Menopausal Frozen Shoulder

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Any ladies with frozen shoulder who are peri menopausal/menopausal and not on HRT should have a serious chat with a (preferably female) GP.

I suffered for ages (two male GP's dismissed the idea of it being hormonal) before being diagnosed with menopausal adhesive capsulitis by a Nurse Practitioner who researched the subject for her thesis. This is also sometimes known as menopausal tendonitis/arthritis. After a month of being on conjugated estrogen (Prempak C) it is like someone has 'oiled' my shoulder. I felt like I had completely seized up and my bicep and shoulder muscle were like concrete. I am now able to do gentle exercises to free the adhesion, and can now lift my arm (impossible for months) to wash and dry my hair/shave under arms etc. Estrogen is the WD40 of the body, and without it, in some women the soft connective tissue goes hard and brittle. Not all women suffer from joint/connective tissue problems in menopause,. but interesting it is usually the ladies who were a bit smug, because they got got to 50/55 ish with no real symptoms or hot flushes - then bam, being hit like a ton of bricks with frozen shoulder. I also had stiffness and pain in the other shoulder, other large joints, elbows and fingers. Mornings were terrible, it could take up to ten minutes to actually get OUT of bed, and sleep? Forget it, being woken with shoulder pain every half an hour.

HRT is not for everyone, but AC was ruining my life. Given that the prognosis for recovery can be up to seven years ...I decided the risk was worth it.

i would never EVER have thought that simple 'hormones' could cause so much pain and change me from being a fairly fit 50 year old into a crippled 90 year old.

Google menopausal frozen shoulder/menopausal tendonitis/arthritis and go and see your GP ladies!!

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  • Posted

    I am from the Netherlands, near Amsterdam, and am very happy to find this forum.

    I'm 50 and have a frozen shoulder left for almost 3 years en for aprox 6 months now on the right side. Hope by the way my English is good enough...

    Lesly I do recognise 80% of what you are writing.... It's such a bad "disease" ... pain pain and a lot of stifness also in other joints. I will call my GP comming Monday. I think in Holland there also is a special ladies clinique. Will try to find that. I think and hope they must know more about the hormone treatment when you have a frozen shoulder. Since jan 12 I do not work anymore (I am a secretary and can't work with my computer, mouse etc.)

    Now I have Zaldiar as a painkiller. 3 x time a day at the most. I take 1 of 2 a day. It's tramadol with paracetamol. I does help but it makes you sleepy and I feel it is not a cure... 

    I hope the hormone treatment will help. As you wrote before, I also don't want to get it in other partas of my joint. I also feel my left hip a bit and after sitting whilst watching tv for example I feel 80 years  when I get up... Muscles or joints... ?

    Anyway, I felt I had to reply, thanks a million for letting know your experience! I can't type as much... you know the frozen shoulder wink

    How are you doing now?

    Bye Sandra  

  • Posted

    Hi

    In march I had a full hysterectomy after a

    large fibroid caused a dvt in my leg. In June I woke up with a really painful shoulder that

    just appeared over night no reason for it I

    have never heard of this being s symptom of the menopause so I am wondering I I should see the doctor about it its still painful and tender I have what seems like every symptom hot flushes terrible night sweats aches and pains all since the op my doctor wouldn't give me hrt because I am 53

  • Posted

    Lesley, thank you for this post - I am making an appointment with my (female) GP right now!  I did injure my shoulder earlier this year (heavy handbag) but I am sure that the menopause is prolonging my problem as the freezing only started a couple of months ago. I have been trying to avoid HRT but I think I may  need to give it a try as this is affecting everything I do.  I cannot even lift my cast iron pans in the kitchen - and I am a person who has been doing weights in the gym for 30 years! Fortunately I have a desk job so can work, but hate the feeling of being weak and stiff.

    Thanks Lesley, I will get myself some oestrogen 'wd40'!

    Caroline

  • Posted

    Hi Lesley, something I read on another thread made me 'google' frozen shoulder and menopause and I got your thread. By 'eck girl I could have written that. Especially the bit about being woken up every half hour with the pain

    I've read through a lot (not all) of this thread. 

    I thought my problem was due to a combination of a riding accident 20 years ago (I landed on my right shoulder) and dislocating the same shoulder in a fall 6 years ago. I just thought old war wounds were catching up with me.

    Recently the pain has got much worse and like many ladies here I can't dry my hair properly any more! I automatically reach for something with my right hand, then have to send my left hand in to rescue it. I can lift my arm, but can't bring it down without agonising painsad

    About a year ago I askedmy GP for HRT. We had discussed this before and come to the conclusion that I would try other things (Sage tablets etc) first. Well I tried them and nothing helped with the flushes etc. He gave me Kliofem and I have been MUCH better with it.

