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Can acupuncture help a frozen shoulder

Q:  I have a frozen shoulder (and have had it now for 6 months with no sign of recovery). Can acupuncture help and how much does each session cost? On average, how may sessions are needed to treat a frozen shoulder ( know that's like asking 'How long is a piece of string?, but there must be some guideline.

A: 

You will not be surprised to hear that we are often asked this question, and we tend to repeat an answer we gave some time ago.
 

Can accupuncture help a frozen shoulder?

 

Frozen shoulder can be a difficult condition to treat. Our fact sheet on the website 
 
http://www.acupuncture.org.uk/a-to-z-of-conditions/a-to-z-of-conditions/frozen-shoulder.html
 
is not overly encouraging, but the main point to note here is that there haven't been a great many studies. What counts as 'frozen shoulder' can vary considerably and creating a number of groups with identical problems for trial purposes is not that straightforward.

One major problem with the shoulder joint is that it's mobility means a dependence on groups of muscles and a relatively open socket into which the head of the humerus fits. It is very easy for there to be a minor displacement or small dislocation of the joint, and equally easy for a problem with one set of muscles to cause a ripple effect throughout all of the groups holding the shoulder joint stable. There are often secondary problems which may need to be addressed.

Chinese medicine has obviously been used to treat problems like this for thousands of years, and as well as treating locally to where the problem is on the body there are a number of functional treatments which are aimed at affecting all muscles and a couple of 'empirical points', points which have been used for centuries to help with all shoulder problems. There are also points which can be used to help reduce some of the pain and inflammation which results from the muscle and tendon strains.

However, there is no doubt that it really pays to have treatment with someone who fully understands the dynamics of the joint in great detail and can make an informed and careful assessment of the precise problem. There are a considerable number of BAcC members who are also trained in osteopathy and physiotherapy, and equally a number of osteopaths and physios who use acupuncture on a regular basis, and the combination of manipulation, movement and acupuncture may be the optimum package.

It may be helpful to seek the advice of a BAcC member local to you. Most know of colleagues within their area who specialise in this kind of condition, and many also work very closely with local osteopaths and physiotherapists, and maybe able to put together a co-ordinated package of treatment to get you back to good health and mobility. 

 
This remains an accurate summary of our views. Since publishing this, this particular expert has had a couple of good outcomes treating the problem, but the fact that it came as a surprise that it worked so well probably tells you what you need to know about how unpredictable the outcome of treatment can be.
 
The average cost per session depends largely on where you are. For the first session, in London you might be paying £50-£75, for each follow up session (which can last between half an hour and an hour) you might be paying £40-£50. In the provinces this cna be a little lower, £40 - £60, and £30 - £45, but again, it depends on the kinds of premises which you visit. Like any business, the more salubrious the surroundings, the greater the cost and the more likelihood that this will get charged on to the patient.
 
The first session costs more because it is generally longer and is a full diagnostic session. As the great Canadian physician William Osler once remarked, 'tell me about the patient who has the disease, not about the disease the patient has', and this is fundamental to Chinese medicine. The body has a fantastic ability to recover, and looking at the whole picture enables the practitioner to see what is preventing recovery, whether something is simply stuck where the problem is or whether the 'stuckness' is happening because of weaknesses elsewhere.
 
Most practitioners will set a defined number of sessions when taking on a problem like yours and do a thorough review to see if any progress has been made. This is usually four or five sessions. It is very helpful to have some objective markers for checking whether anything has changed, and the degrees of abduction, extension and flexion are usually a reliable indicator of whether joint is is improving or not.
 
We like to avoid situations where treatment just carries on and on after some hold grail of change long after it has become clear that acupuncture treatment is not working. Herein lie complaints!   
 

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