FROZEN SHOULDER / PA SHOULDER/ ADHESIVE CAPSULITIS/ TIGHT SHOULDER
Shoulder Tightness Home Program for patients
Frozen Shoulder / PA Shoulder/ Adhesive Capsulitis/ Tight Shoulder
Frozen shoulder is a condition that affects your shoulder joint, also known as adhesive capsulitis. It usually involves pain and stiffness that develops gradually, gets worse.
Cause:
A long period of inactivity due to an injury, illness, or surgery also makes you more vulnerable to inflammation and adhesions, which are bands of stiff tissue. If you have a hormonal imbalance, diabetes, or a weakened immune system, you may be prone to joint inflammation. Usually, the condition takes two to nine months to develop.
Diagnosis:
A physical exam is usually enough to diagnose frozen shoulder, but your doctor may also order imaging tests such as X-rays, ultrasound or MRI to rule out other problems like arthritis or a torn rotator cuff that can also cause pain and limit how far it moves.
The fastest way to diagnose frozen shoulder syndrome is by evaluating the active and passive range of motion in the affected shoulder.
Treatment:
- Nonsteroidal anti-inflammatory drugs
- Physical therapy
- A corticosteroid injection
- Joint distension
- Shoulder manipulation
- Arthroscopic surgery
Physiotherapy Treatment for Frozen (PA) Shoulder:
Therapeutic modalities and procedure: IFT, Wax
Aggressive Range of motion Exercise
Passive movement: Shoulder movement done by your physiotherapist
Active assisted exercise: Patient doing shoulder movement with gravity or therapies support.
Active exercise: Patient doing their shoulder movement with available range.
Range of Motion and Stretching Exercises
Pendulum exercise:
Bend over at the waist so that the arm falls away from the body and dangles in a relaxed way.
Use your body to initiate a circular motion. Make small circles while keeping the shoulder relaxed Do this for 2 to 3 minutes at a time. Place the uninvolved hand and forearm on the table. Bend forward at the waist allowing the affected hand and arm to slide forward. Do 10 repetitions, then repeat the same in to side movement.
Supine Passive Forward Flexion: Lie on your back. Using a stick or using the strength of the uninvolved arm. Involved arm up and then backward (as if to reach overhead) do
Wall Climb Stretch: Stand facing a wall, place the hand of the affected arm on the wall. Slide the hand up the wall, allowing the hand and arm to go upward. As you are able to stretch the hand and arm higher, you should move your body closer to the wall. Hold the stretch for 15 to 20 seconds. Do 10 repetitions. Same need to do side standing.
Stretching exercises: Horizontal Adduction Stretch Gently stretches the, elbow toward the opposite shoulder. Later, this stretch can be done standing. Do 10 repetitions.
Standing facing a corner, position the arms as illustrated with the elbows at shoulder level. Lean your body gently forward toward the corner until a stretch is felt. Hold this position gently for 15 to 20 seconds. Repeat 10 times.
Shoulder Shrugs and Scapular Retraction Shrug shoulders upward and pinch shoulder blades backward and together
Sitting in a chair or standing, place the hand of the affected arm behind your back at the waistline. Use your opposite hand to help the other hand higher toward the shoulder blade of the opposite shoulder. Do 10 repetitions.
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Dr.Nakkiran.PT. B.P.T., M.Sc., M.I.A.P., C.P.C (US) India, P.G.D.I.P.L
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