    Unfortunately I have fibroids and cysts and have suffered with Endometriosis and recently have had some breakthrough bleeding and stopped the HRT.

    I'm on the list to see a NHS Physio, but in the meantime have gone private. My Physio is a lovely young girl who has worked miracles with the stiffness in my shoulder but I can't afford to keep seeing her and the pain is getting worse.

    After reading your thread I am convinced that the frozen shoulder is hormone related so what to do??? Should I start the HRT again and have reduced pain, no hot flushes and a good nights sleep - with a slightly raised risk of cancer. Or give in to the bogieman and NOT take HRT?confused

    Anyone have any ideas?

  • Posted

    I can not believe this thread is over a year old and I just found it.  Regardless, I am definitely in Menopause (I am 48) with terrible hot flashes, no period and night sweats.

    I also have frozen shoulder.  I have had it since December 2014. 

    In March I started taking Black Cohosh in a few forms (meaning a Whole Foods brands Daytime/Nighttime tablet, a Pure Black Cohosh tablet during lunch and a Menopause One multi vitamin that include Black Cohosh at lunch as well).  They have helped considerablly with my hot flashes, night sweats and mood.  I feel MUCH better.  And about 3 months later my Frozen Shoulder seemed to become less painful.  

    Literally, the day after the pain was lessened I saw a specialist that said MUA was perfect for me, but we decided to try the Cortisone shot first.  It has been 10 weeks and I am still pain free.  Because of this I have been able to start exercising and using that arm somewhat.  I am definitely still frozen as I do not have 100% mobility but it is better and I am pain free.

    So not sure if the Black Cohosh helped - it definitely worked for me on with the Menopause symptoms.  I wanted to avoid HRT for a while so was happy to get decent results from this option.

    The fact that my Frozen Shoulder is potentially linked to my menopause was a revelation.  I see so many specialists that no one doctor has all the information - meaning my GYN and Endocronlogist knew about my Menopause.  My GP and Ortho knew about my Frozen Shoulder. 

    I have an appointment later this month to bring my GP up to speed on EVERYTHING. 

    All I can say is the 7 months of pain wore me down so much.  Nothing could touch it and while Black Cohosh probably will not work for everyone - and it is not a fast remedy - I do know it helped get rid of 90% of my menopause symptoms (within 2-3 weeks) and seemed to maybe help with my shoulder somewhat after an extended period of time (3 months). 

    I went off one of the tablets and had hot flashes come back wtihin the week so just decided to get back on all the tablets and they went away again.  Black Cohosh mimics hormones in our bodies (without actually being a hormone).  Will not work for everyone.

    All this being said - I KNOW how terrible this affliction is.  It wore me down and I was so miserable, tired and unhappy.  I tried physcial therapy, airrosti - just about everything.  Found when I did exercise (with a LOT of efford) my shoulder would warm up and feel better - but that took a lot for me.  I could not wash my hair, shave or do anything with my right arm being frozen. 

    I constantly feel like my left arm is tightening and I just do exercises to try and keep it moving every other day (weights and push ups etc... ).  One of my hips is clicking and painful when I do certain exercises (not walking, running or anything simple thank goodness) - so I am fearful of getting Frozen Hip too.  But I find exercise and positive thinking helps.  If my body freezes up in multiple places - and I am in that kind of pain I will definitely have a problem. 

    So I am open to HRT if needed, but will continue on Black Cohosh for now and will get another cortisone shot this fall if it is needed - but am hoping I can get to the other side in 2016 without it. 

    If you can get to a less painful place - I do recommend exercise to help.  If nothing else, it also helps take are minds off the aches of aging too :-)  I have not felt better in the past year and am thankful I got to this place through some devine luck honestly - taking one herb to help with menopause somehow helped with my shoulder (not realizing they were linked in the first place which makes so much sense now). 

    So if you are female, over 45, having some menopause symptoms and Frozen Shoulder/Hip - I would recommend giving Black Cohosh a try.  If it does help somewhat and you are open to a cortisone shot... do that.  The shot HURTS but within 24-48 hours I was pain free. 

    I am doing some light exercises and am now probably at 60-70% mobility.  I can sleep - which all helps my mood.  I feel the downward spiral has been broken and while I am not over this yet - I can try to do things that will make it all better.  Before I was in such pain, I could not do anything to help myself. 

    So thank you all for this post.  It was a revelation to learn about the connection.  I am hoping to avoid MUA and just work through this with exercise, Black Cohosh and positive energy/thought.  Oh - and getting all my doctors on the same page.  When I have my bone density scan next January I will be sure to tell her and my Endocronologist about my Frozen Shoulder and Hip concerns.  They scan my hip every year to ensure I am not losing bone density. 

    An important lesson for certain.  With the fractured healthcare system here in the US - you have to really work hard to ensure you get the care you need, deserve and want.  And with a painful issue like Frozen Shoulder that is not always easy. 

