Shoulder Impingement Syndrome
Shoulder impingement syndrome is also known as swimmer's shoulder and thrower's shoulder and is caused by inflammation in the subacromial space - a narrow, bony area where tendons and muscles of the shoulder pass through.
You might be suffering from a shoulder impingement syndrome if:
- You have sharp pain when you use your arm overhead.
- You have difficulties reaching up behind your back or elevating your arm.
- You feel weakness in the muscles in your shoulder.
If you are experiencing any of those symptoms or you're suffering from on-going pain on the in your shoulder then you might have a shoulder impingement syndrome. If you have been suffering from these symptoms for a long of time, you may have inflammation of the rotator cuff tendons (tendinitis) and bursa (bursitis).
Many people don't realize that a shoulder impingement is an injury that can become dangerously chronic, affecting the quality of your life for years to come. This form of shoulder injury can happen to anyone and can be caused in many ways. An impingement can start from something small such as a repetitive activity as part of your job (ie. painting, lifting, swimming, tennis or other overhead sports) and slowly start to take over your life.
What is Shoulder Impingement Syndrome?
Shoulder impingement syndrome is persistent shoulder pain that affects everyday activities. The space in the shoulder where the rotator cuff tendons, muscles and bursa passes through is very narrow and is known as the subacromial space. This space is made even smaller when you raise your arm.
You may notice that you often have weakness when you raise your arm, caused by muscle tendon 'catching' in your shoulder. The pain may be much like a pinch in the shoulder. The tendons or bursa are pinched by the bones of the shoulder and over time can lead to inflammation and degeneration of these sames tendons or muscles.
Shoulder impingement syndrome occurs when soft tissue in the subacromial space (considered the 'roof' of the shoulder blade) is pinched.
The subacromial space is an area in the shoulder that's approximately 1/2 an inch wide between the humerus (upper arm bone) and the acromion (a bony projection of the scapula). As you raise your arm, the greater tubercle (head of the humerus) moves up towards the acromion process and the amount of space in the subacromial space is naturally reduced. When the shoulder is healthy and everything is functioning properly this narrowed space is not a problem.
The supraspinatus tendon and the subacromial bursa lie within the subacromial space. Therefore, these tissues are at the greatest risk of being pinched between the humerus and acromion process when you lift your arm. If the soft tissue in the subacromial space is swollen or the acromion is abnormally shaped, pinching or rubbing of the supraspinatus tendon may occur and/or it can cause a lot of irritation in the subacromial bursa. This pinching of the supraspinatus tendon or subacromial bursa causes the pain of shoulder impingement syndrome, which becomes worse as inflammation increases.
Abnormal narrowing of the subacromial space can happen as a result of bone spurs, thickening or calcification of the coracoacromial ligament, a curved or hooked acromion, a misaligned glenohumeral joint, or osteoarthritis spurs on the acromioclavicular joint. Alternatively, if the soft tissue within the space is larger than normal the space becomes even more narrow. This can occur with subacromial bursitis, or swelling or thickening of the supraspinatus tendon.
This condition is also referred to as swimmer's shoulder, pitcher's shoulder, painful arc syndrome, supraspinatus syndrome, and thrower's shoulder. Because it can mimic the symptoms of a rotator cuff tear, tendonitis, tenosynovitis, bursitis or other shoulder problems, it is wise to see a doctor to determine the cause of your shoulder pain.
Causes Of Shoulder Impingement
This type of injury can be caused by activities where you need to raise your arms above your shoulder (or head) such as; tennis, swimming, carpentry work, painting. lifting and football or other overhead sports. You may not be able to recall any specific event, injury or activity that would cause such an impingement.
A non-exhaustive list of causes of shoulder impingement:
- Tendonitis of the rotator cuff tendons
- Subacromial (shoulder) bursitis
- Genetic predisposition (small space between the acromion and humerus)
- Curved or hooked acromion
- Bone spurs in the shoulder
- Shoulder instability
- Biceps tendinopathy
- Other rotator cuff issues
- Dysfunctional shoulder blade (scapula) movement
The narrow shoulder space can reduce further with secondary conditions such as:
- Calcium deposits that build-up within the rotator cuff tendon following an injury to the tendon.
- Poor posture the involves the shoulder blade and poor muscle control.
What are the Symptoms of Shoulder Impingement?
If you're suffering from a shoulder impingement you may have on-going pain in your shoulder that increases when you raise your arm, reaching above your head to grab something off a shelf, or trying to scratch an itch on your back. The pain may increase at bedtime and even interrupt your sleeping patterns. You may sometimes feel a grinding or popping sensation when you move your shoulder.
- You have sharp pain when you use your arm overhead.
- You have difficulties reaching up behind your back or elevating your arm.
- You feel weakness in the muscles in your shoulder.
Typically, impingement pain will gradually develop in the shoulder over time.
Pain usually occurs when reaching behind your back (internal rotation) or when lifting your arm. As you raise your arm, the pain is noticeable between 70° and 120°, but not when your arm is straight up or pointing down. This is because when you begin to raise your arm (abduction) there is no pinching, but during the lift, the top of the humerus moves closer to the acromion, limiting the space.
With an external impingement, you with feel pain at the front and/or side of the joint when making a throwing motion.
If you experience pain when holding your arm out to the side (abducted) or turning it outward it would indicate you have an internal impingement.
