack of shoulder movement. Lung Disease

The bad news is that left Connective Tissue

Disorders
untreated, the trigger point will
Acute Traumatic
worsen and the taut band will Injuries (ie.
become more taut, freezing up accidents)
your shoulder joint more and
more. To free up your shoulder
mobility, it is hugely important to:
More Frozen
Shoulder Facts:
Find the location of the trigger points that are freezing up your shoulder joint.
About 6 million people
Eliminate these trigger points as soon as possible, to escape the downward spiral
in the U.S. seek medical
care each year for
toward worsening adhesive capsulitis.
shoulder problems. .
Previous shoulder
injuries that haven't Trigger Points and Frozen Shoulder
completely healed
including buritis, Within the physical therapy arena, one of the classic resources for Kinesiology (the study
tendonitis and rotator
of movement and the way muscles cause movement to occur) reference is Brunnstrom's
cuff injuries can lead to
a frozen shoulder injury. Clinical Kinesiology (Smith, Weiss, and Lehmkuhl 1996); much of the following
information on this page will stem from this book. Though much of Kinesiology is
A healthy shoulder is
focused on movement, it is also concerned with the myriad of factors that limit the
the most versatile joint
in the human body. It function of muscles.
has a wider "range of
motion," which means it As you may or may not know, many shoulder problems w ill occur because one or
can move more freely,
and in more directions,
more of the 24 muscles associated w ith the shoulder are not functioning
than any other joint. properly. Trigger points within the muscle tissue affect muscle function negatively, and
the most important effects of trigger points are as follows:
Many suffers of frozen
shoulder people
Trigger Points shorten muscles and actively prevent them from lengthening
experience worse pain
at night which can easily Trigger Points often cause muscle weakness.
disrupt normal sleep
patterns. Trigger Points often are painful -> This pain makes muscles stay tense -> This
constant tension in the muscle will make the trigger point worse, thus completing a
Frozen Shoulder will continually worsening cycle.
typically disappear over
time without surgery, The reality about adhesive capsulitis is that it takes time for adheasions to develop
but this may take up to
two years. and the shoulder already has to be locked into place for adhesions to form . In
the opinion of some doctors (source) the first step in treatment is to get rid of the trigger
Stages of Frozen points that reside within the muscles associated with the problem shoulder. The sooner
Shoulder:
the trigger points are treated, the better chance there is to keep adhesions forming in
Freezing/ Pain Stage the shoulder joint.
(6 weeks to 9
months): the patient
experiences a
gradual onset of
Trigger Point Treament
pain. As the pain
worsens, mobility of The good news is that nearly all muscles attributed to shoulder immobility can be treated
the shoulder joint with the Shoulder Inferno Wrap . This is exactly what you need to start the process of
decreases.
eliminating your trigger points. I posted a quick summary of Benefits attributed to
Adhesive Stage (4
to 9 months): the
Electromagnetic Therapy on the front page of this website, but knowing how absolutely
pain gradually important it is when related to trigger point treatments, I'm posting it again below:
lessens although the
shoulder stiffness
remains.
Benefits attributed to Electromagnetic Energy ( the energy used in I nferno Wraps :
Recovery Stage (4
to 9 months): little
A Summary from Chapter 9 of "Therapeutic Heat and Cold", 4th edition.
pain experience in
( amazon.com link) Ed. Justus F. Lehmann, M.D., Williams, and Wilkin.
this final stage, as
the mobility of the Generally it is accepted that heat on soft tissue (muscles, tendons, ligaments) provides the
shoulder returns to following desirable therapeutic effects:
nearly normal. It is
typical for a Electromagnetic heat increases the extensibility of collagen tissues
recovered patient to Tissues heated to 45 degrees Celsius and then stretched exhibit a nonelastic residual elongation
of about 0.5 to 0.9 percent that persists after the stretch is removed. This does not occur in
regain about 90% of
these same tissues when stretched at normal tissue temperatures. Therefore 20 stretching
the range of motion sessions can produce a 10 to 18 percentage increase in length of tissues heated and stretched.
they had before the Stretching of tissue in the presence of heat would be especially valuable in working with
injury. ligaments, joint capsules, tendons, fasciae, and synoviurn that have become scarred, thickened,
or contracted. Such stretching at 45 degrees Celsius caused much less weakening in stretched
tissues for a given elongation than a similar elongation produced at normal tissue temperatures.
If conservative Experiments cited clearly showed low - force stretching could produce significant residual
treatments fail, your elongation w hen heat is applied together w ith stretching or range- of- motion
physician may exercises. This is safer than stretching tissues at normal tissue temperatures.
manipulate the joint Electromagnetic heat decreases joint stiffness.
(while patient is under There was a 20 percent decrease in rheumatoid finger joint stiffness at 45 degrees Celsius (112
general anesthesia) to degrees Fahrenheit) as compared with 33 degrees Celsius (92 degrees Fahrenheit), which
correlated perfectly to both subjective and objective observation of stiffness. Speculation has it
break up the adhesions
that any stiffened joint and thickened connective tissues may respond in a similar fashion.
(scar tissue). Surgery
Electromagnetic heat relieves muscle spasms.
(capsular release) may
Muscle spasms have long been observed to be reduced through the use of heat , be
be used as an option in
they secondary to underlying skeletal, joint, or neuropathological conditions. This result is
prolonged and severe possibly produced by the combined effect of heat on both primary and secondary afferent
cases as well. nerves from spindle cells and from its effects on Golgi tendon organs. The results produced
demonstrated their peak effect within the therapeutic temperature range obtainable with
electromagnetic heat.
Electromagnetic heat treatment leads to pain relief.
Pain may be relieved via the reduction of attendant or secondary spasms. Pain is also at times
related to ischemia (lack of blood supply) due to tension or spasm that can be improved by the
hyperemia that heat-induced vasodilatation produces, thus breaking the feedback loop in which
the ischemia leads to further spasm and then more pain.
Heat has been shown to reduce pain sensation by direct action on both free-nerve endings in
tissues and on peripheral nerves. In one dental study, repeated heat applications led finally to
 abolishment of the whole nerve response responsible for pain arising from dental pulp.
Localized electromagnetic therapy using lamps tuned to the 2 to 25 micron waveband is used
for the treatment and relief of pain by over 40 reputable Chinese medical institutes.
Electromagnetic heat increases blood flow .
Heating muscles produces an increased blood flow level similar to that seen during
exercise. Temperature elevation also produces an increased blood flow and dilation directly in
capillaries, arterioles, and venules, probably through direct action on their smooth muscles. The
release of bradykinin, released as a consequence of sweat-gland activity, also produces
increased blood flow and vasodilatation.
Electromagnetic heat assists in resolution of inflammatory infiltrates, edema, and
exudates.
Increased peripheral circulation provides the transport needed to help evacuate edema, which
can help inflammation, decrease pain, and help speed healing.
Electromagnetic heat affects soft tissue injury.
Electromagnetic healing is now becoming a leading edge care for soft tissue injuries to promote
both relief in chronic or intractable "permanent" cases, and accelerated healing in newer
injuries.

