Menopause Matters Forum
Menopause Discussion => All things menopause => Topic started by: C.C. on August 01, 2020, 06:13:48 PM
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I wanted to share an experience I had while going through menopause a couple of years ago and,
maybe someone here is going through the same situation.
I was diagnosed with frozen shoulder or medically known as adhesive capsulitis. I learned that this condition is more prevalent in women going through menopause...they don't know why. The likely explanation is hormones...and when isn't it hormones in menopause! ;)
So what happens is the capsule in the shoulder joint becomes inflamed and "sticky," for lack of a better term. This eventually can severely restrict the range of motion in the affected shoulder.
I saw my GP when it just started being a problem. We had just returned from Costa Rica and I thought I might have hurt it somenhow. He suggested I may eventually need surgery although he didn't officially diagnose frozen shoulder. He suggested getting treated by my chiropractor first to try and loosen the joint. Thankfully it was only in the one shoulder, it can happen in both at the same time or one after the other. :o
I did Active Release Therapy for 6 weeks and it wasn't getting any better. It was painful all the time, I couldn't lift my arm at all and I could never find a comfortable sleeping position. I had no choice to sleep on the shoulder because it seemed to stablize it and kept gravity from moving it. I wasn't making any progress for those 6 weeks so the next step was to see a sports physician and get cortisone shots. At my first appt. he did a range of motion test, ordered and x-ray and ultrasound. With that it confirmed it was frozen shoulder. He gave me a shot in the joint and told me to come back in two weeks and continue with the A.R.T. I got some relief but not for very long. I had 3 more shots over the following 6 weeks but I still had very limited range of motion. Finally, it was decided that I needed something more invasive but not surgery. I was referred to a radiologist for a procedure called Arthrographic Distention. Basically, via X-ray, they put a needle in the space in the joint, and inject saline, steroid, and air to distend the joint space and break up the adhesions. It's done under local anesthetic and there is very little pain, but alot of pressure in the joint. After the procedure, they sat me up and I could actually move my arm 45 degrees. It was amazing! Over time I continued with the chiro and it took about 18 months to finally get full range of motion restored. My chiro bestowed me the honour of having the most stubborn case of frozen shoulder he has ever treated ;D.
Long story short, if this sounds familiar to anyone, do try the cortisone but ask about this procedure. I should have had it done alot sooner.
My shoulder is good now and fingers crossed it doesn't end up in the other!
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It is common during The Change: MinL and my Mum suffered but it wasn't connected at the time. Mum was advised by a physio to lean forwards with both arms and do a 'stirring C.mas pudding' movement allowing gravity to assist. She never did recover full elevation in one arm and even now, aged 93, has difficulty.
Depo Medrone injections were given, a bit of 'oil'/WD40 then manipulation under GA if necessary, were a way of loosening the joint. Never awake as the Consultant didn't want resistance as it can be quite noisy and painful with clicks!
The method you describe sounds easier. I suppose I ought to begin movement of both shoulders as I rarely reach up for anything as I don't dust. Swimming also should help, breast stroke as gentle stretching exercise?
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It is common during The Change: MinL and my Mum suffered but it wasn't connected at the time. Mum was advised by a physio to lean forwards with both arms and do a 'stirring C.mas pudding' movement allowing gravity to assist. She never did recover full elevation in one arm and even now, aged 93, has difficulty.
Depo Medrone injections were given, a bit of 'oil'/WD40 then manipulation under GA if necessary, were a way of loosening the joint. Never awake as the Consultant didn't want resistance as it can be quite noisy and painful with clicks!
The method you describe sounds easier. I suppose I ought to begin movement of both shoulders as I rarely reach up for anything as I don't dust. Swimming also should help, breast stroke as gentle stretching exercise?
Hi CKLD,
Sure, you could do shoulder rotation/range of motion excercises but I'm not sure that will deter it from developing; or that it's even hereditary :neutral:
The manipulation under GA discussion did come up but the Doc was not a fan and wanted to try the scope first. I'm glad it worked because the thought of having someone turning my shoulder into a pretzel while I was asleep did not appeal to me in the least!
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Better than whilst awake, trust me - have watched several and the noise :o ;D
As oestrogen levels drop muscles may become lax including those in the shoulders. It can be a very painful condition.
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Painful and excruciating at times! :o
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Yep.
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My friend had this last year, was in one shoulder and then moved to the other one. She could barely raise her arm and was hard to put on a coat. She had months of physio therapy (although wasn't good at doing the exercises!) and it wouldn't go at all. She was then put on iron tablets by her doc as her anaemia she's always had had got worse. The frozen shoulder then vanished and hasn't returned. Maybe a link?
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Is iron a healer in that it would have eased the muscle contraction around the joints? Worth knowing!
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Interesting point about the iron! :) I don't believe they ever considered that as my iron levels have always been normal and I don't recall reading anything about it when I researched the condition.
Hmmmmm...