3 Stages of Shoulder Impingement
There are three distinct stages of shoulder impingement that all have different symptoms.
In stage I of a shoulder impingement you will feel a slight ache after repetitive overhead movements. Inflammation will occur within the joint but at this stage it can be treated. Treating the pain and inflammation with cold will help to reduce inflammation and swelling. However, if the impingement is caused by an abnormal bone growth or misaligned joint, the cause may need to be fixed with surgery to avoid the impingement from continuing.
Stage II of impingement is when the inflammation has progressed and scar tissue starts to form on the supraspinatus tendon and subacromial bursa. This makes the tissue thicker and more prone to further injury. As the tendon and bursa become thicker and more susceptible to impingement, it becomes difficult to break the cycle.
During stage II you will experience more pain when doing overhead activity and possibly while sleeping. It is important to treat the scar tissue and inflammation to prevent more chronic problems and to perform appropriate exercises, that will not pinch the supraspinatus tendon or subacromial bursa, to maintain as much range of motion as possible.
Stage III of impingement progresses to the stage where abnormal bone formations cause further complications. The subacromial space can be limited by bone spurs, calcification of the supraspinatus tendon, and even osteophytes (small bone growths) that grow on the acromion and/or head of the humerus. This restricts the space available for the tendon to pass through the subacromial space even more, creating stiffness, lack of mobility in the shoulder, and lots of pain.
At stage 4, surgery may be one of the only options in order to remove the bony formation, and return to a normal range of motion and less pain in the shoulder.
How Do I Diagnose a Shoulder Impingement?
Getting a proper diagnosis from your physician is important so you can treat your condition correctly. Typically, you will undergo a physical exam and during this exam your doctor will probably twist and/or elevate the arm of the affected shoulder to determine when pain occurs. This exam will help find out the problem areas of the shoulder (usually in the rotator cuff area).
To discover the specific condition, you may also be required to undergo an x-ray to look at joint and bones. An MRI may also give your doctor better look at the soft tissue in the shoulder. From a physicians perspective, the physical exam, x-ray and a MRI are often needed in order to diagnose a shoulder ailment properly.
A test for shoulder impingement syndrome is to reach the affected arm behind you towards your lower back, as if to get something out of your back pocket. If you feel sharp pain with this motion, it is possible you have shoulder impingement syndrome and you should see your doctor.
You doctor may refer you to a physical therapist. Many people see great improvements in PT with shoulder related problems and are able to treat the condition with conservative measures such as cold compression, range of motion stretches and Circulation Boost.
Shoulder Impingement Surgery
In most cases shoulder impingement syndrome can be treated without resorting to surgery. However, if conservative treatment methods have failed after for 6 full months of treatment, then your physician may opt for arthroscopic or open surgery on your shoulder. Arthroscopic surgery is becoming more and more popular, as it is considered less invasive and post surgery rehabilitation is usually quite a bit faster than rehabilitation for open surgery.
There are some cases that will require open surgery as the scope of arthroscopic surgery is limited in comparison to full exposure of the shoulder in open surgery. If you undergo an open surgery for your shoulder impingement, you should anticipate a longer period of time for rehabilitation efforts. Generally speaking, a patient will have more scar tissue from open surgery than a patient that has had arthroscopic surgery; this is part of the reason why arthroscopic shoulder impingement post-surgery rehab is shorter.
Shoulder Impingement Rehabilitation and Scar Tissue
As with any surgery, the surgeon will weigh the costs versus the benefits of performing surgery on a particular case. Scar tissue is something that cannot be avoided during surgery.
During the healing process your body will fill in tears in your shoulder (that may have caused your impingement syndrome) with dense, brittle tissue called "scar tissue". The human body will use scar tissue as a temporary solution and will try to build the scar tissue as fast as possible to heal tears in the soft tissue. Scar tissue can form fast to bring together the edges of a tear, but working fast doesn't mean that the job's done right. When scar tissue forms it doesn't come together as neatly as regular (healthy) tissue would. Scar tissue fibers fill in soft tissue tears in a cluttered, messy and jumbled up way.
This is how scar tissue works. The scar tissue that forms in your shoulder will be unorganized and won't line up properly with the healthy tissue surrounding the tears. This scar tissue will also attach to everything in and around your shoulder injury including the surrounding healthy tissue as well. This can result in a long-term fusing together of the soft tissue in your shoulder that stiffens your shoulder reducing your mobility and making your injury even more painful!
This is why scar tissue is weak - it should only ever be part of a temporary solution to heal your shoulder. Scar tissue is something that needs to be dealt with fast. If you try to get back into your regular daily activities with a mound of scar tissue in your shoulder you will have a higher risk of reinjury. Scar tissue is just not built to withstand the pressures of regular activity.
Surgery may end up adding more tissue to an already narrow space inside the shoulder. Even worse you could end up with frozen shoulder or another impingement. This is why surgery is only performed as a last resort.
Whether you are undergoing surgery, have already had shoulder surgery or are just trying to prevent shoulder surgery, it is important to remember these key points:
- listen well to your physician and if conservative treatments are recommended, do all the treatments often to ensure you maximize the opportunity to avoid surgery
- if surgery can't be avoided, know that frequent use of a Cold Compress or Ice Pack after your surgery will get the swelling down very fast. Much of the pain you feel will be from the swelling, and you will be surprised how quick the pain drops off once the swelling is down.
