Rotator cuff Rehabilitation, The New Approach

[john pressley]

hi pal,
This is john, from india. Thats true what u said, being a new graduate, i too know how miserable it is to handle cases. But being a brilliant physio u turned out 2 be a shinning star.i have a questiio for u? I have read an article saying early mobilisation will worsen t symptom of shoulder at adhesive capsulitis stage. But in my case, mobilisation turned to be more successive in early stage or in the later stage of frozen shoulder.
I treated a patient, who is working as a chartered accountant, aged 55 with severe LT. PA shoulder for t past 4 months. He was crying of pain everyday. His ROM was not even 20 degree ABD & FLEX. For t past 4 months he was taking treatment of analgesics and inflamm.drugs. But no improvement. DR. adviced him MUA, he came 2 me i treated him with wax and mobilisation and home exercises, he got relive of pain in t 1st day & improve ROM 60 degree. He was surprised, and he continued 2 months of regular physio everyday and now he is 100%. so what is ur opinion about mobilisation for pa acute or chronic.

[linbin]

[
I treated a patient, who is working as a chartered accountant, aged 55 with severe LT. PA shoulder for t past 4 months. He was crying of pain everyday. His ROM was not even 20 degree ABD & FLEX. For t past 4 months he was taking treatment of analgesics and inflamm.drugs. But no improvement.

hi friend
i feel we should think about other diagnostic possibilities and causes for the shoulder pain.dont get carried away by the diagnosis made by somebody else,especially in indian scenario.my personal experience shows that in more than 60% times,the cause will be related to rotator cuff.painful shoulder,periarthritic shoulder etc are vague terminologies which does not give a clue which tissue is at fault.even neural mechanosensitivity also causes similar presentation.
so a detailed assessment and clinical reasoning should be used for an appropriate treatment