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Range of Motion Recovery
from Frozen Shoulder
Quality Life Forum​ Age-Related Health Challenge Series
 July, 2021

​Frozen shoulder is more commonly seen in women than men, between the ages of 40 and 60. It is also known as adhesive capsulitis, which is a condition that tissues in shoulder joint become thicker and tighter, with scar tissue developing over time. When joint doesn’t have enough space to rotate properly, it results in shoulder pain with limitations of range of motion.

Frozen shoulder is most often caused by inflammation (characterized by swelling and pain) of the tissues surrounding the joint with 3 stages of development:

1 Freezing stage (6 weeks – 9 months) with acute inflammation, most pain and loss range of motion
2 Frozen stage (4 – 9 months) inflammation subsides, less painful, but with limited range of motion
3 Thawing stage (5 – 26 months) with minimal or no pain and range of motion recovery
​
The length of each stage varies and the course may last from 10 months – 3 years. The two main goals of treatment are to increase motion and to decrease pain. The good news is most frozen shoulder will recover almost completely with time and range of motion exercises, only very few may need surgery.

Training the functional movements to enhance quality of life

Although frozen shoulder (and many other musculoskeletal pains) will resolve or improve on its own eventually, it's a long time to deal with intermittent pain, mobility issues, and sleep disruption. The pain and stiffness it causes may seriously interfere with daily living activities. A full recovery takes time and lots of self-care. Engaging in home range of motion (ROM) exercises and stretching throughout the healing process is essential for functional improvements.

​Self-Care tips:
  1. Your doctor is likely to prescribe home exercises to improve range of motion. Start gentle and let the pain guide you – if it hurts, then stop.
  2. Consistency is the key for getting results. If you diligently follow your regimen of shoulder exercises, it's likely that you'll be able to resume your usual level of activity.
  3. When the symptoms start to improve, you can progress to the next level of range-of-motion exercises.
  4. You should avoid any activities that require overhead reaching, lifting, or anything else that aggravates your pain. Avoid carry heavy bags on shoulder or pressure (i.e., sleep on the affected side).
  5. Take pain medication as needed to maintain daily life functions and sleep quality.

Maintain range of motion (ROM) for healthy aging

As we age, some daily activities become more difficult due to decreased range of motion, such as reaching up, squatting down, or bending over to touch the floor. Activity of daily living limitations in age 65 and older was reported up to 33%. 

In addition to cardiovascular exercises, exercises designed help maintain mobility and flexibility are essential to help manage joint problems, balance and reduce the risk of falling. For most healthy, active adults, range of motion exercises, when combined with flexibility and strength training, can maintain or improve the range of motion in joints.

Most exercises intended to support range of motion do not build muscle strength or promote muscle growth. Rather, they are designed to keep the joints, tendons, ligaments, and muscles flexible, supple and lubricated. For this reason, it’s highly recommended that range of motion exercises be included as one part of a fitness routine that includes strength training, flexibility and balance exercises, and cardio exercise.

In addition to the stretching exercises that your doctor prescribes, tai chi is a good form of range of motion movements and to keep fit for your age. A growing body of carefully conducted research is building a compelling case for tai chi as an adjunct to standard medical treatment for the prevention and rehabilitation of many conditions commonly associated with age. An adjunct therapy is one that's used together with primary medical treatments, either to address a disease itself or its primary symptoms, or, more generally, to improve your functioning and quality of life. 


Although tai chi is slow and gentle and doesn't leave you breathless, it addresses the key components of fitness in -

Muscle strength: Tai chi can improve both lower-body strength and upper-body strength. When practiced regularly, tai chi can be comparable to resistance training and brisk walking. Although you aren't working with weights or resistance bands, the unsupported arm exercise involved in tai chi strengthens your upper body. Tai chi strengthens both the lower and upper extremities and also the core muscles of the back and abdomen.

Flexibility and Range of Motion: Tai chi can boost upper- and lower-body flexibility as well as strength. Tai chi also provide overall ROM benefits.

Balance: Tai chi improves balance and, according to some studies, reduces falls. Proprioception — the ability to sense the position of one's body in space — declines with age. Tai chi helps train this sense, which is a function of sensory neurons in the inner ear and stretch receptors in the muscles and ligaments. Tai chi also improves muscle strength and flexibility, which makes it easier to recover from a stumble. Fear of falling can make you more likely to fall; some studies have found that tai chi training helps reduce that fear.

Aerobic conditioning: tai chi can provide some aerobic (depending on the speed and size of the movements) benefits. Its low impact movements are more suitable for older adults.

In summary, frozen shoulder is a common condition in older adults. In most cases, it will recover almost completely with time and range of motion exercises. However, the pain and stiffness it causes may seriously interfere with daily living activities. A full recovery takes time and lots of self-care. Engaging in home range of motion (ROM) exercises and stretching throughout the healing process is essential for recovery. It is important to maintain range of motion (ROM) for healthy aging. Tai Chi is a safe movement and an effective adjunct to standard medical treatment for the prevention and rehabilitation of many conditions commonly associated with age.

Action call:  Contact QualityLifeForum@outlook.com for health coaching help and support.