- the Shoulder TShellz Wrap is a safe device that will help reduce scar tissue, increase blood flow to the area (and thereby accelerate the body's own healing process).
- when applied before stretching or movement of any kind, the Shoulder TShellz Wrap will help the connective tissue in your shoulder joint elongate, and stay elongated for a couple hours after treatment. This means that it helps improve your range of motion and can reduce joint atrophy.
It may seem hard to believe, but regardless of what type of shoulder surgery you have undergone (or are trying to prevent), our Shoulder T•Shellz Wrap® is intended to assist you in recovering from your injury faster and reduce the chance of degenerative shoulder conditions by maximizing blood flow where it is needed most, and reducing swelling and inflammation induced pain.
How Do I Treat a Shoulder Impingement Injury?
Shoulder Impingement Rehab Protocol:
If you have tendinitis in your shoulder, rest is highly recommended. Avoid activities that cause pain or may have caused the inflammation and begin cold compression treatments as soon as possible.
During the healing process, scar tissue builds on affected rotator cuff tendons - the supraspinatus, subscapularis, teres minor and infraspinatus tendons. This scar tissue can cause the tendon to thicken, decreasing the area in the subacromial space and increasing the chance of impingement.
In addition, scar tissue can bind tendons and ligaments together within the joint capsule and surrounding the rotator cuff. Inflexible scar tissue limits movement of these tendons and ligaments that were once elastic and allowed the shoulder its large range of motion. As a result, movement of the entire joint is limited making it difficult to lift your arm or to reach for objects. If left untreated, the shoulder may 'freeze' (a condition called frozen shoulder or adhesive capsulitis) altogether making movement impossible. At the very least, scar tissue leaves your tendon weaker than a healthy tendon, leaving your rotator cuff at greater risk of further deterioration and possible tearing.
Once inflammation in and around the subacromial space has been reduced through use of a Cold Compress or Ice Pack, nourishing and strengthening of soft tissue in the area is recommended. This is when the Shoulder T•Shellz Wrap® treatments come in. The use of this home treatment device is designed to open up blood vessels, enhancing the flow of blood to the area. This enhanced blood flow, in most cases, will maximize the natural healing ability of the body. Talk to your doctor or physical therapist to find out which exercises are appropriate for your situation.
The good news is that most cases of shoulder impingement syndrome will heal with simple home conservative treatments and surgery is often not needed.
It is generally understood by doctors and surgeons, that surgery will introduce more scar tissue into the shoulder joint. This added scar tissue will be problematic, requiring visits to the Physio clinic and conservative treatment options post-surgery. If not dealt with properly, your shoulder injury could end up in worse condition than before the surgery. This is why surgery is only performed as a last resort.
Regardless of what stage you are in - you should be frequently working to get the swelling down in your shoulder and increasing blood flow to the injured tissue. This is done by resting your shoulder, using a Cold Compress or Ice Pack (when inflammation flares up), and using a Shoulder TShellz Wrap at least 2 times per day.
A Cold Compress or Ice Pack will reduce swelling and pain, and in turn, will reduce the pressure at the impingement. In short, the TShellz Wrap is intended to increase blood flow in the area of application, increase your range of motion and reduce your chance of re-injury.
The trick to healing your injury and getting your shoulder back in the best possible condition you can, is getting it to heal with as little scar tissue as possible. Scar tissue can bind tendons, muscles and ligaments together, limiting the movement of these tendons and ligaments that were once elastic and allowed the shoulder its large range of motion. As a result, movement of the entire joint is limited making it difficult to walk without a limp or do basic tasks such as climb stairs. If left untreated, the shoulder may 'freeze' further, making movement even more problematic. Even with a best case scenario recovery, there is typically less elasticity in previously injured tendons, muscles and ligaments. However, if you listen carefully and adhere to your physicians recommendations, you should experience minimal scar tissue build up. With minimal scar tissue, your chance of re-injury or chronic shoulder conditions later on is much lower than average.
Shortened muscles and tendons due to lack of use is a real problem during recovery. When you start to feel better and use the joint, the shortened muscles and tendons get over-strained, introducing small microtears. These microtears start the formation of scar tissue, which unlike muscle or tendon, is completely inflexible. Once there is scar tissue in there, the tears will continue; eventually you've got a serious problem with a joint that does not flex as much as it did before and this starts to become a chronic condition. You'll know you have scar tissue when you get shooting pain if you stretch your joint too far... it is something that physical therapist's often deal with (ie. shoulder manipulation).
To prevent this, we recommend using the TShellz Wrap before undertaking any significant activity, as warming treatments are intended to increase the flexibility of muscles, tendons and ligaments. This is actually why we advise plantar fasciitis sufferers to treat themselves with a Plantar TShellz Wrap first thing in the morning before walking (walking stresses the plantar ligament on the bottom of the foot). After treatment, the plantar ligament is more flexible and can handle higher walking stresses before it starts to micro-tear. The ability for soft tissue to stretch further before micro-tearing will allow you to gently stretch your recovering joint without re-injuring it yet again. This is a huge boon for recovery. We also highly advise the TShellz Wrap for post surgery recovery (once your physician approves), as surgery will always introduce scar tissue and TShellz Wrap treatments in post-op recovery are intended to reduce scar tissue growth, increase joint flexibility and get you back on your feet faster.
