'Arthritis' is often used as a catch-all phrase when wear & tear in the joints is suspected. The condition can be painful and the joints can be hot and swollen, restricting movement.
Most people will experience some wear in their joints over the years but the pain and swelling can seriously effect life and lifestyle, leading to weight gain and sometimes depression.
We always advise looking at diet when presented with symptoms of arthritis, but even more so with cases of rheumatoid and psoriatic arthritis. Changing what, how and when you eat can have immediate and long term benefits. Our nutritionist will work with you, your food preferences and your daily routine to see how nutritional intake can be improved.
Acupuncture is also important for arthritis sufferers, often bringing immediate results. For some people a few sessions is enough to bring about a satisfactory change. Other patients choose to come long term, maybe monthly, just to keep their joints moving and flexible.
What is frozen shoulder?
Frozen shoulder, also known as adhesive capsulitis, is an extremely painful and debilitating condition of unknown cause. It is characterized by pain and stiffness of the shoulder joint and surrounding soft tissue structures.
Frozen shoulder facts
Frozen shoulder affects approximately 2-5% of the adult population
Commonly diagnosed in individuals between the ages of 40 and 70
60% of individuals affected by frozen shoulder are women.
Frozen shoulder is ten times more common in patients with Type 1 diabetes
Approximately 15% of patients develop bilateral frozen shoulder which usually occurs within five years of original diagnosis
The non dominant arm is more often affected
Frozen shoulder can last up to 30 months if left untreated.
Can occur after surgery
Frozen shoulder progresses through three distinct but overlapping clinical phases.
Phase One- The painful “freezing” phase
Marked by a gradual onset of diffuse pain
Night pain is a feature of this phase
Diagnosis of frozen shoulder at this stage may be uncertain
Generally a poor response to non steroidal anti inflammatory drugs.
1-8 months duration
Phase Two – The stiff “frozen” phase
Characterised by less constant pain but increased restriction in range of motion at the shoulder joint
The dysfunctional movement pattern of the shoulder known as the capsular pattern is most evident in this phase with external rotation most limited, abduction next with medial rotation least limited
Daily activities become increasingly difficult with sharp pain experienced at end ranges of movement
9-16 months duration
Phase Three- The resolving “thawing” phase
A gradual improvement in functional range of motion
A continuing reduction of pain
12-30 months duration
What is the Niel-Asher Technique?
Simeon Niel-Asher, Osteopath and founder of the Niel-Asher Technique
developed his frozen shoulder treatment protocol in 1998. There are now over 200 licensed Niel-Asher practitioners in the UK, Europe and the USA. For more information visit www.frozenshoulder.com
The Niel-Asher Technique involves the neuromuscular technique of trigger point therapy combined with a sequence of stretching and specific manipulations to the shoulder joint and soft tissues to combat pain and stiffness
The initial phase of the treatment is designed to significantly reduce the pain, by treating the swelling around the various shoulder tendons. The technique goes on to improve the shoulder range of motion by stimulating a sequence of reflexes hidden within the muscles.
The Niel-Asher technique can also be used and adapted to treat rotator cuff problems, biceps tendonitis, bursitis and arthritis.
Recommended frequency of treatments and expectations
Phase one “freezing” – approximately 12 sessions Once a week for 3 weeks, then fortnightly, then once every 3 weeks.
3-5 sessions to lessen the inflammation (measured by less or no night pain)
5-7 sessions to regain range of motion
Phase two “frozen” – approximately 8 sessions Once a week for 3 weeks, then fortnightly for 3 sessions, then monthly or more if required.
3 sessions to lessen the inflammation
3-5 sessions to regain range of motion
Phase three “thawing” – approximately 4-7 sessions Once a week for 4-7 sessions or more often (every 3-4 days) if required.
As a rule 85% of cases can usually be treated in less than 8-10 sessions.
Our Arthritis Support Team use acupuncture, nutritional advice and specialist massage to help relieve joint pain and other symptoms associated with osteo, psoriatic and rheumatoid arthritis. Where the only options often open to arthritis sufferers are painkillers or surgery, our team can support you and manage your condition. Acupuncture & massage work by reducing swelling and heat symptoms thereby increasing range of movement and decreasing pain. Nutritional therapy will reduce the body's inflammatory response and increase general energy levels.
We offer years of experience, excellent service and the highest standard of practice and care. Our team will find the simplest combination of treatments to get you the best results.