Hi. Recently, I got tentatively diagnosed with frozen shoulder. Still waiting for MRI, but I don't think that will happen any time soon with COVID-19 restrictions. So I wanted to hear some opinions from folks here whether I really have frozen shoulder, or is this something else. Basically, my physio diagnosed it based on mostly one thing: that I'm unable to rotate my arm outwards, even when I relax my muscles and let someone else move my arm. I read that this is the hallmark of frozen shoulder. However, the weird thing is that my pain is located in upper arm only. My shoulder doesn't hurt (or sometimes hurts a little bit, but 90% of the pain is in the upper arm). The pain is either on the front (along the biceps) or on the back (along the triceps). Often, both at the same time. I also noticed that my muscles around shoulder (most notably pectorals and upper trapezius) are constantly very tense/contracted. Does this really sound like frozen shoulder? The pain is worse at night. Especially when I lie down on my back. When I lie on my good side, there is much less pain, and this is really the only position I can get some sleep in. I keep waking up every few hours, and it is very difficult to get back to sleep afterwards. During the day, it is better, especially if I avoid movements that cause pain. I try to do gentle ROM exercises. I cannot do any stretching or strengthening exercises, because they result in pain that sometimes lasts for over a day. And again, the pain is located in the front and in the back of upper arm, but not much in the shoulder. My biceps and triceps are becoming weaker and smaller, and I cannot do anything about it, which I find scary and depressing (I used to exercise 3 - 4 times a week, but I have not exercised at all since March). It even hurts me when I go for walks - I think it is the downward movement of the arm that is provoked by steps that somehow stretches my biceps tendon and causes pain, but I cannot be sure. And a bit of history how this started for me (not sure if this is relevant): In September 2019 I developed a sharp pain in my biceps long tendon area (the onset was from zero pain to 100% pain within a few hours - it was just getting worse throughout the day). No obvious reason for it. My doctor thinks it was either muscle tear or some impingement, although Ultrasound and X-Ray showed nothing. I was not able to lift my arm in front of me more than around 45 degrees. I avoided that move for the first month, and then once the pain lessened, I started exercising and stretching all muscles in my upper arm slowly. It was going well, the pain was pretty much gone by December 2019. I continued with exercises, and then around February/March 2020 I started feeling a bit of pain in my upper arm during stretches, and sometimes after strengthening exercises. I kept going with exercises and tried to ignore the pain, but it was progressively getting worse and worse. By the middle of April, it became unbearable. The pain was so intense I couldn't sleep for two nights. So I put a makeshift sling to immobilize my arm, and took Aleeve for 10 days. It helped with the pain, but once I took the sling off after 10 days, my shoulder wouldn't move without pain. That was end of April, and my physio diagnosed me with frozen shoulder. Since then, it has not really changed much. I do my gentle ROM exercises many times a day, but they don't seem to help.
Sounds like frozen shoulder to me, you have all of the classic symptoms. You have options, surgery, therapy, cortisone, rest, but nothing (even heavy duty drugs) that will relive the pain until it releases. Cortisone shots worked for short term relief for me. I have had frozen shoulder in each shoulder, still working on one. I hate to bring bad news but it will take a long time to get over it, possibly 3 years, this is a great site you can find all kind of suggestions and moral support. Hang in there it does get better.
How do I know whether I'm still in the freezing stage, or in the already frozen stage? Are there any specific distinct signs? Will the pain completely go away during the frozen stage? Or does it hurt all the time?
yes for sure , you got frozen shoulder. the pain at night is unbearable. mine started a burning pain in my left breast, like a match ans then the pain went to my biceps and triceps in my left arm, but not in shoulder. it was weird and not sleeping at night for almost a year😩 finally got over it by taking cbd and drinking less coffee. but i found that in march when the covid lock down happened, my stress level went up and i think brought back the symptoms
hi ala as sandra said there are some good ideas on the part of this site. and yes hang in there it takes ages to work through. and you can. one tip is also look after the good arm as well. dont leave it out. give it a pamper massage every now and then. me i ruined me good arm carrying all the work load. more so than a frozen shoulder. if you want to bypass the time line look into hydrodilation. mass volume injection 1st anasthetic into the area 2nd needle into the joint with a line 3rd dye into the joint 4th anasthetic deep into the joint 5th long lasting steroid into the joint 6th a very large volume of saline you can feel the scare tissue tearing away and popping. it takes 15 mins and you will come out a different person. my wife said a cloud lifted that afternoon. see some of my other posts to see
and good luck and very important keep focused and positive with this problem and dont let it get you down. if so ping a post we all read it and can support. its a very solitary condition. people dont have any idea how much pain we are in colin
hi Unfortunately it does! A lot of my pain is in muscles around my arm and i do get pain in the shoulder now but more stabbing. It has changed over some five months too. it started with a flu jab in my left arm the muscle never recovered and gradually spread into my shoulder...then the lack of movement started i couldnt move my shoulder backwards. definitely bad at night too i now can only sleep on my back with bad shoulder elevated and not for long i get spasms in it very painful. am now seeing osteopath for help with pain but am doing exercises given by gp some i can do some i cant but all hurt! its w miserable thing yo get. /sorry about typing my phone keeps miss typing!