Stage 1: If the impingement is very recent - use a good quality cold pack and Arnica Pain Relief Cream. If the injury has been going on for awhile and there is little to no swelling or inflammation, skip to Stage 2 below.
If you are experiencing pain and swelling in the very early stages of the injury (first 48 to 72 hours), the first step in a conservative treatment protocol would be to focus on reducing the discomfort by applying a Cold Compress or Ice Pack to the injured tendon along with a high quality pain relief cream such as our Arnica Infusion Cream.
Not only will you use your Cold Compress or Ice Pack for the first 48 to 72 hours after the injury, but you should also use it during other stages of the healing process. Some examples include...
- after any activity that puts stress on your tendon (and surrounding soft tissue) in a moderate way. It is wise to quickly apply cold to not only reduce the pain, but to also minimize tissue damage that may have occurred during the prior event.
- If you have a job that requires you to place some demands on your injured joint. If that is the case, use cold immediately following work and if the opportunity allows - use it for 15 to 20 minutes during lunch or another break time.
- If you are in a post-operative situation where cold compression would be utilized heavily for at least the first few weeks following the procedure. Similarly, if you are scheduled for upcoming surgery, then you will need a Cold Compress or Ice Pack to use.
Having a Cold Compress or Ice Pack available at home to use if and when the need arises is helpful. Many of you already do so.
However, too many people over-focus on cold while ignoring the most critical aspect to healing - nourishing the injured tissues with a healthy supply of blood flow needed to repair and rebuild the injured tissues.
This leads to the most important recommendation...
Stage 2: Focus on Increasing Blood Flow To The Shoulder
Even though the concept is simple, improving blood flow to injured tissues can be difficult. Traditional methods require your muscle to move to promote blood flow (exercise), but that same motion that promotes blood flow can at times lead to making your pain and condition worse.
- Have you reinjured your shoulder by returning to work too quickly?
- How many times in the past have you aggravated your shoulder just trying to perform basic tasks around the home?
- Is your debilitated shoulder preventing you from work or activities you love to do?
Most people we deal with tell us these scenarios have happened to them many times in the past. Perhaps it has already happened to you.
Promoting blood flow within a muscle or soft tissue injury to help the body heal itself is a concept that has been utilized for centuries. This is where the focus has to be if you are seeking long-term improvement.
Oxygen and nutrients, carried within the blood, are critical for the body to heal itself. Without proper blood flow, recovering from an injury or condition will be delayed...sometimes for a very long period of time.
The real challenge is how do you promote blood flow to soft tissue without causing further injury?
Aside from a Cold Compress or Ice Pack to reduce inflammation at the onset of tendinitis, we now proceed to recommendation number two in your home recovery journey...
The Shoulder T•Shellz Wrap® - Accelerated Blood Flow to the Shoulder
The best option we came across in our research to accomplish the all important blood flow increase to soft tissue in the shoulder is the Shoulder T•Shellz Wrap®. Use of this device results in a dramatic increase in blood flow to the soft tissue in the area of application - all in a non-invasive manner.
Have you seen what happens when you add water to a flower wilted from drought? In essence, your injured hip is much like a "wilted" flower; your body wants to heal its injury, but needs lots of nutrients to do it. Blood brings new life to your tissue by delivering healing nutrients and oxygen that are vital for their survival. In addition, the blood carries away toxins and waste cleaning the area and healing it faster. Without a good supply of blood, your shoulder simply won't heal properly.
The objective of the T•Shellz Wrap® is to increase blood flow in targeted areas, resulting in relaxation of blood vessel walls. The vessels then gently expand, allowing for more nutrient rich blood flow along with extra oxygen to reach the damaged tissues. Plus, the enhanced blood flow helps in flushing waste and fluid build-up from the injury site - further enhancing the ability of the body to heal.
Enhanced blood flow (via the T•Shellz Wrap®) whisks away dead tissue and toxins that have built up from your damaged tendon and bursa. When you stop moving your arm and shoulder due to shoulder pain, your muscles and other tissue can become weaker and dead tissue and toxins in the area can cause further tissue deterioration - this can lead to atrophy. By clearing the area of toxins and increasing the amount of oxygen and nutrients to your muscles and other tissue, the risk of atrophy (muscle weakness and/or deterioration) is greatly reduced. Keeping your upper arm, shoulder and rotator cuff tissue as healthy as possible throughout the healing process will allow you to improve shoulder strength again once your pain has gone and your shoulder impingement syndrome is gone.
Knowing that the TShellz Wrap is an effective tool for combatting inflammation and scar tissue, you should see that this is really the cherry on top of the sundae. The use of an T•Shellz Wrap® covers a broad range, spanning from injury onset right until your shoulder is completely healed. We actually have customers that bring out their TShellz Wraps after they have fully recovered if they start to feel a twinge... and then they put it away again after a couple applications. It is truly a versatile wrap that will surprise you in its efficacy.
- When treating any soft tissue injury, an effective protocol will increase blood flow to the injury while the joint is immobile.
- This increase in blood flow will maximize the body's own ability to heal itself.
