Book an Appointment


Why am I getting Frozen Shoulder before 50!?

Frozen Shoulder, Pain Management


02 DEC 2020


What is Frozen Shoulder?

From the perspective of Chinese medicine, we generally refer to frozen shoulder as “50s shoulders” because many of our patients start to develop symptoms around the age of 50. The cause of this disease is actually the accumulation of living environment, living habits, and exercise habits.


What causes Frozen Shoulder?

The occurrence of frozen shoulder is usually divided into 2 major factors-external and internal. The most common external cause is “Wind-cold attack” – induced by wind chill, cold, or rain. Shoulder pain is mild, short course, the pain is confined to the shoulder, manifested as pure pain, soreness or numbness.



There are 3 internal causes – wind, “Cold and dampness”, “Deficiency of both qi and blood”, and “Blood stasis to hinder circulation”.


Environmental Factors

“Wind”, “Cold” and “Dampness” are common causes for most Singaporeans. Living in damp areas for a long time and prolonged working hours in air-conditioned shopping malls or offices cause cold and dampness in the veins and stagnation of qi and blood. This is more serious than the “Wind-cold attack” mentioned previously. Most patients have severe pain around the shoulders, or radiating pain in the direction of the fingers, severe pain at night, long illness, shoulder joint dysfunction, accompanied by numbness, heaviness, and a cold stomach.


Causes of Qi and Blood Deficiency

The two deficiency of qi and blood is caused by long-term over-activity, overworkexhausting qi, and blood, or chronic damage to the muscles and veins caused by poor posture, or physique deficiency of qi and blood, and weak blood circulation. Many of these patients are those who do not exercise much so the muscles and bones are not stretched or exercise excessively, or improperly (such as gym/yoga addicts). Many of these patients have shoulder pain and numbness, weak limbs, or local muscle spasms, increased pain after exertion, shoulder mobility disorders, weakness in raising hands, accompanied by dizziness, pale complexion, tiredness, relieved after rest, like to press rub. This type of patient generally likes to do tuina massage regularly to alleviate the symptoms.



Most patients with blood stasis have a history of shoulder trauma or hidden contusion. Improper treatment after excessive traction, or shoulder joint dislocations, fractures, and accumulation over time will obstruct blood flow in the shoulders and cause blood stasis to coagulate. Symptoms include slight shoulder swelling and pain, mainly at night. Sometimes it may develop into severe pain, tingling, muscle atrophy for a long time, and limited activity.


The onset of the frozen shoulder does not happen overnight, it usually lasts for many years. In the next article, we will discuss the treatment for frozen shoulder relief.

About the author


Physician 中医师

The Star Vista, Paya Lebar Square

Michelle 张医师

Physician 中医师

Zhang Ying Ling 张映玲

TCM Registration No. T0301728

English: Conversational

Chinese: Fluent

Educational Background: Guangzhou Medical University

教育背景: 广州中医专科学院

  • Area of Interest: Pain management, TCM Facial Beauty, Slimming treatment, Internal Medicine
  • Raised in a medical family, Physician Zhang has more than 30 years of clinical experience in Chinese medicine. She is familiar with Western medicine and proficient in traditional Chinese medicine and acupuncture. Over the years, she has gathered much experience with joint pain diseases such as Frozen Shoulders, arthritis, rheumatism, etc., and can also achieve the remarkable effect of an improvement in mobility under her treatment for such diseases. Furthermore, she is good at TCM gynaecology and facial beauty (such as eye bags reduction, etc).
  • 擅长: 疼痛关节、妇科/不孕、中医脸部美容、内科
  • 出身于医学世家,毕业于中医专科学校。有超过三十年中医临床经验,熟悉西医,精通中医,尤其对各种痛症非常有心得,主治脊椎性疾病 (颈肩背疼痛,腰椎间盘突出),头晕头痛,五十肩,关节痛,风湴关节疼痛等等,能做到用针少,见效快,甚至做到“一针见效”的显著效果。另外,对于妇科、肠胃病、减肥症,脸部美容(如眼袋/皮肤松驰等)也很善