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If Only One Shoulder Keeps Seizing Up

Dr. Dr. Heo Ji-young, Director of Kyunghee Meerae Korean Medicine Clinic, Gwangjin
Written by Dr. Heo Ji-young Representative Director · KMD

The short answer

Why does one shoulder keep tightening after it is released? Repeated one-sided habits and postural compensation can keep loading the same tissues.

"It's always the right one. The left is fine."

Many people say this. And they usually add one more thing. "It eases after it's worked on, then within days it's back."

That the two come together is the clue.

Why that side

The body doesn't use its two sides equally. The side you carry the bag on, the side you lean on, the side that holds the mouse, the side you take calls on — hundreds of times a day, the same side works a little more.

One time is nothing. The trouble is when that little difference stacks up over years. Tissue on the side used more has spent longer under tension, and tissue held under tension for long enough thickens to fit.

So the place that seizes up is often not the weak side but the side that has been holding out.

Stiff tissue can give on its own

Here is the interesting part.

Muscle has a property: leave it and it goes thick; move it well and it softens. Thixotropy. (Chuna without cracking — how thixotropic chuna works)

Thick doesn't mean the tissue is damaged. It has simply settled into its present state. What has settled can be unsettled.

So why is it back within days?

This is the heart of it.

A released state doesn't hold itself. Thixotropy is that sort of property — softens with stimulus, thickens again when left.

So a released shoulder coming back a few days later doesn't mean the treatment failed. The tissue is built that way — and more to the point, the day that stiffened that shoulder is unchanged.

Same side carries the bag, same posture sits, same arm works. Release it and that day stiffens it again.

So I don't look only at the shoulder

Release only the seizing shoulder and you get a few days. Look together at the structure sending it the load and those few days stretch.

The body is stacked in layers. When what's below settles to one side, the shoulder above works continuously to keep the balance. That shoulder isn't seizing because it is idle. It seizes because it is doing more than its share.

So after releasing the sore place I look for what has been sending it work. And we set posture and movement together so that the released state lasts longer. (If your adjustment keeps coming undone — maintenance is half the treatment)


One shoulder seizing isn't that shoulder's fault. It is years of habit stacked on one side.

It took years to stack, so it takes a few goes to unstack. But get the direction right and the interval before it returns keeps widening.


References


Written by Dr. Heo Ji-young (PhD in Korean Medicine Pathology, Kyung Hee University · former Research Professor of Herbology, Kyung Hee University)

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Dr. Dr. Heo Ji-young, Director of Kyunghee Meerae Korean Medicine Clinic, Gwangjin

Dr. Heo Ji-young Representative Director · KMD

Kyunghee Meerae Korean Medicine Clinic — Jayang-dong, Gwangjin-gu, Seoul (Guui Stn. Exit 4)

Full profile

A graduate of the College of Korean Medicine at Kyung Hee University, with master's and doctoral degrees in pathology — the mechanisms of disease — from its graduate school. Later served as a research professor in the university's Herbology department, studying medicinal substances. Studying both disease and medicine from both sides is the foundation of this practice: explaining "why a given medicine works for a given illness" in the language of both pathology and pharmacology.

Explains autonomic, chronic, and intractable conditions — and structural problems of the body — in the language of modern science, and proposes treatment matched to the cause. Has taught prescribing and clinical practice to Korean medicine doctors for over ten years, and is a co-author of "Korean Medicine, Explained by Korean Medicine Doctors," selected for the 2018 Sejong Books list (general category).