Using a T•Shellz Wrap® will not expose you to the risk of causing further harm to soft tissue like you can when using rigorous exercise. The T•Shellz Wrap® accomplishes the goal of indirectly stimulating blood circulation without the need for intensive exercise and as such reduces your risk of re-injury.
Using the T•Shellz Wrap® is truly a unique experience. Within moments of applying a treatment to your shoulder, you can feel the healing sensation due within the treatment area. During a treatment, and for quite some time after you finish, the area will feel relaxed and less painful. It's a very soothing sensation and extremely effective.
Professional athletes and those in the medical field have been users of the technology for decades - it really hasn't been until recently that companies like ours introduced the treatment devices to the home user.
T•Shellz Wrap® treatments will warm soft tissues, thus improving local blood circulation while boosting metabolism and enzyme activity. In stimulating localized blood flow to damaged soft tissue, you provide needed oxygen and nutrients to grow strong healthy collagen. In addition, you will experience a clearing of toxins and excess fluid build up from the injury site. Over the intermediate term, this helps to reduce incidents of swelling as trapped fluids will be whisked away - reducing pressure on blood vessels.
Increased Blood Flow = More Oxygen, More Nutrients and Less Toxins = Faster Healing
Who Should Use the T•Shellz Wrap®
We recommend the use of a T•Shellz Wrap®:
- If you have a soft tissue injury in your shoulder, then the T•Shellz Wrap® will provide the all-important function of boosting blood circulation where it is needed most.
- If you are dealing with conditions affecting your range of motion.
- If you have a chronic tendon condition that has lasted for years- this device in intended to help start the rebuilding process and help strengthen the surrounding and supporting tissues. Many of our past clients had suffered for years, then were completely amazed at the results they achieved after consistent, regular treatments.
- If you are still working with an injured shoulder, the T•Shellz Wrap® will help relax soft tissue prior to work and after a day at the job.
- If you are still trying to enjoy your favorite activities such as gardening, hiking, or golf, etc - use the T•Shellz Wrap® prior to activity to help reduce chances of re-injuring or re-aggravating those problem spots.
- If you are experiencing atrophy in the affected joint and want to reduce the chance of re-injury - this is a perfect treatment to use on a regular basis, by enhancing blood flow and elongating soft tissue.
- If you have been to PT for some form of soft tissue treatment (stretching, massage, strengthening, etc) and your physical therapist or physician has recommended conservative treatments for home.
- If you are getting surgery, then you will find this is a powerful tool after surgery to help surgically repaired tissues rebuild for long-term health. (once the surgery wound has healed and your physician has given the ok)
Consistent Treatments = Consistent And Long Term Improvement
What Else Makes the T•Shellz Wrap® So Special?
We believe the T•Shellz Wrap® to be one of the most effective treatments to stimulate blood flow to dense, injured tissues such as muscles, tendons, ligaments, and other similar tissues.
We can promise that you will receive a product that is designed to be safe and does what it is supposed to do...quickly relieve pain and aid in the recovery from tendon, muscle and other soft tissue injuries.
The unit plugs into a standard wall outlet to get its power. The nice thing about the power supply is that the same unit can be used in North America and overseas as well. It has the capability to operate between 110v and 230v.
It has a special signal controller that can be set for 3 different power levels of application (3=High, 2=Medium, 1=Low). The cord is long so you can sit or lie comfortably and watch TV, read or surf the net while you're using it.
Treatments are max 30 minutes in duration and the device can be worn over clothing. This allows you to use the device at work, at home,
Benefits That Can Be Achieved Via the T•Shellz Wrap®..
- Can be used ANYWHERE in the Shoulder area, left or right shoulder - very versatile
- Targeted applications for most areas of the body
- It can be used before exercise to warm up your arm/shoulder to reduce the risk of injury
- FDA Registered medical device for use in home or clinics - high quality
- Greatly enhances healing of tendons, ligaments, and muscles
- Increases flexibility of tissues (reducing the re-injury factor)
- It soothes pain and whisks away toxins
- Carbon fiber Energy Pad is strong, lightweight, and flexible - contours very easily
- A boost in blood flow can accelerate the bodys ability to recover. This can be beneficial in post-surgery rehabilitation, getting you back to work faster
When Should I Use My TShellz Wrap During the Day?
The most common question we receive from individuals prior to purchasing is - how many times a day should I be using my wrap and when should I be using it? While treatment plans will differ for each individual and their specific injury, there are general guidelines that should be adhered to.
- Use a Cold Compress or Ice Pack when you are experiencing inflammation (usually after exertion or movement of the injury area).
The T•Shellz Wrap® would then be used:
- Right after rising from bed in the morning (as this is when it is most stiff)
- Prior to going to bed at night (to relax the joint, allowing for better sleep)
- Before you know you will be using your injured joint (going to work, driving, typing, etc).
Stage 3 - In Between Treatments With T•Shellz Wrap®, Apply Our New Fast Acting Pain Relief Cream Called ARNICA INFUSION
Dealing with aches and pains affecting the foot, ankle, leg, knee, hamstring, hip, back, arm, shoulder, elbow, wrist, or hand? If so, then applying the Arnica Infusion to any of these targeted areas will bring about fast relief from the pain and sore tissues. Simply apply a small amount of cream to the body and moments later, you will experience a soothing and comforting sensation over the area.
