Frozen Shoulder

About Frozen Shoulder Syndrome

Your shoulder is a ball-and-socket joint, designed to move freely in multiple planes of motion. Frozen shoulder syndrome — also called adhesive capsulitis — is a painful condition that limits your shoulder mobility, making it difficult to raise your arm overhead.

When treated with conventional approaches, frozen shoulder sometimes resolves itself over the course of 2 to 3 years. But new technologies have flipped the script on frozen shoulder treatment, often rendering noticeable improvement after a single session.

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Dr. Lev Kalika

Clinical director & DC RMSK

About Frozen Shoulder Specialist
Dr. Lev Kalika

Dr. Kalika, clinical director of NYDNRehab, has devoted his life’s work to finding innovative and effective ways to treat musculoskeletal pain and dysfunction. Dr. Kalika is both a practitioner and a scholar, with multiple peer reviewed studies to his credit.

Dr. Kalika has revolutionized the treatment of adhesive capsulitis by combining advanced technologies and ultrasound-guided fascial plane and capsular hydrodissection. His approach to frozen shoulder syndrome has seen groundbreaking results in relieving pain and restoring shoulder range of motion.

Regardless of how long your frozen shoulder symptoms have persisted, you can expect to see noticeable results after the first treatment using Dr. Kalika’s proprietary methodology.

Get Lasting Results at NYDNRehab
Without Drugs or Surgery

Conventional treatment for frozen shoulder normally involves range-of-motion exercises, along with numbing medications and corticosteroid injections. In hard-to-heal cases, arthroscopic surgery is sometimes recommended, with no guarantee of success. Even with consistent care, frozen shoulder can take two years or longer to fully resolve.

At NYDNRehab, we take a personalized and holistic approach to patient care. We know how important it is for our patients to recover quickly, so they can get back to normal daily activities. We embrace the most advanced technologies and innovative therapies, rarely found in conventional physical therapy clinics, to speed up the healing process.

Using our unique approach, your frozen shoulder pain and range of motion can significantly improve after a single session, and your condition can be completely resolved in just several treatment sessions.

Symptoms, Causes and Risk Factors of Frozen Shoulder Syndrome

Frozen Shoulder Causes
and Symptoms

The underlying cause of frozen shoulder is unclear, but it involves a thickening of the tissue surrounding the joint capsule, causing it to tighten and reducing shoulder mobility. In some cases but not all, frozen shoulder occurs after a long period of limited shoulder movement, often after an injury, surgery or stroke.

Symptoms of frozen shoulder generally progress in three stages:

  • Freezing stage — 2 to 9 months

    Patients experience pain and stiffness with shoulder movement, coupled with reduced range of motion.

  • Frozen stage — 4 to 12 months

    Patients experience increased stiffness and reduced arm mobility, and you may not be able to raise your arm overhead.

  • Thawing stage — 5-24+ months

    Patients see a gradual reduction of pain and incremental improvements in mobility.


Frozen shoulder pain often worsens at night, interfering with sleep.

Thorough Diagnosis is Key to Fast and Effective Frozen Shoulder Treatment

Many therapists rely on symptoms alone to diagnose frozen shoulder syndrome. They then proceed with one-size-fits-all frozen shoulder treatment protocols that render marginal results.

At NYDNRehab, we use the highest resolution diagnostic ultrasound to visualize the structures surrounding the shoulder joint capsule in real time. Ultrasound allows us to verify your condition, look for coexisting factors, and gauge the severity of your frozen shoulder.

Once we have a clear picture of the factors contributing to your shoulder pain and restricted movement, we custom-design a personalized treatment plan to give you the fastest and most effective results.

Accurate Diagnosis is Critical for Successful Treatment
Benefit from Our Advanced Treatment Approaches

Get Fast-Acting Frozen Shoulder Treatment that Really Works

Prior to beginning physical therapy for frozen shoulder, we set out to restore the structural integrity of the soft tissues and nerves that govern shoulder movement.

