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Leading multi-disciplinary practice in Timperley, Altrincham providing osteopathy for all the family across Cheshire and Manchester.


The process was clearly explained and my recovery was ‘text book’. I am now pain free and can move my arm and shoulder with ease.
— Roy J.

The Niel-Asher Technique is a'natural' method of treating frozen shoulder using a developed sequence of manipulations and pressure points to address the shoulder joint, muscles and surrounding soft-tissues.

The Niel-Asher Technique was devised by Simeon Niel-Asher and has been used since 1997 throughout the UK, Europe and the USA to treat frozen shoulder and its effectiveness is measured by being 100% effective in 90% of frozen shoulder patients.



Frozen Shoulder Syndrome – also known as adhesive capsulitis or shoulder contracture – is a painful and debilitating condition, affecting circa 5% of the population.

The important feature of Frozen Shoulder is that you can’t lift the shoulder; it is completely locked and stiff. This is caused by your shoulder joint suddenly becoming inflamed and leading to shoulder pain and shoulder stiffness which gradually gets worse over time.

The stiff shoulder occurs when your shoulder capsule – ligaments and tissues surrounding the joint – become inflamed and thickened, causing restrictive movement and acute shoulder pain. Scar tissue can also develop here which adds to the stiffness and pain.

The shoulder capsule also contains lubricating fluid to create unrestrictive rotation and movement in the shoulder joint. However, Frozen Shoulder reduces this fluid by a third which restricts shoulder rotation, movement and increases pain.

For the first 2-9 months sufferers experience shoulder pain of varied severity whilst post-9 months sufferers experience increased stiffness. The stiffness can be debilitating and affect daily routine to the point you cannot move your shoulder at all.


Developing frozen shoulder

Frozen Shoulder can be broken down into three phases:

Phase 1

Phase 1 lasts up to 9 months. Patients experience loss of shoulder and arm movement coupled with painfully sharp, catching muscle spasms which can occur for no apparent reason. You will also experience night-time pain, waking up with your shoulder aching and disturbing your sleep.

Phase 2

When you no longer suffer nightime pain, you know you are in phase 2 which lasts between 4-12 months. The acute pain subsides but the shoulder remains stiff and movement becomes even more limited, particularly external rotation.

Phase 3

Your shoulder becomes less stiff and there is an increase in your shoulders range of movement; however, stiffness remains and phase 3 can last 1-3 years.


If you try to ignore your Frozen Shoulder you can expect to experience stiffness and symptoms for up to 30 months.

By undertaking osteopathic treatment at The Village Osteopaths your Frozen Shoulder can be effectively treated using the Niel-Asher Technique, speeding up your recovery in a tenth of the time than if you left your Frozen Shoulder untreated.



The Niel-Asher Technique is a specifically designed treatment for Frozen Shoulder sufferers. It is fast and is 100% effective for 90% of Frozen Shoulder patients.

In short, the Niel-Asher Technique involves pressing specific trigger points in the shoulder and biceps to ‘retrain’ the nerves around the shoulder joint.

When the shoulder joint is injured the brain can turn on a 'saftey switch', essentially switching off the muscles around the joint due to the inflammation. This mechanism occurs as a means to protect the shoulder joint; however, movement actually helps to reduce the inflammation.

The Niel-Asher Technique administers a deliberate and specific sequence of trigger points alongside massage treatment. The pressing of these trigger points in this uniform and repetitive way sends a signal to the brain to release and ‘turn on’ these muscles to allow movement. This will, in turn, allow the inflammation to resolve as healing molecules are able to flow into the joint.

Patients should see a marked improvement with their shoulder after each session and once completed, frozen shoulder is considered extremely unlikely to resurface in the same shoulder.

Click here for more information on the Niel-Asher Technique.