Frozen shoulder; glue capsulities
Definition: Boost adhesion’s οn thе shoulder joint wіth decrease οf capsular sample οr LOM such аѕ Abduction аnd external rotation. Unable tο gο уουr shoulder οn аll planes οf motion.
Stages;
Freezing; wіth pain during movement
Frozen; pain аt rest
Thawing: Nο pain bυt wіth capsular restriction
PT Medicines include thе Following
1. Ultrasound ( i suggest уου see a physical therapist) ѕο уου сουld bе applied. thіѕ ultrasound decreases thе boost adhesion’s frοm уουr shoulder joint.
2. TENS- thіѕ mυѕt bе applied tο decrease уουr pain
3. Codman’s exercise
4. Shoulder wheel
5.Over head pulley
nο 3,4,5 mυѕt bе done fοr 30 sec hold x 5 reps οnlу
6 AROME X 10 reps fοr muscle contraction around уουr shoulder joint.
*** Please seek a PT rehabilitation tο cure уουr Frozen shoulder *** (+) Apley’s scratch test
Please gο tο a registered physical therapist, thеу know hοw tο treat уουr condition. Please tο prevent further complication
drug: NSAIDS
Ointment:vigel **** seek a physiatrist fοr complete meds
March 5th, 2010 at 10:47 am
Here try this.Got this e-mail from someone.If you want me to e-mail it to you.Give me your e-mail.
The latest in the series of Peak Performance workbooks
Shoulder Injuries –
Prevention and Behavior
Dear colleague,
There is perhaps no joint in the creature body as complex, fascinating, or baffling as the shoulder. It can leave clinicians scratching their heads, wondering why a problem they have solved many era before is so stubborn.
And shoulder problems can certainly be stubborn! That’s why, in every case, prevention is so much surpass than cure. Rarely is a pain that has surfaced a simple matter of applying some ice – it is more likely to be the tip of an iceberg…
This is a pioneering book in more ways than one. I was surprised to learn so many shoulder problems are due not only to terrible habits of technique, but to the unbalanced upper-body workouts many athletes undertake in the mistaken belief they are doing themselves excellent.
For these poor souls, injury and pain lie just around the corner. Read on to find if you are among them!
This workbook from Peak Performance is for all athletes who rely on their shoulders. Prepared by the combined experts of Peak Performance, Your Personal Trainer and Sports Injury Bulletin, it looks at every aspect of shoulder care and injury prevention:
Shoulder overview: the five main ingredients for keeping shoulders injury-free
Rotator-cuff protection: a specialist in treating sports injuries clarifies how overhead athletes can prevent chronic shoulder pain
Preventing injuries: a sports fitness practiced suggests further exercises to help you avoid shoulder pain
A surgical view: an orthopaedic surgeon clarifies why shoulders go incorrect and what can be done to repair them
Case study: how a keen club golfer was cured of a nagging shoulder pain
Technical review: two surgeons discuss the diagnosis and behavior of acromioclavicular injuries in athletes
Prehab guide: an assessment of the latest research into shoulder problems and with practical advice on achieving balanced upper-body development
Click here to order Shoulder Injuries – Prevention and Behavior, or read on for more editorial extracts:
http://www.sportsinjurybulletin.com/prewp/sp-shoulderwithaug.html
The incredible shoulder joint
Consider what the shoulder does, and how many athletes – swimmers, tennis players, bowlers, baseball pitchers, lance throwers – take it for granted. The shoulder can assume no less than 1,600 different positions! There is more movement at the shoulder joint than at any additional joint in the body.
The shoulder joint really comprises four joints – see if you can feel them on yourself:
Sternoclavicular (SC) joint (between the sternum and the collar bone) – this is really the only bony connection that the shoulder has with the main skeleton
Acromioclavicular (AC) joint between the collar bone and the point of the shoulder called the acromion, which is part of the scapula or shoulder blade
Glenohumeral (GH) joint between the glenoid part of the scapula – the socket – and the head of the humerus (HOH) – the ball
Scapulothoracic (ST) joint (the ‘fake joint’ between the scapula and the rib cage that it rides over).
Clearly, the shoulder joint is truly remarkable invention — until it goes incorrect! Shoulder Injuries – Prevention and Behavior looks at the most common cause of shoulder pain and provides a number of illustrated exercises designed to treat and prevent them.
For those with a shoulder injury they want to try to treat themselves, we provide a checklist for ruling out structural hurt. The seven chapters include a number of canny DIY thoughts for improving performance and avoiding injury.
Behavior, prevention and performance enhancement
The measures outlined in this new workbook for the prevention and behavior of overuse injuries of the shoulder are guaranteed to boost your performance. They will genuinely boost the way your shoulder works, and thus it will be stronger, more co-ordinated, reach further and last longer before fatigue sets in.
