Acupuncture for
Frozen Shoulder

Frozen shoulder unfolds gradually, progressing through several distinct phases: freezing, frozen, and thawing. Without timely intervention, resolution may take months to years. Everyday tasks become a burden. I should know … I had one in 2021.

Physical therapy is another approach to release the shoulder. It didn’t work for me. Ultimately, an injection into the shoulder joint may become necessary. For me, it did wonders. In severe cases where conservative measures fail to provide relief, surgical intervention such as manipulation under anesthesia or arthroscopic release may be necessary to break up adhesions and restore shoulder mobility.

Come acupuncture. This ancient Chinese medical practice offers a natural and highly effective approach to a multitude of health issues. In Traditional Chinese Medicine (TCM), frozen shoulder is perceived as a manifestation of Bi (Cold/Dampness) syndrome. From here follows that acupuncture should be at least somewhat effective in relaxing the rotator cuff muscles and improving the range of motion.

Studies do support acupuncture's efficacy in treating frozen shoulder. Research involving 40 patients demonstrated its superiority over physical therapy in pain reduction and shoulder mobility improvement. Another study highlighted the effectiveness of acupuncture combined with moxibustion, a heat therapy, in alleviating pain and enhancing shoulder function.

Now, that’s all academia. What about real life?

In practical application, while acupuncture may not yield as dramatic results as a shoulder injection, it remains effective. Some patients experience complete resolution after a few acupuncture sessions. Reports of "miraculous" recoveries, particularly in China, using distal acupuncture points like ST 38, are intriguing, though not universally observed. Perhaps more aggressive needle stimulation is warranted in these cases.

Nevertheless, I do think acupuncture is worth trying while waiting for a referral to interventional pain management or ortho. It is a safe, non-invasive and drug-free treatment option, which can be particularly beneficial for those who are looking for an alternative to medication or surgery. Even if a “miracle” cure does not happen, acupuncture can improve blood circulation in the shoulder area, decrease viscosity of the joint fluid, and reduce pain.

In conclusion, frozen shoulders are a complex and debilitating condition characterized by pain, stiffness, and limited range of motion in the shoulder joint. If you are experiencing frozen shoulder, acupuncture may be a useful option for you. For the best results, consult an experienced acupuncturist, preferably the one who practices evidence-based medical acupuncture. Avoid “miracle workers” who promise too much but deliver little.