What is a REAL Frozen Shoulder?

Many clients have come in over the years with a diagnosis of ‘frozen shoulder’. A REAL Frozen Shoulder occurs when the joint capsule develops ‘Adhesive Capsulitis’.   Most shoulders are not really frozen but immobilized by co-contractions of external and internal rotators. 

What can be done when the shoulder is not really frozen; when palpation and passive ROM reveal that the capsule itself is not involved but movement without pain and restriction is not possible.

The Emotional Component

I have heard that frozen shoulder can follow an emotional trauma.  A former student came in to see me as a client. She had recently gone through two losses of people dear to her.  She developed frozen shoulder.  I’ve also heard that frozen shoulder will go away on its own after a couple of years. Can that process be speeded up? Yes, it can.

Any condition with an emotional component as history requires checking for Contralateral Coordination Dysfunction. Muscle testing reveals ALL shoulder muscles are weak. Brain Buttons turned on some of the muscles, but the shoulder is still dramatically dysfunctional. Many external rotation functions are inhibiting the internal rotator of the Subscapularis.**

Once internal rotators were working, we worked adhered and rigid shoulder tissues.

4 NeuroMuscular Reprogramming NMR® treatments

4 neuromuscular reprogramming treatments one month apart has almost completely removed the restriction and pain.

Now that the emotional factors have been addressed, in session 2 we were able to deal with some of the peripheral dysfunctions created by the main restrictions in the shoulder. We also began to work with the support and function of the neck muscles and how they contributed to the shoulder dysfunction.

In frozen shoulder, the muscles of shoulder depression dominate those of elevation. The client cannot lift their arm. Neither can they internally or externally rotate to a full potential ROM.  External rotators are usually inhibiting internal rotators to begin with… 

Resolving Scapular Adhesions in this case of Frozen Shoulder:

First, I addressed Scapular Adhesions, specifically…
Lt Rhomboid AND Lt Coracobrachialis inhibited Lt Teres Maj, Subscapularis

PMC inhibits Post Delt; Traps; Supraspinatus

The next layer of dysfunction:

Lt Subscap inhibits Lt Infraspinatus AND Supraspinatus (int rot’n inhibits ext rot’n) This was revealed after decompressing the shoulder with traction and tissue manipulation to reduce tissue rigidity.

More neck work resolved Lt Scalenes inhibit Rt Scalenes.
Lt OCI inhibits Rt OCI
Rt OCS inhibits Lt OCS
Lt Rec Cap inhibits Rt Rec Cap
(Yet another seeming reversal in dysfunction is now apparent as the neck compression issues of rotation and counter rotation are resolved.)

(Next session we need to connect the low back to Lt neck and shoulder.)

The Final Session: Pain on movement is gone, but details remain

Lt Sterno-Clavicular Joint is stuck (immobilized).
Infraspinatus inhibits Subclavius; Serratus Posterior Superior (SPS); Subscapularis
Ant Serratus inhibits Ant Deltoid. (Remember that Infraspinatus and long head of Tricep inhibited Lt Lat and Infraspinatus was the most fixated muscle in the superficial shoulder
area.)

The synergist of Subclavius, PMC is likewise inhibiting Subclavius; also P. Delt and Bicep.

Now we begin to see the layer of dysfunction under the layer we’ve been able to work with.
Subscapularis inhibiting Teres Major; Teres Major inhibiting Subscapularis (how can this be? An increase in the ROM in the joint reveals YET ANOTHER layer of dysfunctional synergistic muscle relationships.)

Teres Minor inhibits PMC AND Subclavius (once again we are looking at reciprocal inhibitions).

Rt Obliquus Capitis Superior (OCS) inhibits OC inferior (OCI); Lt eye tracking. Rt Eye tracking inhibits Lt OCI. Needs more work.

Did extensive tissue mobilization throughout the structure of upper chest and all through the arm muscles.   

Client is quite satisfied with her progress but still can’t ‘lift’ her hand behind her back to the range it was before.  These details will continue to progress with more work, but 4 sessions is extraordinarily fast to accomplish freedom from pain on movement.