All the experts say it: injury prevention equals performance enhancement.
First, we give the huge depiction of injury prevention and performance enhancement for athletes who depend on their shoulders for playing their sport. The in rank is presented to help you choose which issue you might need some more work on. Advice includes home exercises, and when to seek professional help to maximise the results of your efforts.
Click here to order Shoulder Injuries – Prevention and Behavior, or read on for more editorial extracts:
http://www.sportsinjurybulletin.com/prewp/sp-shoulderwithaug.html
Balance through control: the five ingredients
Exercises and guidelines are given for the five most essential ingredients for an athlete whose main weapon is the shoulder:
Sports-specific technique
Flexibility
Core stability
Rotator-cuff control
General strength
Sports-specific technique: poor performance and shoulder pain commonly originate in terrible habits of technique. Often they are only clearly seen when muscle fatigue sets in.The variety of overhead movements required for each sport gives rise to very devious and unique technique faults. We give examples of what to look out for.
Flexibility: the purpose of flexibility varies for the different muscles around the shoulder. For the major power muscles, it is vital that flexibility allows freedom of movement for the pelvis, trunk, scapula, and humerus. For the rotator cuff, the critical issue is the balance of forces centreing the head of the humerus, and to a lesser degree, freedom of movement. As we clarify, it is more critical that the internal and external rotators are equally flexible, rather than how flexible they are.
Stretching: learn why stretching to boost flexibility must never be done prior to training or competition — and when it must be done.
Core stability: core stability has become a total science in itself in the last decade as all manner of sports professionals have realised how critical it is for the inner core of the body, namely those joints closer to the spine, to be supported by the postural muscles designed to do so. For the shoulder, the critical areas are the lumbar and cervical spine and the scapulothoracic joint. Learn why, if these areas are not established, significant superfluous loading and strain is passed on to the shoulder joint
Rotator-cuff strength and control: the rotator-cuff muscles are dependent on the excellent positioning of the scapula for effective control. If the scapula is angled too far forward or down, for instance, while the tennis player reaches overhead to smash, the rotator-cuff muscles are biomechanically disadvantaged and may upshot in failure of the fill in mover muscles to breed power.
General muscle strength: once the foundational issues of technique, flexibility, core stability, and rotator-cuff control are being implemented, we then look at the better depiction of the ‘outer core’. What is the rest of your body like – does it help or hinder the performance of your shoulder?
Click here to order Shoulder Injuries – Prevention and Behavior, or read on for more editorial extracts:
http://www.sportsinjurybulletin.com/prewp/sp-shoulderwithaug.html
Avoiding the common mistake of imbalance
Most athletes believe that a gym routine wants to include increase work for the deltoids (three heads), latissimus dorsi, pec major, upper trapezius, and the rectus abdominis because they are the fill in movers of the shoulder.
What is often critically overlooked, but, is the imbalance that can develop between the front of the shoulder and the back. In those athletes that are carrying an overuse injury in the shoulder, nine era out of ten they have overdeveloped pecs and lats relative to their trapezius, rhomboids, posterior deltoids, and posterior rotator cuff.
In these situations, flexibility must often be improved, scapular setting must be taught, and the focus of gym exercises altered towards the back. We clarify how it’s done.
How to prevent the damaging cycle of chronic shoulder pain
Any overhead activity that involves the arm being taken often enough from below the shoulder level to higher than shoulder level has the capacity to hurt the rotator cuff. With repeated impingement, a poorly conditioned cuff can become smashed, and a cycle of cuff hurt, impaired function, further impingement and worsening cuff hurt is initiated.
We look at how such repetitive hurt is caused, how the athlete may be able to prevent it occurring in the first place and why a co-ordinated action of this group of muscles is needed to provide a established base for pain-free overhead activity. Here are the symptoms:
The shoulder aches after overhead activity
It gets worse and restricts the activity
Periods of rest rumor has it that resolve the problem only for the pain to recur when you returned to sport
Chronic shoulder pain is an all-too-common consequence of repetitive ‘overhead activity’, such as serving and smashing in tennis, freestyle or butterfly swimming, bowling in cricket, lance, or baseball throwing and higher than-shoulder weight-training exercises.
Injury prevention strategies
Most cuff injuries can be not permitted relatively simply, and we provide shoulder-injury prevention strategies to focus on improving shoulder stability.
Isolated rotator-cuff increase exercises can be very effective as part of a pre-participation conditioning programme. These can be done with our three simple exercises of single sets comprising a minute of either external or internal rotation exercises. The exercises strengthen these areas:
Internal rotator (subscapularis)
External rotators (infraspinatus and teres minor)
Abductor (supraspinatus) muscles of the shoulder
Three to-five minute sets over the way of a day will produce a conditioning effect.
