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PNS for the treatment of chronic shoulder pain from adhesive capsulitis

Your shoulder is made up of three bones that form the ball-and-socket joint. They are your upper arm (humerus), shoulder blade (scapula) and the collarbone (clavicle). The tissue surrounding the shoulder joint that holds everything together is called the capsule.

Sometimes, your shoulder joints can become increasingly stiff, painful, and difficult to move, which is often the result of a condition known as adhesive capsulitis, or frozen shoulder. Dr. Manocha at the Interventional Spine and Pain Center, along with the rest of the team, have worked with many men and women struggling with this irritating condition, and we invite you to keep reading to learn more about it.

What is Frozen Shoulder?

When a person has frozen shoulder (known clinically as adhesive capsulitis), the capsule becomes so thick and tight that it’s hard to move. Bands of scar tissue form and there’s less of a liquid called synovial fluid to keep the joint lubricated. These things limit motion even more.

Causes & Symptoms of Frozen Shoulder

As with many conditions, the exact cause of frozen shoulder is not always clear nor clearly understood. Prevalence is higher in women and you are more likely to get it if you are in your 40 and 60 years of age.  Your risk is higher in certain cases, including a history of shoulder immobilization (such as may occur following a surgery or injury) or the presence of other medical conditions like diabetes, cardiac disease, Parkinson’s disease, and thyroid dysfunction.

As the name implies, stiffness and decreased range of motion are among the hallmark symptoms of frozen shoulder. Pain is often described as achy or dull, and typically felt on the outer shoulder and upper arm.

How do we treat Frozen Shoulder Syndrome

At Interventional Spine & Pain Center, we can diagnose frozen shoulder through a combination of physical examination, X-ray imaging, and thorough patient history assessment. With a correct diagnosis in hand, we can then guide you through a customized treatment plan that aims to address the symptoms of your frozen shoulder as well as prevent recurrence or secondary problems (including muscle weakness, arthritis and instability). Typical approaches may include:

Physical therapy, with an emphasis on passive and active-assisted range of motion exercises

Therapeutic and regenerative medicine injections

Peripheral nerve stimulator implants


Has your shoulder been bothering you? Have you failed conservative treatment including Physical therapy and injections?  Call today to inquire about the StimQ Peripheral Nerve Stimulator (PNS) System.  The PNS system utilizes the technology of creating an energy field that acts on peripheral nerves to treat chronic pain. The device is inserted through a needle sized incision, and can be placed to stimulate peripheral nerves through out your body (excluding craniofacial nerves).

Before the device is implanted permanently, there is typically a trial period to determine if the therapy is effective for your chronic pain. PNS is covered by most healthcare providers.

Vivek Manocha, MD Vivek(Vic) Manocha, MD, is a board-certified Physiatrist/ Interventional Pain Speciliast, and the medical director of Interventional Spine & Pain Management Center, specializing in innovative pain management services for acute and chronic pain. He is certified by the American Board of Physical Medicine and Rehabilitation, a fellow of Interventional Pain Practice, and a diplomate of the American Board of Interventional Pain Physicians.