NOTES:   *In the case of True Frozen Shoulder, the medical approach of forced manipulation under anesthesia is called for.

**(PT approaches given for frozen shoulder begin with exercising the external rotator functions of the shoulder. Since external rotation is usually dominant in frozen shoulder this would seem counter indicated.)

 

 

3 is the Key to New Learning.

The Body Learns Through Repetition.

The first level of learning is getting the message through to the muscles. This involves neurological learning. Neurological learning boosts the brain’s learning facility which is usually knocked out by stressful experience, accident or trauma. When you try something new for the first time, your coordination system doesn’t know how to do it. When you try it again immediately there may be a glimmer of ‘almost’ understanding. It is only on the 3rd try that your coordination system begins to really ‘get it’; and OWN the new movement possibility. Sometimes it takes even longer than 3 repetitions to get it, but 3 is the maximum number of ‘trys’ that should be engaged on the first time around.

Repetition Exhausts the Nervous System.

Unlike the muscles, the nervous system becomes quickly exhausted when pushed too hard to do new activities. It is important to understand and expect that anything you just tried, your body intelligence will continue to integrate even as you sleep. (This has been validated in movement physiology research). When you perform the same activity the next day you may find it much easier.

First you have to prepare the body for new learning.

This is where NMR starts.  

The 1st Important Consideration in Corrective Bodywork: https://vimeo.com/395854829:


New NMR Trainings begin January 13 – 15th 2023 in-person or Live Streaming via Zoom. 

Find them at NeuroMuscular-Reprogramming.com/events.

For more information on our upcoming trainings, you can visit our Facebook Event Page, and remember: 

3 is the Key to Learning. 

The Art of Assessment:

NMR allows you to do sequential muscle testing. Doing this, you can discover which muscles adversely affect, dominate or interfere with others. If your pelvis is torqued or anteriorly tilted on one side for instance, you can test Iliacus on the anterior tilt side to see if it’s inhibiting the external hip rotators. Often it is. Let’s say Iliacus ‘tests strong in the clear’ which means it looks like it is fully functional, but subsequently the Piriformis tests weak or inhibited (as do TFL and Peroneus).

Don’t Jump to Conclusions


Instead of getting to work to lengthen Iliacus to balance function, hold off on jumping to conclusions, and test the Pectineus to see if it’s ‘strong in the clear’ then subsequently retest the Iliacus. You may discover the Pectineus weakens or inhibits the Iliacus. It frequently does, AND, not only does it inhibit Iliacus, it makes the Piriformis even weaker. So Pectineus is the priority for work.

Pectineus Dominates Iliacus in Flexion/Internal Rot’n 

Pectineus and Iliacus in this scenario are called Reactive Muscles because the function or action of Pectineus interferes with the sequential use of the Iliacus.  Iliacus worked fine until asked to fire in sequence after Pectineus. Since these two are actually Synergists it can be inferred that Pectineus will always dominate the hip flexion/internal rotation stabilization function. The client will typically be experiencing  chronically tight adductors and weak lateral line of the leg.  This will be hidden by the internal rotation of the femur in the acetabulum. Check it out!

After each Correction – Reassess

After correcting the Pectineus begin your assessment all over again. EVERY TIME YOU CHANGE ONE THING IN THE BODY, MANY OTHER RELATIONSHIPS CHANGE AS WELL. 

What you first anticipated may be different than what’s actually going on.  You may be down to the next layer of the problem.  Re-assess constantly as you work to determine what is the next priority; don’t work off assumptions. Ask the body through muscle testing and passive ROM.

Learn more about incorporating this valuable assessment and correction tool into your tool kit to get even better results with your bodywork. Take NMR Mod 1 coming January 13th-15th, 2023! 

For more info and to enroll:  https://neuromuscular-reprogramming.com/event/mod-1-intro-nmr-protocols-hips-low-back-in-person-and-live-streaming-dallas-tx-jan-23/

 

How does a NeuroMuscular Reprogramming practitioner go about discovering what’s not working in someone’s body? They use muscle testing!