Click here to order Shoulder Injuries – Prevention and Behavior, or read on for more editorial extracts:
http://www.sportsinjurybulletin.com/prewp/sp-shoulderwithaug.html
Further exercises to help avoid shoulder pain
We offer more exercise suggestions and give further practical guidelines to help athletes avoid shoulder pain.
Balance your upper-body workouts: a excellent way to avoid shoulder injuries is to make sure your upper-body strength sessions are balanced.
Too many athletes and weight trainers focus on developing the ‘mirror muscles’, the upper trapezius, anterior deltoid and pectorals. As a consequence, the ‘non mirror muscles’, lower trapezius, rhomboids, latissimus dorsi and rear deltoid are underdeveloped.
This leads to a muscular imbalance about the shoulder. Redressing this imbalance is very vital for the prevention and rehabilitation of shoulder impingement injuries.
We give a balanced upper-body workout for various muscle combinations:
Pectorals, anterior deltoid
Rhomboids, mid-trapezius, latissimus
Pectorals
Rhomboids, mid-trapezius, rear deltoid
Anterior mid deltoid, upper trapezius
Latissimus, lower trapezius
Limit your range of movement and take it simple: rehabilitation from a shoulder impingement injury must focus on rotator-cuff increase. We clarify why it’s vital to remember that when it comes to re-introducing your weight-training exercises, you must progress slowly.
It’s also vital to avoid certain ranges of motion where the shoulder joint sub-acromial space is compressed the most.
Details are given for the impingement zones to avoid, which muscles to start the training with, and once the pain is completely gone, which exercises to introduce.
Right scapula positioning when the theater exercises: the right position for the scapula (shoulder blade) is back and rotated down. Essentially, this means maintaining a excellent ‘military posture’, with shoulders back and chest out. A round shouldered or hunched posture is to be avoided at all era.
To achieve the right position, you need to use your rhomboids, mid and lower trapezius muscles to retract the shoulder and pull the scapula down. You’ll learn the right position and exercises to keep your scapula back and down while you go your arms.
Sports-specific exercises – plyometrics for the shoulder: just as rehabilitation training for leg injuries requires a functional progression from simply strength exercises to sports-specific exercises, so does rehab for the shoulder.
This means that for the athlete, eg a thrower or tennis player, conventional resistance exercises in the gym may not be enough to allow a full return to competition. Often what are needed to bridge the gap are plyometric exercises for the shoulder that mimic sports-specific movements.
Plyometrics for the shoulder usually occupy medicine balls of various weights. Plyometric exercises have two advantages. First, they are performed quick, and second, they occupy stretch-shortening cycle movement patterns.
This means they are much more sports-specific than conventional resistance exercises. In particular, plyometric exercises for the rear-shoulder and external rotator muscles are very useful because they provide eccentric training for these muscles. This improves their ability to control the shoulder during the powerful concentric events of the pectorals and anterior deltoid involved in throwing or serving.
Two suggested exercises are given for the pectorals and anterior deltoids and external rotators
Click here to order Shoulder Injuries – Prevention and Behavior, or read on for more editorial extracts:
http://www.sportsinjurybulletin.com/prewp/sp-shoulderwithaug.html
Surgery: why shoulders go incorrect and what can be done to repair them
The shoulder joint is often injured in the throwing athlete because it has a greater range of movement than any additional joint in the body, and because its stability depends upon intact muscles and ligaments rather than supporting bony structures.
The five phases of throwing are wind-up, cocking, acceleration, deceleration and follow-through. The forces generated during these phases are considerable and the resulting stresses generated around the shoulder joint make it prone to acute and chronic inflammatory conditions and injuries. A poor throwing technique will exacerbate the potential for chronic inflammatory shoulder conditions.
An orthopaedic surgeon lists the various approaches to behavior including:
Clinical examination
Imaging
Additional diagnostic tools
Non-operative behavior
Operative behavior
Case study: How a keen club golfer was cured of a nagging shoulder pain
An avid club golfer with a handicap of 4 and a right-handed stroke questioned for help with his nagging left shoulder pain that had recently become markedly worse and finally was threatening to stop him playing. He said he knew he must have questioned for help sooner, but he thought it would just go away
(This is one of the most commonly heard statements by treating practitioners!).
It had now been hanging around for about six months in total, despite regular coaching.
Assessment: examination showed all the signs of rotator-cuff tendinitis (inflammation and microscopic breakdown of tendon), with accompanying weakness of the muscle itself, leading, over time, to superfluous shearing of the ball in his socket joint on follow-through.
This would likely cause an impingement of his already thickened tendon under the bony acromial arch of the shoulder, giving him the sharp stabs of pain he complained of. Full details of the behavior are given, which include:
Systematic stretching regime by the patient
The ‘release’ of muscle tightness by deep-tissue massage
Trigger-point therapy
Heat
A home programme of self-pressure massage with a tennis ball
Mobilising of the tight parts of the capsule of the shoulder with seat-belts
This regime resulted in the golfer achieving one of his best-ever scores in the Queensland Open Tournament three months later.
