Dr. Jocelyn Wittstein

Yeah.

Washing your hair, you know, things like that.

All very common.

And then there's a thawing phase, which could take one to two years.

And if a woman has diabetes, that is the worst case scenario.

Women with diabetes can have a really prolonged course of frozen shoulder.

But, you know, I really believe this is hormonally related.

This happens mostly to women between the age of 40 and 60.

There are a lot of estrogen receptors in the synovium or, again, lining of the shoulder joint.

And estrogen has been shown to inhibit cells called fibroblasts in the lining of the shoulder joint.

So these cells that can like thicken and stiffen the capsule.

I think you're aware we presented a study on this at NAMS or now the Menopause Society.

So I work in a network where I can, it's a closed network, not a closed network, but the primary care doctors, all the notes, everything are in there.

And I can see what's going on in my patients.

And I can see that they're

seeing their doctor for sleep disruption, night sweats, hot flashes, lipids creeping up, things like that, anxiety, you know, all these other symptoms associated with perimenopause and menopause.

And I just started, I also started asking my patients.

So, you know, the first clue was like, I have all these women with breast cancer who have this.

Then I started thinking, well, I mostly see this in women.

And then, you know, it's in this age group.