So when a client has a specific problem, the NMR practitioner goes to the area where the symptoms are and discovers whether or not all the coordination in that area is working properly. Sometimes the area that’s tight is actually not functional; it’s weak. So we might have a situation where one might think that with a tight muscle, what is needed is to go and loosen it up. But a weak muscle doesn’t get stronger by being loosened up!

With NMR we realize that this area of the body is inhibited, and there’s some larger global consideration that is the reason why that muscle got tight in the first place. The muscle tightens in that area because of weakness. So before we start doing massage or bodywork on someone who has a tight, fixated area in their body, we need to muscle test to determine whether those muscles are on and functional, or off and inhibited.

NeuroMuscular Reprogramming

We are testing to discover how is the coordination system supporting the function of a joint and then connecting that joint with its relationship to the other joints in the body. So if so the complaint is in the hip, we want to see how that hip is affecting the opposite shoulder, or the opposite neck, for instance. Or if the complaint is in the neck, we want to know what’s the effect of the feet on the neck, or of the neck on the feet. We’re looking globally to see what all those relationships are. We want to get all those relationships sorted out and functional.

What mostly disables people in their coordination system is muscles firing out of sequence. Patterns are stored in the cerebellum in the back of the brain and the patterns don’t change until the body discovers that they aren’t working. So muscle testing is a way of cuing the brain to the fact that its strategies are dysfunctional. And in that moment of realization, the whole survival system of the body gets activated into the possibility of engaging the motor cortex at the top of the cerebrum into learning a new movement strategy to support the function of that joint and of the whole body!

NeuroMuscular Reprogramming classes are happening around the country, find out where and Enroll Today!

Commonly called an ‘autoimmune disease’ as if your body is attacking itself, arthritis only shows up in specific joints.  Explanations for this fact, even in the case of rheumatoid arthritis, are lacking.

There is no doubt that arthritis has direct connections to our body’s ability to digest certain foods.  There are many books written on the subject of what foods to avoid that are very helpful in managing arthritis symptoms.  Avoiding certain categories of food reduces the general inflammatory effect in the body.

I’d like to address WHY arthritis shows up in some joints and not others.

In my experience (44 years of clinical practice and teaching), Arthritis is Body Intelligence at work. The joints that are affected by arthritis are weak.   They’ve been stressed or damaged in the past and lack full muscular support and function. So the body attempts to stabilize the joint by depositing bone when it cannot rebuild soft tissue integrity.  The bone is sore because it is in a state of active bone growth to stabilize the joint.  We avoid using a joint that hurts and this contributes further to its weakness and its decline.

Lack of balanced muscle support creates collapse and impingement in joint spaces

It is commonly known that injuries sustained in high school sports will show up as arthritic degeneration in an adult’s 40s.  This is because even though tissue heals after an injury, the neuromuscular coordination programs that govern function of that joint are never corrected, not even through exercise.  You cannot correct motor coordination dysfunction through exercise alone. 

Manual Muscle Testing reveals that one side of an affected joint is inhibited or weak, ie., it is unable to respond when needed.   Once the source of the inhibition is removed and the joint is at least responsive, the muscles are capable of being conditioned; of building strength. The soreness in the bones and soft tissue is dramatically and quickly reduced because the inflammation of bone growth is no longer needed as muscle support wakes up.   These results can be immediate.

NeuroMuscular Reprogramming NMR® allows us to assess and correct the source of the inhibitions that contribute to arthritic degeneration and other range of motion restrictions resulting from the body’s adaptation to weakness. NMR usually brings about a significant reduction in pain and an improvement in strength and function even within one session.

If you have arthritis, or other muscular weakness, you can call the Healus Neuro Rehab Center clinic today to arrange a FREE ½ hour NeuroMuscular Assessment, to find out which of your muscles are not providing you with full support and why….Why wait?  You have nothing to lose and much to learn…!