Frozen shoulder – diagnosis and treatment


To assess the condition of the shoulder, it is best to do a three-view x-ray (top, AP, axillary), which is usually sufficient to assess the bony parts of the shoulder joint. When the x-ray image is questionable, an RMI examination of the shoulder should be performed, which may reveal the reasons for the appearance of secondary frozen shoulder.

Frozen shoulder is a disease that resolves on its own, but the original form of this condition is treated conservatively. The acute inflammation associated with synovitis leads to pain that occurs in all shoulder positions, including dependence on rest. In an acute condition, anti-inflammatory and analgesic drugs can be applied to the joint, and once it is resolved, physiotherapy can be started.

As the movement of the entire shoulder is limited, it is important to restore the proper glide of the scapula. This can be achieved by relaxing the tissues around the shoulder and scapula, as well as by exercising. You should also be careful of the glued fascia, which limits the mobility of the shoulder and definitely relaxes it. When working with the fascia, the patient should keep the shoulders completely relaxed and the therapist should guide the shoulder movements so as not to cause additional muscle tension.

Since the shoulder joint has a large range of motion, mechanical traction of the fascia should be avoided. The goal is to give a boost to the key fascia bundle while observing its effect on ligaments near the joint.When it comes to exercises, they need to restore the correct scapula-arm rhythm with gentle movements with the whole body and a steady hand. Such exercises restore the correct pattern of movement.




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