Funny you mentioned stress levels. I feel like it hurts more after a stressful day. It's actually a vicious cycle: my arm hurts and I cannot move it, which increases my stress levels. The stress levels, in turn, seem to aggravate my pain even more. Which prevents me from sleeping well, which causes even more stress, etc. To break the cycle, I take painkillers and some prescription muscle relaxants sometimes (cyclobenzaprine). The effects are not very strong, but they help take the edge out of the worst days. However, I don't want to take too much medicine, because of various side effects.
In my case, the lack of sleep, constant pain and increased stress levels seem to be also causing dizziness and migraines. Which is like adding insult(s) to the injury. Not to mention I keep getting neck pain more often now, probably because my other muscles somehow compensate for the issues in the shoulder.
I'll try CBD. Maybe it will help somewhat, and from what I read there are not many side effects when used in low dosages. Worth a try.
Thanks for the suggestions. Good point about taking care of the good arm. I actually think I rely on it too much to try to pretend that I can still do all normal activities. I sometimes also feel pain in the good arm, around the upper part of my biceps. Which is exactly the kind of pain that started all my problems in the bad arm last September. So it really freaks me out. Having both arms frozen would be a disaster, and just thinking about it causes a panic in me.
I will look at hydrodilation once they start reopening things around here (I'm in Canada). So far all medical-related places are either closed, or only for emergencies. I can't even see any doctors (only phone or video chats are possible, which I find pretty useless since most doctors are not trained in providing fully remote care).
hi yes its the same here. First phone call to doctor got me co_codamol pain relief which did nothing the second gave me anti inflammatories which did nothing so use ice and heat packs. i made the mistake of resting my bad shoulder for weeks and it got lots worse so try to do exercises. you tube have some too. i got resistance band and try to stretch with that too. I get spasms at night in arm muscle like cramp - not nice. I am gratefil to others on this site who made me realise i was not alone..we all need to cheer each other on bad days...
I think it always seems worse if I am tired and stressed. i bought hemp oil which i massage in at night and that helps a bit but if you do that make sure you put night dress or top over or it makes a mess on pillow!!
May i ask what country you are in
Since it happened after a flu shot, maybe it's related to some kind of infection? I read about it here: https://www.painscience.com/tutorials/frozen-shoulder.php Scroll to the section "Or it could be an infection? Surgery and vaccination as causes of shoulder joint infection".
Perhaps worth looking at it closer? Maybe a round of antibiotics could help in your case. Just throwing it out there.
I'm in Canada. Everything here is closed because of the Covid-19. Cannot even get my MRI (tentatively I have it scheduled in August(!!!), but even that will probably get pushed since the backlog is growing and they will probably prioritize more serious cases when it all reopens).
It's really bad time to have health issues right now :/
They have told me as long as I am in pain it is in the freezing stage. Mine did start to loosen up but with the covid thing I couldn't to therapy and it tightened up again, now working hard at home with exercises and it is getting better, so the more you are able to move it the better you are, I realize you are in a lot of pain but movement is good for it, eventually it will get better. My first shoulder was really a nightmare, 3 months of very painful therapy then surgery and then 3 more months of therapy. Finally that shoulder is 95% pain free. So hang in there once the covid scare lightens up you will be able to work on things again. Patients is hard now but that is what it takes.
good afternoon Canada. yes yes yes look after the other arm. i fell hook line and sinker. lucky the hydro injection really worked. all be it i depended on PT to keep arm in check . it was fine and mobile . until march this year. now 10 weeks no PT i am in pain due to the muscles showing off. i really hate pain killers as you tend to depend on them more and more. i suffer each day until the evening. just aquired the Aircast cryo cuff. use it in the evening. ho boy my shoulder is at 5c . no pain, just a smile from the relief. then 1000 mg pain killer to go to bed with. be forceful with the doc when you finally see him/her. some docs have never herd of it !!!!!!. i am actually teaching myself to use the other arm ( frozen one) at the moment less pain full to do every day jobs ready for the operation on the other. so rule 101 take care of the good one
stay safe and keep us updated colin
Canada too. the pain is awful, try Cbd, it really help me with the pain and also sleeping
hi i am in the Uk what about you?
I am in Irelaand. I started FS Oct. 2018. I had it injected Dec 2018, surgery Jan. 2019 , injected Mar. 2019 and still no great improvement despite having physio on an ongoing basis I changed my surgeon and he operated 16th Mar. 2020 and i can sleep at last. The blackout pain in my arm is gone, movement is much better but it will take time to build up the strength in it. I had zero pain immediately after surgery. I was lucky that my surgery went ahead as all private hospitals were taken over by the state because of covid 19 the following week. I wish you all well as i know how painful FS is. Get a second opinion if you are unhappy . My second surgeon said that looking at my original MRI i never had FS. but yet i had the classic symptoms of it
hi that sounds like how it happened have just read the article! It happened back in end November so think i may have missed the boat on antibiotics and i told the doctor how it started and was never offered any i suspect he had no idea that was even possible! The shoulder started freezing gradually and i foolishly didnt exercise as it was too painful so it had a few months to seize completely. Pretty depressing but struggling to do exercises now better late than never! I have used hemp oil at night which helps sleep. Thanks for the article.
So, I'm going to try CBD, but I don't know what dosage should I take. What is the dosage that works for you?