Arnica Infusion is specially designed to relieve pain due to sore muscles and joints associated with arthritis, backaches, sprains, strains, and bruises. No matter if you are dealing with an acute injury, chronic pain, or a general "flare-up" - you will experience fast relief from pain and inflammation.
This is a product that many of our current MendMeShop customers asked us to develop. So we focused our time and resources over the past few years and came up, with we believe, will be one of more effective, fast acting, topical pain relief creams on the market.
You are likely familiar with some of the standard topical agents on the market as most of our customers use them. The are mass marketed and even found in most department stores now.
Well, we are here to say that Arnica Infusion goes many steps beyond what they offer.
Made in the USA at an FDA registered manufacturing facility, you can be assured that Arnica Infusion is both safe and effective. We only source top grade ingredients while implementing strict quality control checks during every step of the production process. Expect the same high quality that MendMeShop customers have been accustomed to since we started the company in 2005.
The "Cool Blue" formula is the perfect balance between the smooth application of a cream and the effective absorbing factor of a gel. It is not too thick and not too thin - just the right texture. Best of all, it feels very nice on the skin!
Each application of Arnica Infusion feels so comforting and soothing, we are certain it will become an item you will not want to live without.
Arnica Infusion Ingredients
The Arnica Infusion formula is based on a combination of scientific research and the use of high quality ingredients. The properties within the formula were chosen for their pain relief, anti-inflammatory, and soothing qualities.
The acting ingredients within the formula include ones many of us are familiar with; along with ones that have not received a lot of publicity (only in research circles). Extensive testing resulted in a blending of ingredients that provides the most synergistic of benefits.
The notable ingredients in the Arnica Infusion formula include:
- Arnica - powerful anti-inflammatory, speeds recovery, enhances circulation
- Menthol - provides deep penetrating pain relief with a nice cooling sensation
- Vitamin B6 - promotes normal nerve function
- MSM - supports healthy connective tissues, anti-inflammatory
- Ilex Leaf Extract - increases circulation, skin conditioner
- Vitamin E - anti-inflammatory, enhances circulation, hydrates the skin
- Aloe - anti-inflammatory properties, soothes the skin
- Tea Tree - enhances penetration of ingredients
Extensive quality control procedures during the manufacturing process ensure the ingredients and final product are both safe and effective. We would not stake our reputation on anything but the best.
When Do I Apply the Arnica Infusion?
While At Work
Apply Arnica Infusion at work to help reduce acute discomfort associated with overuse of muscles and joints. No matter if you are in a physical demanding job or work within an office environment, you will be placing stress on different parts of the body and aches and pains will result.
Before Or After Work, Sports, & Activity
If you suffer from a sprained ligament, pulled muscle, strained tendon, or even bruising - apply Arnica Infusion for quick relief of the pain.
Chronic Pain Suffering
Application of Arnica Infusion can be done up to a maximum of 4 times per day on a consistent basis to help bring about relief from various pains and aches.
In-between Treatments With the T•Shellz Wraps®
Follow up your T-Shellz and Cold treatments with an application of Arnica Infusion. Combine the pain relieving benefits of Arnica Infusion along with the healing benefits of the wraps to make your recovery go much more smoothly.
Do not apply Arnica Infusion within a 2 hour timespan before a T•Shellz Wrap® treatment.
Whether you decide to use the Arnica Infusion in conjunction with the T-Shell and other treatments - or if you decide to use the cream as a stand-alone product - you will not be disappointed with the results. We guarantee it.
A Note On OverCompensation
Since you are reading this, you probably know that serious tendonitis or tendinosis injuries do not just disappear. Over time, they usually wreak havoc on other joints in the body due to lack of movement and over-compensation. Recovery takes a longer time for such chronic (long term) injuries, but proper healing is essential to regain strength and get you back to the activities you enjoy.
The longer your injury endures, the greater the risk of running into serious overcompensation injuries.
To Stop Re-Injury & Reduce the Risk of a More Serious Overcompensation Injury, You Need to Heal Quickly & Completely!
Anyone in need of rapid recovery and complete healing must consider a comprehensive treatment plan that includes an effective means to minimize swelling and inflammation yet also stimulate healing and tissue elasticity. We have found no better set of tools that can be used at home than this:
What You We Recommend to Help Recovery from Your Shoulder Impingement at Home:
- A Cold Compress or Ice Pack to reduce inflammation of the tendon and surrounding area (as soon as possible).
- A Shoulder TShellz Wrap to increase blood-flow to the treatment area in the shoulder, relieve pain and help increase flexibility of soft tissue.
- MendMeShop Arnica Pain Cream for temporary relief of pain due to sore muscles and joints.
- An Exercise & Stretching Plan to prevent muscle atrophy and shortened tendons. A proper plan will increase elasticity and strengthen muscles in the area where the problem lies.
Shoulder T•Shellz Wrap® = Increased Blood Flow In Your Shoulder
We believe the use of T•Shellz Wraps® for effective pain relief and inflammation control of soft tissue injuries is one of the most under-utilized home treatment options available on the market today. We have client after client that have tried many options out there and have been amazed at how effective and fast the TShellz Wrap treatment can relieve pain and increase blood flow in soft tissue.
With regular use of the TShellz Wrap:
- Your pain will be reduced.
