Frozen Shoulder

[soranidinesh]

hi ginger
i think i agree to your thought on spinal mobs for frozen shoulder
what i have seen in a few patients is thoracic spinal mob (at the level of around t567) may help to improve extension with medial rotation
although this is not seen in every one
i would like to try your trick on my patients
some new things i ve heard is that the pain on shoulder may be due to suprascapular nerve irritation and is resolved by block by injection of analgesic TENS over shoulder...
can u give a hint on this

[estherderu]

like Ginger,
I also had problems working on the "frozen-shoulder" when I started, having been trained to look and work locally. I have since then made it a point to ALWAYS look at the whole spine when treating people with shoulder (upper & lower extremity) disorders. More often than not, treating the cervical and thoracic spine gave much better results than treating the shoulder only.
I also used the german(massage) technique called bindegewebsmassage a lot to help treat many so-called musculoskeletal problems.

It really helps to look at the whole picture, the patients posture, his/her response to pain and most importantly, what is happening/has happened in his/her "muscle train and/or meridiaan.

the more you learn, the more you realize you know so little

Esther

[mIrAge]

I believe the most recent inclination to manage adhesive capsulitis is early steroid injection (during painful phase) and exercise therapy, which yield a siginficant improvement in short term functional outcomes and pain level, and some long term benefit over steroid only and exercise therapy only group.