    My heart goes out to all those who suffer from this - so please do not give up.  Have a strong heart and faith you will come out on the other side.  I am not out of the woods yet, but I have hope now which is something.

    Cheers~

    April

    • Posted

      Thanks for that April. It is good to know it won't last forever. I've tried Black Cohosh but it didn't work for me. It made me feel a bit light headed and dizzy. I tried it on three different occasions, just to make sure and yes it was the Black Cohosh.

      I was up and down a ladder today, painting. I did have help, but I'm sure I'm going to suffer for it tonight and tomorrow. Still the job is done now and is looking good, so it was worth the pain!

    • Posted

      I know it does not work for everyone... so I am just lucky!  I will take that as I needed a little luck to move past this. 

      I am sorry it did not work for you, but yes, once it starts to lighten up, I recommend doing exercises as they seem to be helping me.

      Good luck...

      April

  • Posted

    Being new to this forum, I've been reading through some of the older discussions, looking for hints, tips and helpful advice.  I came across this, which started to ring some bells,  When asked by my GP if there were any injuries or life-style changes that happened at the time I started with my shoulder problems, I couldn't really think of any.  Reading this has reminded me of one thing that has changed this year - my HRT.  I've been on HRT patches for over 5 years, after bad menopausal symptoms and my doctor had started to suggest it was time to start coming off.  I'd reduced my dosage from 80mcg to 40 last year and seemed to be doing OK but the doctor was still keen for me to reduce it further.  I'd been (literally) cutting down the patches gradually until I got to just under a half, when I noticed some return of symptoms and some odd aches and pains.  When I increased the dose a bit, I seemed OK.  Meanwhile there was a temporary manufacturing issue with my usual make of patches and I needed to change my prescription to a different manufacturer.  I ended up with some 25mcg patches that I though might be OK.  Since being on them, I'd had some return of night sweats but was trying to live with these so that I could eventually wean myself off the HRT completely.  It must have been at prety much the same time I changed to these new patches that the initial twinges in my shoulder started.

    OK this could all just be a coincidence but seeing this discussion has got me wondering.  Trouble is, I have little confidence in my GP buying into this.  The GP practice has had many staff changes and I rarely see the same doctor twice.  They just check back my notes and repeat what the last doctor said.  Hope I'm not just clutching at straws here but this has given me something to think about!

    • Posted

      My doctor said it was not likely and still thinks it is my rotator cuff and not Frozen Shoulder.

      The specialist believes it is Frozen Shoulder and that is what matters most.

      I am taking Black Cohosh for my symptoms and had a cortisone shot which helped me. I am at 85% mobility and no pain. Still not 100% but can live and hope to get it back in the next 6 months.

      It has been 3.5 month since my shot so I assume it has worn off and I am still okay for pain.

      Good luck and just keep looking for what works best for you. Ultimately that is what matters most with this little understood affliction.

      April

  • Posted

    This site is a revelation to me!! Im currently in chronic pain again with shoulder elbow and neck pain. I'm on Elleste solo. Not sure if it's doing any good? Mornings are terrible.

    Going to make appointment with nurse practicioner smile

    Thank you

  • Posted

    Hello, I found this discussion today while researching info regarding my now second frozen shoulder. I am a 52 year old woman going through menopause. I am currently on HRT but still believe my condition is somehow related to menopause. The first FS was in my left shoulder which is my non-dominant side. I did PTon it to no avail and ultimately had the MUA procedure so that I could get some relief.

    I'm now so frustrated to be dealing with this again and would love to discuss and gain support from those of you who have been through this before.

    Best regards

    Kathy

    • Posted

      Also, I should have mentioned that the first incidence was two years ago. The symptoms began about 3 months before I turned 50. I had the MUA one month after my 50th birthday. When I began to feel the same sensations in my right shoulder, I went to my ortho and he stated that it was extremely rare to have FS twice. So I've been really scared, thinking perhaps I have some other dreadful condition, such as Parkinson's Disease. Finding this forum relieved my fears when seeing that yes, there are other women who have dealt with this and perhaps it is not rare after all. Thank you very much for posting this thread and I would love to hear how things are going for you, to perhaps give me encouragement to deal with this painful condition.
    • Posted