- Due to increased blood flow, your body's ability to recover from soft tissue damage will be maximized.
- Soft tissue in the treatment area will have a enhanced range of motion and increased extensibility of collagen tissue. (Chapter 9 of "Therapeutic Heat and Cold", 4th edition.
(amazon.com link - Ed. Justus F. Lehmann, M.D., Williams, and Wilkin)
*Know that every personal soft tissue injury is unique and the TShellz Wrap may not work for everyone. This is why we offer a 60-day money back return on all our TShellz Wrap devices.
Doctors and Surgeons are always improving the techniques used in surgery, and results from surgery now are much more positive than they were in the past. However, all surgeries introduce scar tissue, and recovery from surgery can be less than ideal and take longer than anticipated.
If you do wind up getting surgery, know that rehabilitation at-home while attending regular PT or doctor appointments is vital for your overall recovery.
Consistent exercise and conservative treatment on a daily basis during your rehabilitation while working with your doctor or physical therapist is key. This is why you should seriously consider maximizing your recovery by using the T•Shellz Wrap® at home once you are approved for PT.
Use TShellz Wraps To Help Reduce The Effects of Atrophy
Shortened muscles and tendons due to lack of use is a real problem during recovery. When you start to feel better and use the joint, shortened muscles and tendons get over-strained, introducing small microtears. These microtears start the formation of scar tissue, which unlike muscle or tendon, is completely inflexible. Once there is scar tissue in there, tears will generally increase with movement; eventually you've got a serious problem with a joint that does not flex as much as it did before and this becomes a chronic condition. You'll know you have scar tissue when you get shooting pain if you stretch your joint too far... it is something that physical therapist's deal with quite often.
To help prevent this, use a TShellz Wrap before undertaking significant activity, as heat emitted from the wrap is known to increase the length & flexibility of muscles, tendons and ligaments. This is actually why we advise plantar fasciitis sufferers to treat themselves with a Plantar TShellz Wrap first thing in the morning before walking (walking stresses the plantar ligament on the bottom of the foot). After treatment, the plantar ligament is more flexible and can handle higher walking stresses before it starts to micro-tear. The ability for soft tissue to stretch further before micro-tearing will allow you to gently stretch your recovering joint without re-injuring it yet again. This is a huge boon for timely recovery.
The Key Point To Keep in Mind When Treating Your Impinged Shoulder
Make Sure That Complete Healing is Your #1 Goal
We all know that if the injury was healed, the pain would go away but what about the opposite situation? If the pain is gone, does that mean the injury is better? Unfortunately, this is not always true.
Too many people only focus on suppressing pain symptoms while providing less attention to the true healing aspects of the body. Experiencing less pain, while obviously a good short-term goal, never equates to underlying healing. Scar tissue can remain for months after one gets to a point of being relatively pain-free. However, as long the weak and brittle scar tissue remains, you are susceptible to re-injury or re-aggravation. Certain motions or movements can cause the weaker tissue to easily tear - resulting in some reversal of the recovery up until that point.
This is why we recommend for people to continue with their doctor or therapist recommended exercises and to continue with mild treatments of the T•Shellz Wrap® for a period of time - to better ensure complete healing.
Ongoing treatments to enhance circulation will soothe, relax and generally allow your body to maintain good health in soft tissue . Shoulder T•Shellz treatments are also intended to warm the treatment area; when heat is applied to soft tissue it is known to become more flexible and extensible. The more extensible soft tissues is, the less likely it is to strain or sprain.
The Reasons For Our High Success Rate - Our Customers!
We will never claim our products will work for everyone. That is simply impossible to achieve. Everyone has a different capacity for healing and different circumstances behind their injuries and/or conditions. In addition, some people may have a hard time sticking with recommended protocol in order to achieve benefits from our devices. Quite simply, our clients that have had successful outcomes have made a small effort to invest 60 minutes a day into the program. If you do the same, chances are you will be very happy with the outcome.
We have helped thousands of clients since 2006 and since the introduction of our T•Shellz Wraps®, our refund rate has been very low - currently running consistently below 10%.
That means that for every 100 people who try our products, at least 90 of these individuals are happy with the results these products provide. Odds are certainly in your favor that you too will achieve a happy outcome. This fact alone speaks volumes to the effectiveness of our solutions and with a full 60 day money back guarantee on our wraps, there really is no risk in trying.
Right after you place an order, email us and we will have a plan developed immediately so you will be able to get started upon arrival of your parcel. We can't promise you miraculous results, however, we do promise to do everything we can to help you with your condition.
However, words are meaningless unless a company stands strongly behind the products they sell. This is what sets us apart from others...we offer people a comprehensive, 60 day, full 100% money back guarantee. We take on all of the risk because we know our products work well for the overwhelming majority of people who purchase them.
We Will Support You Every Step of the Way
You are never alone when making a purchase from us. When we say we stand behind our products, we truly mean it!
If any question or concern arises, simply send us an email at any time (we check our emails constantly all throughout the day and night - even on holidays!). We will respond as soon as possible.
Click HERE to Go To Our Online Store We take all major credit cards and Paypal.
If you have questions, call our office at 1-866-237-9608 (toll free continental US).
We are currently offering FREE SHIPPING and a 60 day trial period on all our Wraps.
