June 28, 2014

Adhesive Capsulitis: Freezing, Frozen, Thawing Shoulders

Adhesive Capsulitis: What Is It?
Adhesive capsulitis is the currently accepted term for one of several disorders grouped under the umbrella heading "frozen shoulder." This group includes any combination of shoulder conditions that contribute to reduced range of motion (ROM) at the glenohumeral joint, including arthritis; bone spurs; bursitis; rotator-cuff tears; and impingement syndrome. These problems occasionally lead to secondary adhesive capsulitis, but require different types of intervention for complete resolution.

Adhesive capsulitis is an idiopathic (of unknown cause or origin) problem with a peculiar and unique presentation. It typically has a long, slow, painful onset ("freezing"), followed by a period during which pain is reduced, but function is severely restricted ("frozen"), and finally, a period during which all pain subsides and function is fully or nearly fully restored ("thawing"). The entire process can take anywhere from a few months to well over a year.

Adhesive capsulitis can afflict anyone at any age, but it is seen most frequently among women in their 50s. Some researchers suggest that it affects as much as 2 percent to 3 percent of the population at some point, and somewhere between 10 percent and 15 percent of those patients may have it bilaterally.

Etiology, Signs and Symptoms

Because the shoulder joint has less supporting connective tissue than most joints in the body, it has unparalleled mobility and a huge normal range of motion. Even the capsular ligament that links the humeral head to the glenoid fossa is looser than most joint capsules. This increases mobility, but it leaves the shoulder vulnerable to a number of injuries other joints typically don't face, because they're better protected.

Stage I: Freezing

When the process of adhesive capsulitis starts, the joint capsule begins to adhere to the humeral head. Sometimes, this process is secondary to another injury that limits shoulder use, but it also can occur without any discernable trauma or trigger. This time frame, during which the adhesions between the humerus and the capsular ligament progress and worsen, is the first of three stages, sometimes referred to as the "freezing" stage. The first stage of frozen shoulder can last for two to four months, and is acutely painful in both active and passive movements of the shoulder. Typically, range of motion is lost in medial rotation first, but may progress to all directions.

Stage II: Frozen

The second or "frozen" stage of adhesive capsulitis lasts anywhere from four months to a year. During this time, the joint capsule thickens and essentially glues itself to the humeral head - particularly the anterior portion. Although range of motion is severely limited during this time, much of the pain usually subsides.

Stage III: Thawing

Perhaps the most mysterious thing about adhesive capsulitis is that after many months of severely limited movement in the shoulder, and progressive formation of connective tissue adhesions between the joint capsule and humeral head, the condition begins to resolve spontaneously. The joint capsule becomes free, pain is eradicated and movement is restored. This process may take a long time; a year or more is not unusual. If completely untreated, it is likely that range of motion at the shoulder joint may not be fully re-established, but the percentage of lost function (again, this is usually in internal rotation) is often not significant enough to warrant further interference. The goal of many treatment options is to ensure that when the adhesions begin to melt, the fullest possible range of motion is recovered.

Full Article HERE

June 16, 2014

What is Oncology Massage?

Oncology massage is the modification of existing massage therapy techniques in order to safely work with complications of cancer and cancer treatment.  Anyone who has ever received cancer treatment, from those in active treatment to those in recovery or survivorship, as well as those at the end of life, are best served by a massage therapist who has received training in oncology massage.

Essential aspects of an oncology massage therapist's skill set are an informed understanding of the disease itself and the many ways it can affect the human body; the side effects of cancer treatments, such as medications, surgery, chemotherapy and radiation; and the ability to modify massage techniques in order to adapt for these side effects, as well as for the disease.

More info in this Video:
Oncology Massage: Supporting Cancer Patients
Lauren Cates is an Oncology Massage Therapist. Advanced massage training in oncology massage addresses specific problems due to cancer and cancer treatments. It also offers a level of service and support that is needed during cancer.

Learn more about the 2014 National Visioning Conference HERE: 

June 05, 2014

Father's Day Gift Certificates Available!

As a private practice, during a very busy time of year, I thought I would post a bit of a guide of how we can sort you out with a gift this season!

Depending on when you need the gift certificate, I can send you (or the recipient) a physical gift card in the mail or I can send an e-certificate (which will be helpful for any last minute purchases)!  

The following information will be needed: 
1. Recipients full name

2. Who you would like to say the gift is from

3. How long of a session or dollar amount you would like the GC to cover

4. If there is any special message you wanted to add

5. Physical address is sending a card OR e-mail address if sending an e-certificate

The best way to send me this information would be over email melissa@mendinghands.com

For payment, I can accept a major CC over the phone or payment through paypal.