A typical symptom of a frozen shoulder is limitation of active and passive mobility of the acetabular-brachial joint. Movement is restricted in all directions – there are problems with internal, external and abduction rotation. In the first phase of “freezing”, the main symptom is pain that occurs suddenly, not due to trauma and is not progressive, but is also present at rest and worsens at night.
There is inflammation of the joint capsule, accompanied by limited mobility. The stiffness felt in the glenohumeral joint is initially compensated by movement of the scapulothoracic junction, and over time this compensation becomes evident in the form of abduction when attempting to lift the shoulder. Symptoms of a frozen shoulder are difficulty making small movements, such as placing the hands behind the back, and the painful shoulder is usually held in adduction. The soft tissue layer surrounding the joint is often painful, which can lead to problems with the supraspinatus and subscapular muscles.
About the importance of the spatula
In this condition, the way the scapula moves changes, which within the normal range allows an increase in the range of motion of the hand. When you try to lift your hands, the humerus pulls on the scapula. If, however, under the influence of the surrounding tense muscles, it does not move to its full extent, movements of the whole arm are limited. Hand movement involves not only the shoulder joint, but also the work of the surrounding muscles, the work of which is disturbed.
It is worth noting that in the case of a frozen shoulder, that is, a non-mechanical injury, it makes sense to carefully examine the transition zone between the abdominal cavity and the chest. There is a correlation between the restrictions of the rib and spinal joints and the restriction of the mobility of the liver. Tension in the area surrounding the liver is transferred through the fascial system to the right shoulder.
It is possible that, since there is a transfer of fascial tension based on the correlations between the restrictions of the single spinal joints and the liver, irritation of the cervical and brachial plexuses also becomes possible . A similar relationship exists in the left shoulder region, in which case the periarticular inflammation can be attributed to gastric dysfunction.