Simply call toll free
1-866-237-9608 to place an order with one of our knowledgeable Product Advisers. They have the ability to answer all your questions...ensuring you only receive the products you need.
Product Advisors are available 9:00 am to 5:00 pm Eastern Standard Time Monday to Friday.
North America Toll Free
Outside North America
We Stand Behind All Our Promises With An Iron-Clad Guarantee
Here at AidMyFrozenShoulder we pride ourselves in helping you with your healing and recovery process. Everyone at AidMyFrozenShoulder has tested and used the products. Dedication to our customers and our products goes hand-in-hand with our guarantees to you as a customer:
- Guarantee #1 Use your products diligently for up to 60 days and you will experience a significant reduction in pain. If you are committed to following the treatments outlined in the product instructions we are very confident that our TShellz Wraps will aid you immensely. If you do not receive the benefits that countless of our other customers have experienced from our products, call us for instructions to mail the product back so we can provide you with a full product refund.
- Guarantee #2 - You will not be left in the dark after purchasing any products from us. AidMyFrozenShoulder Advisers and Product Specialists are available 5 days a week by toll free phone 1-866-237-9608 or email to answer your questions or concerns.
- Guarantee #3 - Your order is guaranteed to be shipped within 24 hours on every business day.
- Guarantee #4 - All purchases receive a one year, full replacement warranty with guaranteed, prompt service.
- Guarantee #5 - You could save hundreds of dollars and possibly more, by utilizing our products, and getting back to work sooner.
We are very confident our T•Shellz Wraps® and accessory products will assist you in recovering from your injury by reducing your swelling and inflammation induced pain, maximizing blood flow where it's needed most and increasing the flexibility / range of motion of your injured soft tissue.
The Next Step Is Up To You!
Living with pain is never easy as it affects your entire lifestyle. Nothing is more important than making the proper decision when it comes to treating your shoulder. Most methods only mask the problems or provide temporary relief; they do not treat the pain at its source. AidMyFrozenShoulder stands out in this regard as our goal is to help you for the long term.
Place your order on-line through our secure website by clicking the image below:
Or, Call Our Office. We are open Monday to Friday to allow you place an order over the phone. Simply call toll free 1-866-237-9608 to place an order with one of our knowledgeable Product Advisors. They have the ability to answer all your questions...ensuring you only receive the products you need.
North America Toll Free 1-866-237-9608
Outside North America +1-705-532-1671
If you choose to order through our online shop, know that we keep no credit card data on file. Once the transaction is completed, the credit information disappears from our internal systems.
As you can see, ordering from us is a very easy and safe process, no matter if choosing to order on-line or over the phone.
Are you still unsure about placing an order? let me address some questions that may causing some hesitation...
What is the success rate of the T•Shellz Wraps®? Do they really work?
We try and keep in touch with a large percentage of our customers, and we encourage them to do the same. In doing so, we have received a lot of feedback as we have been in the business since 2008.
We can say that the return rate on our products is only around 5 to 10% any given month. That is exceptional by anyone's standards.
Therefore, we can safely indicate that the overwhelming majority of people who purchase from us do achieve benefits with our products.
How much time do I need to dedicate for treatments? Are the products easy to use?
The T•Shellz Wraps® are very easy devices to use. After one or two uses, you will engage in the treatments with ease. Very detailed instructions are included and you are always welcome to contact us by phone or email if the need for help arises.
In regards to the T•Shellz Wrap®, it is ideal to use the device two or three times a day on average. Each treatment session is a maximum of 20 minutes in duration and the device will turn off automatically at that time. Typically, people use the T•Shellz Wrap® before bed, upon awakening (or not long after) and one other time during the day when the opportunity presents itself. For people in an office setting, many will use the device at work (as it can be worn over clothing). For others, they will use the device an our or two after work.
As a comparison, a Cold Compress or Ice Pack would primarily be used following activity that stresses injured soft tissue (following work, after a sports activity, or just suffering a general re-injury). This is done to reduce inflammation and to minimize tissue damage.
How long has MendMeShop been in business
We established our firm in December of 2005. Our track record in this field continues to grow and we plan on being around for many decades to come.
What is your return policy? Is it the standard 30 days?
We go above and beyond what other companies offer - we offer a full 60 day money back guarantee with no restocking fees.
AidMyFrozenShoulder advisors do not work on commission, so be assured you will only receive fair and objective information. Remember: We recommend that you consult your doctor and/or physiotherapist before using any of our outstanding products, to make sure they're right for you and your condition.
Remember: Do not assume you have an impingement! Only your doctor can give a proper diagnosis and eliminate other causes of shoulder pain - some of which can be very serious!
Learn More About Shoulder Injuries & Treatments
I want to learn more about Frozen Shoulder Causes.
I want to learn more about T•Shellz Wrap® Circulatory Boost
I want to learn more about Ice & Heat: Which Is Better For Treatment?
I want to learn more about Trigger Points.
I want to learn more about Frozen Shoulder Manipulation.
I want to learn more about Post Surgery Recovery?
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During your recovery, you will probably have to modify and/or eliminate any activities that cause pain or discomfort at the location of your soft tissue injury until the pain and inflammation settle. Always consult your doctor and/or Physical Therapist before using any of our outstanding products, to make sure they are right for you and your condition. The more diligent you are with your treatment and rehabilitation, the faster you will see successful results!