Frozen Shoulder Treatment and Exercises

Podcast

Play an AI-generated podcast conversation about this lesson

Questions and Answers

What is the primary treatment for frozen shoulder?

Stretching (correct)

Manual manipulation

Corticosteroid injections

Surgery

What is the goal of manual manipulation in frozen shoulder treatment?

To inject corticosteroids into the affected shoulder

To prescribe non-steroidal anti-inflammatory drugs

To perform surgery under anesthesia

To manually break free restrictive adhesions and restore motion (correct)

What is the risk of manual manipulation in frozen shoulder treatment?

Requiring surgery under anesthesia

Prescribing non-steroidal anti-inflammatory drugs

Tearing the shoulder joint capsule or causing a disruption of internal structures (correct)

Causing inflammation in the affected shoulder

Who typically performs manual manipulation in frozen shoulder treatment?

A chiropractor or osteopath Signup and view all the answers

What is the purpose of corticosteroid injections in frozen shoulder treatment?

To reduce inflammation in the affected shoulder Signup and view all the answers

What is the purpose of mobilization in frozen shoulder treatment?

To restore motion to the affected shoulder Signup and view all the answers

What is the last resort in frozen shoulder treatment?

Surgery under anesthesia Signup and view all the answers

What is the purpose of non-steroidal anti-inflammatory drugs in frozen shoulder treatment?

To reduce inflammation in the affected shoulder Signup and view all the answers

What is the purpose of myofascial release in treating frozen shoulder?

To break adhesions that limit motion and create pain Signup and view all the answers

What is the primary goal of interventional procedures in treating frozen shoulder?

To break free adhesions that limit motion Signup and view all the answers

What is the difference between myofascial release and surgery?

Myofascial release is a non-invasive treatment, while surgery is an invasive treatment Signup and view all the answers

What is the purpose of sedation in manipulation-under-anesthesia (MUA)?

To reduce pain and muscle resistance Signup and view all the answers

What is the outcome of not following an intensive regime of physical therapy after MUA?

New adhesions will form Signup and view all the answers

What is the primary benefit of steroid injections compared to MUA?

They have fewer dangers associated with anesthesia and sedation Signup and view all the answers

When is surgery usually reserved for in treating frozen shoulder?

Cases resistant to other treatment Signup and view all the answers

What is the primary purpose of myofascial mobilization of the shoulder?

To break adhesions that limit motion and create pain Signup and view all the answers

What is the medical term for frozen shoulder?

Adhesive Capsulitis Signup and view all the answers

What is the primary cause of frozen shoulder?

Unknown, but more common in females and people over 40 Signup and view all the answers

What is the typical timeframe for frozen shoulder to stabilize and regress?

Six months to three years Signup and view all the answers

What is a common residual effect of frozen shoulder?

Permanent reduction in shoulder motion Signup and view all the answers

What is a sign of frozen shoulder?

Reduced arm swing while walking Signup and view all the answers

What is the purpose of exercises in managing frozen shoulder?

To maintain motion Signup and view all the answers

What is an adhesion in the context of frozen shoulder?

Fibrotic bands of scar tissue Signup and view all the answers

What is the typical age range when frozen shoulder is more common?

After 40 Signup and view all the answers

What is the initial step in performing the Internal Rotation Cane Exercise?

Hold the cane behind your back, with palms up Signup and view all the answers

How many seconds should you hold the cane in the Internal Rotation Cane Exercise?

1-2 seconds Signup and view all the answers

What is the purpose of slowly raising the cane in the initial cane exercise?

To lift the cane above the head Signup and view all the answers

How many repetitions are recommended for the Internal Rotation Cane Exercise?

10-20 repetitions Signup and view all the answers

In the Shoulder Shrug Cane Exercise, what should you lift directly upwards?

Both shoulders and cane Signup and view all the answers

What is the initial position of the cane in the initial cane exercise?

In front of your body at shoulder level, parallel to the ground Signup and view all the answers

What is the recommended stance for the stretch exercise?

Use a staggered stance Signup and view all the answers

How long should you hold the stretch for in the internal rotation exercise?

10-30 seconds Signup and view all the answers

What is the eventual goal for holding the stretch in the internal rotation exercise?

60 seconds Signup and view all the answers

What should you do if you experience pain while performing the internal rotation exercise while lying on your side?

Discontinue the exercise Signup and view all the answers

What should be the position of your elbow in the internal rotation exercise while lying on your side?

Bent at 90° Signup and view all the answers

What should you do with your unaffected hand in the internal rotation exercise while standing?

Gently pull the towel in a downward and forward direction Signup and view all the answers

How many repetitions should you perform for the internal rotation exercise?

5-10 reps Signup and view all the answers

What should be the state of the musculature of the affected shoulder during the internal rotation exercise?

Relaxed Signup and view all the answers

Study Notes

What is Frozen Shoulder?

Frozen shoulder, also known as Adhesive Capsulitis, is a condition where the shoulder joint capsule has adhesions and inflammation, limiting shoulder motion.
The condition is more common in females than males, and the non-dominant shoulder is more affected than the dominant shoulder.
The prevalence of frozen shoulder increases after the age of 40.
It takes between six months and three years to stabilize and regress, but often leaves a residual permanent reduction in shoulder motion.

Signs and Symptoms of Frozen Shoulder

Decreased shoulder motion
Reduced arm swing while walking
Holding the arm in a protective manner near the body
Stooped, rounded shoulders
Neck and back pain

Treatment Options for Frozen Shoulder

Stretching is the primary treatment for frozen shoulder.
Other treatments include:
- Non-steroidal anti-inflammatory drugs (NSAIDs) like ibuprofen or aspirin
- Corticosteroid injections into the affected shoulder
- Manipulation
- Mobilization
- Friction massage
- Therapeutic modalities
- In persistent cases, manipulation under anesthesia or surgery may be required to restore shoulder motion.

Shoulder Manipulation

Manual manipulation is performed by a skilled manual practitioner to break free restrictive adhesions and restore motion.
The goal is to manually move the shoulder in a way that opens the joint and places tension on the adhesions and contractures.
Quick impulses may be used to mobilize the restrictions.

Myofascial Mobilization or “Release”

Myofascial release is a stripping massage that attempts to break adhesions that bind shoulder motion.
It involves a slow stretching of soft tissues while applying a sustained pressure to connective tissue of the involved structures.

Interventional Procedures

Steroid injections
Manipulation-under-anesthesia (MUA)
Surgery (usually reserved for more resistant cases of adhesive capsulitis)

Exercise

Internal Rotation - Standing: uses a towel to gently pull the affected arm in a downward and forward direction.
Internal Rotation – Lying on Side: uses the unaffected hand to apply gentle downward pressure on the affected forearm.
Internal Rotation Cane Exercise: uses a cane to raise the affected arm and hold for 2-5 seconds.
Shoulder Shrug Cane Exercise: uses a cane to lift both shoulders and hold for 1-2 seconds.

Studying That Suits You

Use AI to generate personalized quizzes and flashcards to suit your learning preferences.

Description

Learn about the treatment options and exercises to prevent the downward spiral of frozen shoulder, including maintaining motion and preserving range of motion.