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I also hit the menopause and when i came off hrt , i had one shoulder freeze then the other. I went to physio for 6 Months with the first one...it did absolutely zilch. I religiously followed the regime 3 times a day...nothing. Doctor then injected it with cortico steroids and that evening it started freeing and havent looked back.
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I also hit the menopause and when i came off hrt , i had one shoulder freeze then the other. I went to physio for 6 Months with the first one...it did absolutely zilch. I religiously followed the regime 3 times a day...nothing. Doctor then injected it with cortico steroids and that evening it started freeing and havent looked back.
Hi there! How great that the cortisone worked for you so well! That's amazing! :banana:
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Oils the joint which has dried due to menopause. WD40 ;-)
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Hello ladies
A friend of mine who is post meno and never taken HRT had a frozen shoulder about two years ago.
She followed the NHS physio exercises but also topped up with private treatments. Initially she was told it could take two years to resolve but I think she was back to normal in six months. As far as I can remember she didn't need injections but as inflammation is at the route of the condition a course of corticosteroids makes sense.
Annoyingly I am struggling with a painful arm/shoulder atm and I am trying to get a GP appointment. In the meantime I plan to increase my anti inflammatory foods to see it that helps.
Take care.
K.
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The bones begin to grate together as we age, once the steroid injection is in it can lubricate the area which enables gentle movement with less fear of pain. Some don't get full movement back even with physio..
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I also had a similar experience in 2018. I had both shoulders freeze at the same time. It was agony and I was virtually disabled for 9 months - my partner had to dress me, wash my hair ..... and even pull my jeans up after going to the toilet! I couldn't sleep at night because of the pain (my job requires me to be fit and active and I've always looked after myself with diet and exercise ... so this really came out of the blue).
I also had arthrographic distention done in both shoulders (the private doctor who recommended it to me called it hydrodilatation as apparently it can be done with either air or saline) - I was referred to our NHS hospital where they used air - the pain eased almost immediately and with physio I have nearly recovered full range of movement. I'd definitely recommend it.
I had also read that menopausal women suffer from this a lot. Who'd have thought that our hormones could do all these things to us?!! I've just started HRT as since then I've had so many other issues - V.A. and other joint problems.
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Get thee some appropriate Vaginal Atrophy treatment DLC - either vagifem or ovestin ;-)
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I also had a similar experience in 2018. I had both shoulders freeze at the same time. It was agony and I was virtually disabled for 9 months - my partner had to dress me, wash my hair ..... and even pull my jeans up after going to the toilet! I couldn't sleep at night because of the pain (my job requires me to be fit and active and I've always looked after myself with diet and exercise ... so this really came out of the blue).
I also had arthrographic distention done in both shoulders (the private doctor who recommended it to me called it hydrodilatation as apparently it can be done with either air or saline) - I was referred to our NHS hospital where they used air - the pain eased almost immediately and with physio I have nearly recovered full range of movement. I'd definitely recommend it.
I had also read that menopausal women suffer from this a lot. Who'd have thought that our hormones could do all these things to us?!! I've just started HRT as since then I've had so many other issues - V.A. and other joint problems.
Hi DLC, I cannot imagine having it in both arms! It was painful enough in one shoulder! I was so grateful to have had the distention done, it was a lifesaver. I actually had both air and saline injected. The air was the thing that made my shoulder feel like it was going to explode lol.
Glad it all worked out for you and you found relief!
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Haha. I know what you mean re thinking shoulder would explode. When I had the first one done I remember thinking "ok .. this is a new experience". But the second one, a month later, I remember thinking "OMG when is he going to stop pumping all that air into me?!. Im going to explode".
It was never-ending. It wasn't painful though. Just weird :-)
CLKD thanks. The V.A. seems to be improving with vagifem. Hoping the systemic HRT will help too. For me 2018 was the year of frozen shoulders. Then 2019 was the year of VA, vulvadynia, allergic reaction to vulval moisturisers and ultimately diagnosis of VIN3. Operation in December. Oh the joys of Menopause :-). Jane Lewis' book is must read. And, like Jane, I would advise everyone to check their vulva regularly and if they see anything odd, get it checked out. I paid to see vulval dermatologist. So glad I did. If it hadn't been for the V.A. rearing it's ugly head, I wouldn't have discovered the V.I.N. as it wasn't painful (also my doctor missed it when she examined me).
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I'm 51 and peri meno. I had a frozen shoulder last year that lasted about a year and then settled. Since around januboth my elbows have been painful.
My sister is 2yrs older than me and a couple of yes ago she experienced the same, frozen shoulder for a year then painful elbows.
I wonder if its genetic?
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I haven't heard that it's hereditary. When I had my procedure I don't recall the radiologist asking if anyone in my family had it. But I could be wrong! :)
Did you report your elbow pain to your doctor?
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C.c I didn't mention my joints to my GP but just thought as my sister is two years older and I'm experiencing both shoulder then elbow pain two years after her, it was a bit of a coincidence.
I have read joint pain can be a symptom of the menopause.
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Lack of oestrogen which is like an oil in the joints .........
DLC - glad that your symptoms of VA are eased. Remind me, what is VIN?