Neurotherapy.Life
Disease · Bones, joints, back and spine

Frozen shoulder

Frozen shoulder makes the shoulder painful and stiff, so the arm will not lift or turn fully. It comes on slowly and can last many months.

Two shoulder joints side by side, seen from the front: on the left a healthy joint with a thin, loose capsule; on the right a frozen shoulder with a thick, tight, inflamed capsule
Inside the shoulder. Left: a healthy joint — the ball of the arm bone sits in a loose, thin capsule that lets it move freely. Right: a frozen shoulder — the capsule has become thick, tight and red, and holds the ball like a shrunken bag.
Quick facts
  • About 2 to 5 people in every 100 get a frozen shoulder at some time
  • Most common between 40 and 60, and more common in women
  • 10% to 20% of people with diabetes develop it

Source: Cleveland Clinic; Leafblad et al., Physical Medicine and Rehabilitation Clinics of North America 2023

What is Frozen shoulder?

The shoulder is a ball-and-socket joint. The ball at the top of the arm bone sits in a shallow cup on the shoulder blade, wrapped in a soft bag of tissue called the capsule. Normally the capsule is loose, so the arm can swing, lift and turn.

In frozen shoulder the capsule becomes inflamed, then thick and tight. It squeezes the joint, so movement hurts and then becomes limited. It usually passes through three stages — freezing, frozen and thawing — over one to three years.

What are the symptoms?

  • A dull ache in the shoulder, sometimes spreading into the upper arm
  • Pain that is often worse at night, and on lying on that side
  • Stiffness — the arm will not lift above the shoulder
  • Trouble turning the arm, e.g. reaching behind the back or combing the hair
  • The same stiffness whether you move the arm or someone else moves it for you

What causes it, and who is more likely to get it?

Age and body

  • Being between 40 and 60 years old
  • Being a woman, especially around menopause

A shoulder kept still

  • An injury or operation that kept the arm still, such as a sling
  • Surgery on the breast or the heart
  • A stroke that left the arm weak

How is it found?

A doctor usually knows it from the examination: the shoulder will not turn, even when the doctor moves the arm gently for you.

Examination of movement

The doctor compares how far you can move the arm with how far it moves when they move it. In frozen shoulder both are limited.

X-ray

Does not show the frozen capsule, but rules out arthritis, a broken bone or calcium deposits.

MRI or ultrasound

Sometimes used to look at the soft parts, such as a torn tendon, but often not needed.

A neurotherapist first listens to what the patient calls a “stiff shoulder”. Pain or pressure in the chest, or between the shoulder blades, in someone with heart risk is not a shoulder at all. The therapist also asks about thin bones, steroid tablets and old fractures, because these change how firmly the hand may press.

How Neurotherapy (LMNT) sees Frozen shoulder

Neurotherapy (LMNT) reads frozen shoulder as a problem of muscles and of the nerve that moves them. The trapezius — the great diamond-shaped muscle that shrugs and steadies the shoulder blade — is carried by the eleventh cranial nerve, the accessory nerve. When that territory will not move enough, the neck will not turn, the shoulder will not rotate, and the arm will not rise.

Two treatments answer this. Shivaji relaxes the muscles all round the shoulder by pressing again and again, so that blood flows better in them and flexibility returns. And (11) Left Medulla, because of the polarity rule: left is given where something will not move enough — left opens; right is given where something has moved too far — right closes. A frozen shoulder is the plainest case of “will not move enough”.

Guruji says
Whenever there is an obstruction or blockage in the blood circulation of any part of the body, then pain or numbness is felt in that part.
— Dr. Lajpatrai Mehra

Neurotherapy (LMNT) treatment for Frozen shoulder, step by step

  1. Listen and examine first

    The therapist asks where exactly it hurts and what the patient means by a stiff shoulder, and asks about heart risk, thin bones, steroid tablets and old fractures before any pressure is given.

  2. Shivaji

    Seated, with the palm of the hand on the forehead and the shoulder loose. With the base of the palm, rotating clockwise: down the side of the chest from the shoulder joint, up the back from the lower edge of the shoulder blade, then both sides of the spine from T6 to L3.

  3. (11) Left Medulla — whichever shoulder is stiff

    Left, because the shoulder must open — not because the complaint is on the left. As with every cranial-nerve Medulla treatment, (15) Medulla comes first, and it is given three times, ninety seconds apart.

  4. Tell it apart from a dropped shoulder

    A shoulder that has come out of its place, or dropped after a fall or a blow, has moved too far. That is the opposite complaint, and it gets (11) Right Medulla, not Left.

Points and formulas used

Never do this

  • The side in a Medulla row is the side of the treatment, not of the complaint. Left opens; right closes. A frozen right shoulder still gets (11) Left Medulla. Medulla
  • Pressure or pain in the chest — including pain between the shoulder blades — in someone with heart risk is an emergency, not a shoulder. Send the person to a doctor the same day and give nothing.
  • Thin bones, long use of steroids, an earlier fracture from a small injury, frailty, or cancer that may have reached bone: light contact only over the ribs and spine, and none where bone is known to be involved.
  • Cancer: if the person has cancer, (10) Pan, Thymus, Pit, Lu + Sh, Rt. Ov / Lt. Ov and (30) Medulla are never given — the therapist changes the plan.
  • Keep taking the medicines your doctor prescribed. Neurotherapy (LMNT) works alongside your medical care, never instead of it.

From Ayurveda and the kitchen

Test yourself

1. What happens inside the joint in frozen shoulder?

2. In Neurotherapy (LMNT), which Medulla is given for a frozen right shoulder?

3. Which “shoulder pain” must go to a doctor the same day?

What research says

No clinical trial of Neurotherapy (LMNT) in frozen shoulder has been published yet. Improvements reported by neurotherapists are clinical observations.

For you

People with diabetes

Frozen shoulder is much more common in diabetes and can be more stubborn. Mention any new shoulder stiffness early, to your doctor and your therapist.

After an injury or operation

A shoulder kept still for a long time is at risk. Ask your doctor when and how you may start moving it again.

People with heart disease

Tell your therapist about your heart before the first session. A pain near the shoulder can come from the heart.

This page explains; it does not diagnose. Neurotherapy (LMNT) works alongside your medical care — keep taking the medicines your doctor prescribed, and see a doctor for any new or severe symptom.

By the Neurotherapy.Life team, from the teachings of Dr. Lajpatrai Mehra

Reviewed by Dr. Diwakar Shukla, Senior Neurotherapist

Updated:

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