Your frozen shoulder treatment plan may include:

  • Ultrasound guided dry needling, to release myofascial trigger points that contribute to pain and reduced mobility

  • Shoulder capsule hydrodissection, to free up entrapped nerves and relieve pain

  • Regenerative therapies, to break down scar tissue and adhesions, and speed up the healing process at the cellular level

  • Fascial Manipulation Therapy using deep manual friction, to reduce shoulder tissue density and free up tissue layers for more fluid movement

  • Frozen shoulder physical therapy, to improve shoulder range of motion and restore pain-free joint function


Our Regenerative Therapies are Game-
Changers for Frozen Shoulder Treatment

Your body has a remarkable ability to heal itself. Regenerative therapies offer frozen shoulder non-surgical treatment options that accelerate healing by stimulating your body’s own innate healing mechanisms. The clinic at NYDNRehab features the most advanced regenerative therapies available, rarely found at run-of-the-mill physical therapy clinics.

Focused Extracorporeal Shock Wave Therapy (ESWT)

produces high frequency sound waves to stimulate the body’s reparative mechanisms. It is especially effective for degenerative tendon disorders and myofascial pain.

Extracorporeal Magnetic Transduction Therapy (EMTT)

transmits high energy magnetic pulses that synchronize with the body’s own magnetic fields, triggering a regenerative response.

Extracorporeal Pulse Activation Technology (EPAT)

Extracorporeal Pulse Activation Technology (EPAT)

Extracorporeal Pulse Activation Technology (EPAT)

also known as defocused shock wave therapy, uses acoustic pressure waves to enhance blood circulation to targeted tissues.

High Energy Inductive Therapy (HEIT)

uses electromagnetic fields to penetrate cells, tissues, organs and bones, to reactivate the electrochemical function of cells and cell membranes.

INDIBA Radiofrequency Therapy

INDIBA Radiofrequency Therapy

NESA Neuromodulation Therapy

emits a biphasic low-frequency electrical current to calm hyper-excited nerves and restore optimal neural signaling to the brain.

INDIBA Radiofrequency Therapy

uses electrical current to increase the exchange of ions in damaged cells, to restore healthy balanced cellular function.

NESA Neuromodulation Therapy

NESA Neuromodulation Therapy

Platelet Rich Plasma (PRP)

injects a combination of procaine, anti-inflammatory medications, vitamins, minerals, and a mixture of ozone/oxygen gas into injured or degenerated joints and tissues, to reduce pain and inflammation, and jump-start the healing process.

Get Personalized Shoulder Pain Treatment that Really Works

Get Fast and Effective Frozen Shoulder Treatment in NYC

Frozen shoulder syndrome can take months or even years to heal, causing you to miss out on your favorite activities and diminishing your quality of life. Not to mention the enormous amounts of time and money you’ll have to invest in months of frozen shoulder physical therapy.

Frozen shoulder specialist Dr. Lev Kalika has developed his own proprietary approach to frozen shoulder physical therapy, using the most advanced technologies and therapies currently available. With Dr. Kalika’s unique methodology, patients often see substantial improvement after a single visit, and the condition is often completely resolved in a matter of weeks.

Don’t waste your time and money on frozen shoulder treatments that produce mediocre results. Contact NYDNRehab today, and get the fastest and most effective frozen shoulder treatment so you can get back to doing the things you love.

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    Range of Available Unique Physical Therapy
    Treatments at Nydnrehab


    In this instance, an athlete was originally diagnosed with minor quadriceps muscle strain and was treated for four weeks, with unsatisfactory results. When he came to our clinic, the muscle was not healing, and the patients’ muscle tissue had already begun to atrophy.

    Upon examination using MSUS, we discovered that he had a full muscle thickness tear that had been overlooked by his previous provider. To mitigate damage and promote healing, surgery should have been performed immediately after the injury occurred. Because of misdiagnosis and inappropriate treatment, the patient now has permanent damage that cannot be corrected.

    The most important advantage of Ultrasound over MRI imaging is its ability to zero in on the symptomatic region and obtain imaging, with active participation and feedback from the patient. Using dynamic MSUS, we can see what happens when patients contract their muscles, something that cannot be done with MRI. From a diagnostic perspective, this interaction is invaluable.

    Dynamic ultrasonography examination demonstrating
    the full thickness tear and already occurring muscle atrophy
    due to misdiagnosis and not referring the patient
    to proper diagnostic workup

    Demonstration of how very small muscle defect is made and revealed
    to be a complete tear with muscle contraction
    under diagnostic sonography (not possible with MRI)


    Complete tear of rectus femoris
    with large hematoma (blood)


    Separation of muscle ends due to tear elicited
    on dynamic sonography examination

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