Frozen shoulder can make ordinary tasks, reaching for a shelf, fastening a bra, or putting away a cup, feel suddenly out of reach. In this episode of the Botanical Biohacking Podcast, Dr. Andrew Miles explores adhesive capsulitis, the condition's gradual progression, and the search for answers when scans offer little explanation.
Andrew outlines the conventional treatment pathway, then introduces a traditional Chinese medicine perspective that considers warmth, immune activity, circulation, and lymphatic flow. He discusses how inflammation and tissue changes may contribute to stiffness, and describes approaches used in his practice, including acupuncture points such as LI-11, LI-15, ST-38, and ST-40, as well as herbal patches and gentle movement.
The episode connects traditional concepts with modern research and offers another way to think about frozen shoulder while recognizing that treatment decisions are individual. It's a thoughtful look at what may be happening beneath the surface, and why people experiencing persistent shoulder stiffness may want to discuss their options with a qualified healthcare professional.
References:
Navarro-Ledesma S, Hamed-Hamed D, Pruimboom L. A new perspective of frozen shoulder pathology; the interplay between the brain and the immune system. Frontiers in Physiology. 2024;15:1248612. doi:10.3389/fphys.2024.1248612. https://www.frontiersin.org/journals/physiology/articles/10.3389/fphys.2024.1248612/full
Johnson C, Eccles R. Acute cooling of the feet and the onset of common cold symptoms. Family Practice. 2005;22(6):608-613. https://orca.cardiff.ac.uk/id/eprint/71807/
Eccles R. Acute cooling of the body surface and the common cold. Rhinology. 2002;40(3):109-114. https://orca.cardiff.ac.uk/id/eprint/71858/
Navarro-Ledesma S, Hamed-Hamed D, Pruimboom L. A new perspective of frozen shoulder pathology; the interplay between the brain and the immune system. Frontiers in Physiology. 2024;15:1248612. https://www.frontiersin.org/journals/physiology/articles/10.3389/fphys.2024.1248612/full
Association between Propionibacterium acnes and frozen shoulder: a pilot study. https://pmc.ncbi.nlm.nih.gov/articles/PMC4935034
The colonisation of the glenohumeral joint by Propionibacterium acnes is not associated with frozen shoulder but is more likely to occur after an injection into the joint. Bone & Joint Journal. 2017;99-B(8). https://boneandjoint.org.uk/Article/10.1302/0301-620X.99B8.BJJ-2016-1168.R2
de Mello DPP, Corbin JNB, Holanda LS, Pascarelli L, Nishimura EM, de Almeida TBC. Incidence and epidemiology of adhesive capsulitis during the COVID-19 pandemic. Acta Ortopédica Brasileira. 2023;31(1). https://doaj.org/article/ce9aa5224f624e2181e4fd285f7db5f2
The puzzling pathophysiology of frozen shoulders: a scoping review. https://pmc.ncbi.nlm.nih.gov/articles/PMC7672132/
Ouyang Y, Chen S, Tu Y, Wan T, Fan H, Sun G. Exploring the potential relationship between frozen shoulder and Dupuytren's disease through bioinformatics analysis and machine learning. Frontiers in Immunology. 2023;14:1230027. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10500125/
Targeting lymphatic function as a novel therapeutic intervention for rheumatoid arthritis. https://pmc.ncbi.nlm.nih.gov/articles/PMC6475908
Altered lymphatic vessel anatomy and markedly diminished lymph clearance in affected hands of patients with active rheumatoid arthritis. Arthritis & Rheumatology. https://pmc.ncbi.nlm.nih.gov/articles/PMC8877824
UCSF Health. Frozen shoulder. https://www.ucsfhealth.org/conditions/frozen-shoulder
Pharmacological actions and applications of safflower flavonoids. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12364913/
A systematic review of the botanical, phytochemical and pharmacological profile of Dracaena cochinchinensis, a plant source of the ethnomedicine "dragon's blood." Molecules. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6270834/
Ao Yi Acupoint Patch. Valley Health Clinic. https://valleyhealthclinic.com/ao-yi-acupoint-patch/
Ao Yi Pain Relief Patches ingredient table. Crawford Wellness. https://crawford-wellness.com/products/ao-yi-patches
Ben-Arie E, Kao PY, Lee YC, Ho WC, Chou LW, Liu HP. The effectiveness of acupuncture in the treatment of frozen shoulder: a systematic review and meta-analysis. Evidence-Based Complementary and Alternative Medicine. 2020;2020:9790470. https://pmc.ncbi.nlm.nih.gov/articles/PMC7532995
Review of warm-needling acupuncture treatment for frozen shoulder. https://he01.tci-thaijo.org/index.php/JTTAM/article/view/261312
Acupuncture at Tiaokou (ST38) for shoulder adhesive capsulitis: what strengths does it have? A systematic review and meta-analysis of randomized controlled trials. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5937513/
Pressure pain thresholds at acupoints in patients with unilateral shoulder pain (Tianzong SI 11, Jianliao SJ 14, Jianyu LI 15, Jianzhen SI 9). https://pmc.ncbi.nlm.nih.gov/articles/PMC5541597
Randomized trial of trigger point acupuncture treatment for chronic shoulder pain: a preliminary study. New Zealand Journal of Physiotherapy. https://nzjp.otago.ac.nz/nzjp/article/download/97/94/351