Thanks for your help.
My patient is a middle aged woman who was referred with a ? Wikipedia reference-linkfrozen shoulder. She presented with a 9/12 hx of shoulder pain. Her pain was of incidious onset and was currently ISQ. She has recently had a steriod injection from her doctor which has not hanged her symptoms.
Her main Aggs are any movement towards end of range and lying on her affected side. Her symptoms settle quickly.
Her pain follows a mechanical pattern throught the day.
She is active and has no psychosocial issues.
On obj ax her active abd was restricted at 80' (ltd by pain) and 110' was available but again pain stopped me going further. External rotation was painful but not particularlly restricted. Internal rot was 1/2 rom and painful, flex was restricted by pain at 110' and painful.
Her MM strength seemed fine.
I cleared the Neck, thx spine and her neurodymnamics were unremarkable. Special tests for impingement wee negative and palpation did not present any answers..
ROM was not increased by off-loading neural structures.

Basically i am stumped
i do not think it is a capsulitis but i wonder if i have missed something.

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