Adhesive capsulitis of the shoulder joint

Adhesive capsulitis of the shoulder joint, or more commonly the "frozen shoulder" is a fairly common reason for consultation in an osteopathy clinic.

In fact, adhesive capsulitis has undoubtedly an osteopathic basis and thanks to osteopathy it is possible to find a stable solution.

However it is a quite difficult problem to solve since the organic adaptations that usually develop in the capsule will cause the recovery of mobility is a rather slow process.

adhesive capsulitis frozen shoulder osteopathy Genova
The shoulder joint capsule
front ligaments
Balboni & Co., Anatomia Umana, Edi-Ermes
Vol 1, pag.221

That is, the capsule is usually thicker in these cases for this reason, even if one corrects the dysfunctions of the base, joint mobility is almost never recovered in a short time.

An example is the case of a 63 -year -old merchant with adhesive capsulitis shoulder joint in his right shoulder. The right shoulder had severe limitations in abduction and external rotation, it was also painful especially at night.

Osteopathic examination showed that the patient had a strong compression at the level of the zygomatic arch and the right first rib lesion in the right inspiration.

The patient also was tilted to the right side and had his right foot in cavus, that is, the right foot had a non-physiological support.

In other words, the main problem was localized at the level of the zygomatic arch and at the base of the neck. From here a descending chain was unsettling all the structures in the lower part especially on the right side, until the sole of the foot.

The shoulder did not have primary lesions but was a victim of this general situation.

After the correction the patient reported that he no longer had nocturnal pain, this has greatly improved his quality of life, but after a week the mobility of the shoulder was improved only partially.

adhesive capsulitis frozen shoulder osteopathy Genova 1

This patient had a full recovery after a few months after starting treatment.

The reason for such delay in functional recovery is mainly due to the very nature of the problem.

A marked fibrotizzazione of the glenohumeral ligaments and overall structure of the joint capsule can not disappear within a few days.

The rest is known as the release in narcosis (ie the technique that allows the forced unlocking under anesthesia) does not give stable results.

The osteopathic approach is undoubtedly the most suitable method in such cases.

The biological time can not be shortened, but in any case, it is useless to intervene on the effect without first having removed the cause.

Once you have removed the primary causes the secondary adaptations will be solved automatically.