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Frozen shoulder

Exit forum ID Forum Discussion Frozen shoulder

This topic contains 1 reply, has 2 voices, and was last updated by   William Brady, DC October 31, 2017 at 8:43 am.

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  • #3214

    Michael Vibert

      Hey guys,

      What’s your experience with adhesive capsulitis or frozen shoulder? Are these cases worth taking on?

      My question comes after consulting a 44 y/o F with the presenting complaint of “shoulder mobility issues”. It started 3 months ago and hasn’t gotten worse or particularly better. There hasn’t been any pain so far just a lack of mobility – so she can’t rate it.

      She has developed a bit of neck pain. Described as an ache in the bilateral lwoer neck, lower severity 2/10.

      Aggravating: overhead work is difficult, lounging around, sitting positions

      Relieving: Thai Chi, swinging the arms more with walking, stretching (but has been afraid of doing this.

      GHAbd: <90 degrees – I can’t believe theres no pain. I can palpate adhesion in infraspinatus and teres minor, but can’t really get enough mobility to test subscap and capsule.

      I’ve started her on some general mobility movements to try to prevent her from becoming any more fear avoidant.

      Should I get an MRI? I feel like that lack of pain in this case makes it hard to be caused by any serious pathology like infection or tumour. It seems like a stock standard frozen shoulder to me.

      So basically should I take this patient on? Or is it going to be a train wreck of no improvement and disappointment for all involved?

      #3259

      William Brady, DC
      Participant

        There is another forum thread on this topic from May 27.

        In short, if you can’t get tension on the adhesion manual therapy won’t work. She may need to explore anti-inflammatory meds or possibly injection to open a therapeutic window.

        Her pain levels are low, you could just wait it out and see if it goes into remission?

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