Frozen Shoulder
Syndrome

About Frozen Shoulder Syndrome

The medical term for frozen shoulder syndrome is adhesive capsulitis. It is a painful and debilitating condition where inflammation and scar tissue cause adhesions in the shoulder joint, causing it to “stick.” Frozen shoulder limits your range of motion and prevents you from raising your arm overhead.

Symptoms are often mild at first, but stiffness and pain gradually increase over time, dramatically inhibiting arm movement. The condition can take up to 3 years to heal on its own. Physical therapy is the treatment of choice for frozen shoulder syndrome, to speed up the healing process and restore pain-free functional movment.

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Dr. Lev Kalika
Dr. Lev Kalika

Clinical director & DC RMSK

About Shoulder Pain 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 pain syndromes and movement disorders by introducing advanced technologies and innovative therapies to the rehabilitation space. His services are sought by elite athletes, runners and ballet dancers across the USA.

Get Lasting Results at NYDNRehab
Without Drugs or Surgery

Many people are quick to look to surgery when experiencing a painful and debilitating condition like frozen shoulder. But the invasive nature of surgery makes it highly risky, with no guarantee of restored shoulder function. In fact, research shows that long-term outcomes for frozen shoulder syndrome are similar for conservative care and surgery.

At NYDNRehab, we use the latest evidence-based therapies for treating frozen shoulder syndrome. Our regenerative technologies, ultrasound guided procedures and professional expertise make NYDNRehab the premier clinic in NYC for treating and resolving frozen shoulder syndrome.

Our personalized one-on-one treatment sessions focus on the unique needs of the individual patient. We never take a one-size-fits-all approach to patient care. We listen to our patients, and we design customized treatment protocols based on your detailed diagnosis.

Symptoms, Causes and Risk Factors of Knee Pain

Symptoms

  • Shoulder pain and stiffness

  • Reduced arm range of motion

  • Gradually worsening pain

  • Reduced mobility for 6-9 months

Causes

  • Underlying causes are largely unknown

  • Chronic inflammation may play a role

  • Diabetes increases risk

Risk Factors

  • Age 40-60

  • More common in women

  • Diabetics at higher risk

  • Prolonged arm immobilization

  • Occupations requiring overhead motion

Symptoms, Causes and Risk Factors of Frozen Shoulder Syndrome

Accurate Diagnosis is Critical for
Successful Treatment

Diagnosis begins with a physical exam and a review of your medical history. Shoulder range of motion is assessed, and the shoulder joint is examined using diagnostic ultrasound imaging. Ultrasonography lets us view the shoulder joint and surrounding structures in real time, with the shoulder in motion. The patient becomes an active participant in the diagnostic process, providing valuable feedback during the imaging session.

At NYDNRehab, we use the highest resolution research-grade ultrasound equipment, for clear and accurate imaging of the affected tissues. An accurate visual examination of your shoulder joint eliminates guesswork and provides us with a baseline to gauge your progress. Once your diagnosis is complete, we create a treatment plan based on your unique needs.

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

Benefit from Our Advanced Treatment Approaches

The shoulder pain specialists at NYDNRehab have access to some of the world’s most advanced technologies and treatment options for rehabilitating your frozen shoulder. We never stop treatment until full pain-free range of motion is restored.

Your frozen shoulder treatment plan may include:

  • Extracorporeal magneto transduction therapy (EMTT) to relieve pain and inflammation.

  • Extracorporeal shock wave therapy (ESWT) to break up scar tissue and adhesions.

  • Ultrasound guided injection therapies to reduce pain and inflammation.

  • Manual therapies to relieve stiffness and improve range of motion.

  • Physical therapy to strengthen and stretch the tissues surrounding the shoulder joint.

  • Biofeedback retraining to restore functional movement.

Our Regenerative Therapies Speed Healinq

Ultrasound Guided Injection Therapies

Ultrasound guided injections are sometimes used to reduce pain and inflammation, and to promote the regeneration of new cells. Corticosteroids may be injected to mitigate patient discomfort during treatment. Ultrasound guidance ensures that the injected substance reaches its target with precision and accuracy, for superior results and minimal patient discomfort.

Extracorporeal Shock Wave Therapy (ESWT)

ESWT is one of our regenerative therapies that stimulates the growth and repair of tissues at the cellular level. It is particularly effective for healing connective tissues like tendons that have limited vascularity. ESWT plays an important role in frozen shoulder rehabilitation.

Extracorporeal Magnetic Transduction Therapy (EMTT)

This non-invasive regenerative therapy is making headlines as the next big thing in physical rehabilitation. When combined with ESWT, EMTT helps to reduce inflammation, eliminate pain, and speed up the healing process.

Ultrasound Guided Dry Needling

Dry needling is a safe and effective approach for eliminating myofascial trigger points that cause pain and dysfunction. Ultrasound imaging dramatically increases the effectiveness of dry needling by enhancing precision, to eliminate the need for repeated insertions.

Our Regenerative Therapies Speed Healin
Get Personalized Shoulder Pain Treatment that Really Works

Get Personalized Shoulder Pain Treatment that Really Works

At NYDNRehab, we believe that every patient deserves personalized care and treatment. We never use cookie-cutter approaches to patient care. Our expertise, experience and advanced treatment approaches make NYDNRehab the number one clinic for frozen shoulder treatment in NYC. Contact us today, and get rid of your shoulder pain for good, so you can get back to doing the things you love.

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    Range of Available Unique Physical Therapy
    Treatments at Nydnrehab

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    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)

    image

    Complete tear of rectus femoris
    with large hematoma (blood)

    image

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

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