Your massage therapist can certainly help with trigger point massage, but if you are
treating your shoulder at home with the Shoulder Inferno Wrap multiple times per day,
you have a greatly improved chance of getting rid of your trigger points (and
subsequently increase the range of motion in your shoulder). In some situations, trigger
points in the back could be the cause of shoulder immobility; if you are certain that the
underlying problem is in the upper back area, your trigger points are more effectively
treated through the use of the Tortoise Shellz Upper Back Therapy Vest.

Stretching
A stretching routine can undoubtably lead to a successful outcome for many patients.
However, there are time that many people in pain simply cannot tolerate stretching.
When pain levels are high and your muscles are too taut, stetching may actually
aggravate your injury. In cases such as this, the smart way to go is to first minimize your
pain using trigger point massage and BFST home treatments until you can reach a
point where you start some moderate stretching without the pain. If you find the
stretching aggravates the problem, stop stretching and just continue with the massage
and BFST treatments.

Combined w ith a stretching routine, the Shoulder Freezie Wrap and Shoulder
I nferno Wrap are highly effective treatment products for getting rid of
trigger points. Successful treatment of your trigger points will increase shoulder range
of motion and reduce the likelihood of a worsening frozen shoulder injury.

Examples of Possible Causes of Trigger Point Pain

Tender trigger points typically develop from lack of stretching or improper stretching but
can also be caused from stress/trauma, repetitive motion or even poor posture. Other
common causes are:

sitting without firm back support

(slumped posture)
prolonged sitting in a chair without
armrests, or armrests that are too high,
or too low (leaning to one side)
cradling a phone between ear and
shoulder
large breasts
one leg shorter than the other
typing on a keyboard that is too high
prolonged improper sleeping position
playing a violin
kayaking
overly tight bra straps
carrying a purse (prolonged hiking up of
the shoulder)
 head-forward posture
whiplash
walking with a cane that is too long

Reduced circulation in trigger points will

eventually lead to muscle shortening and
restricted movement which further accentuates
the pain, thus completing a cycle of decreased
mobility and further pain. This commonly
becomes the underlying cause of adhesive
capsulitis, chronic shoulder immobility and even
chronic headache pain. The patient will typically
continue to suffer from these ailments for long
periods until the problem trigger points are
treated directly.

Click here to read more about how the

Shoulder Inferno Wrap helps your body heal.

Click here to read more about how the

Shoulder Freezie Wrap is designed to be the most effective cold compression wrap on
the market today.

If you would like to learn more about trigger points and their relation to frozen shoulder
and general shoulder joint immobility, then do not hesitate to contact a
AidMyFrozenShoulder Advisor immediately by phone or email.

Or email us at service@AidMyFrozenShoulder.com

Please be aw are that this information is neither intended nor implied to be a substitute for professional medical advice.

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