References:
https://blog.hurusa.com/healthy-range-of-motion-in-active-older-adults
https://www.cdc.gov/aging/pdf/healthy-aging-in-action508.pdf
https://www.health.harvard.edu/pain/how-to-release-a-frozen-shoulder
https://www.health.harvard.edu/staying-healthy/the-health-benefits-of-tai-chi

​© All rights reserved

Disclaimer: This information is for educational and informational purposes only. It is not medical advice. Consult your healthcare professional for personal conditions.

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  • Home
  • Forum
    • Mind and Body
    • Feeling well
    • Feeling ill
  • Coaching
    • Coaching Programs >
      • Loneliness Breakthrough
      • Therapeutic Lifestyle Changes
      • Time-Restricted Feeding for Healthy Aging
      • Patient-centered Health Navigation Program
      • Customized program
      • A Special Health Coaching Package
    • Self-Care >
      • 2021 Aug The Milestone of Age 65
      • 2021 March Make a Self-Care Plan for Your Golden Years
      • 2018 Jan The Golden Keys for the Golden Years
      • 2018 July Golden Mindset
      • 2019 Jan Empty Nest
      • 2018 Feb loneliness Breakthrough
      • 2016 Feb Wellness Mindset
      • 2023 Jan Setting and Meeting Your Goals
      • 2019 Sept Time for change
      • 2020 Oct Process and Results
      • 2021 Sept Aging Brain
      • 2019 May Cognitive Health
      • 2021 Oct Muscle Memory and Cognition
      • 2020 July Listening to your body
      • 2019 March Body Image and Self-Care After Midlife
      • 2020 Nov Moderation
      • 2022 Aug Knowing When Doing More Is Harm Than Good
      • 2021 Nov Gratitude Power for Wellbeing
      • 2019 Dec Dealing with Difficult Emotions in Holiday Season
      • 2022 Dec Holiday Homecoming
    • Healthy Living >
      • 2022 Jan Health: the Cornerstone for Quality of Life
      • 2017 April Longevity and Quality of Life
      • Blog Are You Motivated for a Healthy Life Style?
      • 2018 June TLC Transformation
      • 2022 July Daily Routine for Healthy Aging
      • 2017 June Sleep Well
      • 2021 May Simplify Life for healthy aging
      • 2019 Aug Downsizing in the Golden Years
      • 2017 Sept Music Learning for older adults
    • Healthy Eating >
      • 2022 Sept Your Decision Power for Food Choices and Eating Behavior
      • 2022 Oct Hydration for Healthy Aging
      • 2018 Aug Nourish Your Body for Healthy Living
      • 2017 Oct Better to Eat Meat or Plant Food
      • 2020 Jan The Key Role of Protein in Healthy Aging
      • 2020 Feb Healthy Fat for Healthy Aging
      • 2020 March Healthy Aging Energy Source Carbohydrate
      • 2017 July Intermittent Fasting
      • 2020 Sept Time-Restricted Feeding Is A Healthy Lifestyle Choice
      • 2022 Nov Go green for health: A Green Tea Invitation
      • 2019 June Dietary Supplements Are Not Drugs
      • 2015 Nov Blog The Value of Vitamin and Dietary Supplements
    • Golden Age Fitness >
      • 2019 April Exercise is Medicine
      • 2017 March Exercise for Blood Sugar Regulation
      • 2017 Jan Willness Attitude and Winterizing Fitness
      • 2016 Apr Balance Training
      • 2016 Mar Get Active
      • 2018 Sept Keep Life in Motion
      • 2020 Aug Keep Fit for Your Age
      • 2023 Feb Benefits of Swimming for Healthy Aging
    • Age-related Health Challenges >
      • 2018 March Regulate Blood Pressure
      • 2018 May Blood Sugar Self-Management
      • 2018 April Lowering Cholesterol
      • 2017 Nov Immunity and Aging
      • 2016 June Vitamin D Deficiency
      • 2022 May Aging Skin and Sun Safety
      • 2022 Feb Aging Eye Facts
      • 2017 May How to Reduce Aging Eye Fatigue
      • 2022 Mar Age-Related Hearing Loss
      • 2022 April Aging and Oral Health
      • 2017 Feb Live with Thyroid Nodules
      • 2021 July Range of Motion Recovery from Frozen Shoulder
      • 2019 Nov Osteoporosis in Women
      • 2019 Feb Food Safety and H. pylori Infection
      • 2019 July GERD
      • 2016 Oct Significant Health Indicators
      • 2018 Oct Tough Fight for the Belly Fat
      • 2016 July Weight Management
      • 2018 Nov Dealing with chronic stress
      • 2021 June Managing Chronic Insomnia
      • 2017 Aug Facing a life-threatening illness
      • 2016 May Emotional Healing
    • Advocacy and Empowerment >
      • 2018 Dec The Most Valuable Gift
      • 2020 Dec Invest In yourself
      • 2016 Aug Health Literacy
      • 2016 Sept Prevention
      • 2022 June Making Transition From A Patient To An Educated Healthcare Customer
      • 2019 Oct Action is what counts
      • 2021 Nov Navigation for Healthcare Needs
      • 2016 Nov Gratitude for life
    • COVID 19 Pandemic >
      • 2020 May Hope endures
      • 2020 June Breathing and Blessing
      • 2020 April Transform Pandemic Fear to Self-Care
      • 2021 Jan Hew Year Brings New Hope
      • 2021 Feb Pandemic Winter Blues
      • 2021 April Are You Fully Vaccinated?
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