      Hi Th0mkat.  I can't imagine going through this twice.  I'm so angry about experiencing it even once.  My physio told me that significant risk factors are menopause, diabetes and thyroid conditions.  I'm 47 and haven't started menopause, but I have had a partial thyroidectomy when I was in my thirties.  I read on mayo clinic website that recurrance in the same shoulder is rare, but does happen.  I think I heard somewhere that a having it in the opposite shoulder is more common.  The only way I can deal with this is to keep reminding myself that each day is one step closer to being done with this.  Mine started with a misplaced flu shot last November. Five months later and I think I am done the freezing stage and just entering the frozen stage.  Days are okay, but nights are miserable and I can't sleep much more than three or four hours without waking up in pain.  The best excercise I was given was to bend at the waist, holding onto a shelf or counter with the good arm.  Dangle the frozen shoulder arm and try to relax the shoulder.  Gravity acts as traction.  Start moving the arm (while it is hanging straight down and you are bent over) in small circular motions, first clockwise then counter-clockwise.  Increase the size of the circles slowly if you can, but don't push it like you might when stretching for excercise.  I find that it makes my arm really heavy and relaxed, and relaxes the muscles around the frozen shoulder.  Hopefully we will all get relief soon!  Best of luck!
  • Posted

    Hi friends,

    double FS sufferer here. About 7 yrs at age 45 I first got it in my non-dominant shoulder, then one year later, just as I was starting to thaw on that side, I got it in my dominant shoulder. I had a very bad case of it, particularly in that first non-dominant shoulder. 2.5 yrs after the whole ordeal started, at age 48, I was pretty much back to normal. Now I'm 52, and my dominant shoulder has started to exhibit terrifyingly familiar serious pain. I startled Googling for info on FS recurrence and ended up here.

    What I wanted to add re: hormonal factors is that as I've gone through a very rough perimeno patch over the last 2 years, I've done a lot of research about what actually happens to women's hormones during the perimenopausal transition, and contrary to popular belief, estrogen levels typically do *not* decline until you are almost completely all the way to full menopause. Rather, estrogen levels typically *increase* during the perimenopausal transition as your body tries harder and harder to compensate for a failing reproductive system. So while I absolutely do believe that the prevalence of FS in women betwen 40-60 is related to hormonal changes, I am certainly not convinced that the problem is falling estrogen. Rather, I suspect the problem is too *much* estrogen, probably in combination with other hormonal changes as well. So starting estrogen/HRT before you are fully into meno may be adding fuel to the fire  and may be making the FS worse, not better. Hope this is grounds for careful consideration and further research for you all.

    Peace and best wishes to all,

    D

    • Posted

      (typo... meant 7 yrs ago)
    • Posted

      I was well into menopause (58) and had been taking Estrogen only HRT for around 8 years - it was when I started trying to come off this that my frozen shoulder started.  

      Having googled this, it doesn't seem entirely straight froward - nor do the varous web articles I read say exactly the same thing.  It would seem that Estrogen levels can rise above normal and then drop rapidly about 6-12 months before full menopause - other sites say it fluctuates erratically during perimenopause before dropping off. This may well vary between people - after all, some women sail through menopause without any issues - others (like me) do not!   It's generally only those who do have problems that the doctors see and investigate.  I suspect that if estrogen is a contributary factor, it is this dramatic drop or fluctuation that is at fault.  Estrogen has an important role in maintaining collagen, so any disruption to our supply - either too little or maybe even too much - could have some role in this.  Lack of estrogen does contribute to skin thinning and general joint pain is an accepted menopausal symptom for some women.

      It would be good if some proper research was done to find out for certain.  Finding the true cause and contributing factors that may help in finding an effective cure for this awful condition.

    • Posted

      Thanks, Maria. All very good points. Actually I was thinking after I posted that previous message that it kind of came across like I was saying estrogen goes uniformly higher during perimenopause, whereas actually what I meant, which is what you pointed out, is that it fluctuates more wildly, with higher highs (and possibly lower lows... although the lows during a monthly cycle are already pretty low, so how much lower can it go to make a difference on that end...?).

      In my case perimeno was accompanied briefly by a very severe case of adult onset asthma, which to the best of my ability to research (again not well understood by modern medicine), is likely also associated with spiking estrogen levels accompanied by diminished progesterone levels. So that's part of why I've been suspecting estrogen as a culprit in my FS as well.

      Couldn't agree with you more that more research is needed!!

      Best,

      D

    • Posted

      Someone suffering from fibrosis or adhesions, mention to me, her specilist told her, estrogen "grows" (adhesions) and "progesterone" mow (adhesions).

      So she was under some kind of just progesterone treatment.

      I may look in to it, myself.

    • Posted

      Thanks, Oliveria. That's interesting. There is research showing that progesterone can help hormone-related asthma in women, also. I tried progesterone treatment for my adult onset asthma, and the asthma did calm down around the time I started taking the progesterone, but the progesterone seemed to make my migraines worse, so I had to stop taking it.

      Estrogen is such a complicated hormone in its effects. I read a huge amount about it when my asthma came on. One can't simply say "it's good" or "it's bad" or "it increases inflammation" or "it decreases inflammation", because it has so many different effects on so many different systems in the body through so many different receptors and mechanisms and co-factors. It's very, very complex, which I guess is why modern medicine still doesn't understand problems like FS and hormone-related asthma.

      Thanks for your inputs!

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