Click here to order Shoulder Injuries – Prevention and Behavior, or read on for more editorial extracts:http://www.sportsinjurybulletin.com/prewp/sp-shoulderwithaug.html
The diagnosis and behavior of acromioclavicular injuries in athletes
Acromioclavicular (AC) joint injuries most commonly occur in athletic young adults involved in collision sports, throwing sports, and overhead activities such as upper-extremity strength training.
They account for 3% of all shoulder injuries and 40% of shoulder sports injuries. Athletes in their second and third decade of life are more commonly affected and men are injured more commonly than women are.
The athlete who sustains an acromioclavicular injury commonly reports either one of two mechanisms of injury: direct or indirect.
Direct force: This is when the athlete falls onto the point of the shoulder, with the arm usually at the side and adducted. The force drives the acromion downwards and medially. 70% of acromioclavicular joint injuries have been found to be the upshot of a direct injury.
Indirect force: This is when the athlete falls onto an outstretched arm. The force is transmitted through the humeral head to the acromion, therefore the acromioclavicular ligament is disrupted and the coracoclavicular ligament is stretched.
Behavior: the behavior of acromioclavicular joint injuries varies according to the severity or grade of the injury. AC joint injuries are an vital source of pain in the shoulder province and must be evaluated carefully.
The management of these injuries is nonoperative in the majority of cases.
No matter what form of behavior is chosen, the ultimate goal is to restore painless function to the injured AC joint in order to return the athlete safely and as quickly as possible back to their sport. This is possible in the majority of acromioclavicular joint injuries.
Practical advice on achieving balanced upper-body development
Chronic shoulder injury is a common problem, and not just for athletes. Among the population at large, day-to-day activities such as DIY or farming can produce chronic pain, as can resistance work in the gym, when enthusiasts pile on the weight without paying heed to the need for balanced increase.
Adults beyond the age of 50 are more vulnerable in general to rotator-cuff tears, the incidence rising with age.
Among sportspeople ‘overhead athletes’ are at augmented risk of chronic shoulder injuries. The overhead group covers a broad range of sports including swimming, tennis, cricket, lance and baseball, all of which occupy variations on the generic throwing action where the arm moves higher than the head.
The throwing movement recruits a large number of muscles and combines a large range of arm motion with high forces or speeds at the shoulder joint. All overhead athletes tend to perform many repetitions of the movement, usually with a dominant arm only, as part of their sports training. Here’s our strategy:
Step 1: equalise front and rear strength: the starting point is a balanced programme for front and rear shoulder muscle development. Opposing muscle groups are trained equally. While exercises for the anterior shoulder and pectorals develop power, to train just these muscles will unbalance the shoulder.
Step 2: develop excellent pulling form: it is essential to perform pull or row exercises with right technique in order to ensure that the middle trapezius, rhomboids and lower trapezius muscles are properly recruited.
Step 3: detach the rotator cuff: the small but crucial muscles of the rotator cuff are targeted alongside the lower traps to avoid developing dysfunction or weakness.
To achieve the higher than strategy, four exercises are given to target the following muscle groups:
1. Subscapularis and pectoralis minor, the shoulder’s medial rotators
2. Infraspinatus and teres minor, the shoulder’s external rotators
3. Supraspinatus (top of the rotator cuff), helped by the deltoid and infraspinatus
4. Lower trapezius, focusing on scapular depression
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Shoulder Injuries – Prevention and Behavior is one of a series of workbooks from Peak Performance, the sports science newsletter. It is not available through any additional source.
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References :
March 5th, 2010 at 10:57 am
I am a Neuromuscular Therapist.
Frozen Shoulder typically results from muscles surrounding the shoulder joint becoming overly tight. Most people with FS can raise their upper arm to shoulder height but no more than that without pain.
The muscles that usually need so be released with deep massage and stretching are the serratus anterior and subscapularis. These muscles stabilize the scapula against the ribcage during normal shoulder movement. The scapula acts as a "cam’ which pivots when you raise your arm higher than parallel and overhead. The scapula cannot pivot when the serratus anterior and subscapularis become hypertonic (overly tight), resulting in limited range of motion and pain. Additional muscles that most likely need some massage work are the rotator cuff muscles, deltoid, pectorals, rhomboids and latissimus dorsi. All of these muscles work as a "team" and tend to become dyfunctional when the scapula is immobile.
The shoulder joint is not the problem and attempting to relieve the condition with ointments, pain relievers or surgery will do nothing to right the cause of the dysfunction.
I suggest you see a specialist trained to right this condition such as Neuromuscular Therapist or Rolfer. They will use deep muscle massage, stretching and additional techniques to release the scapula and shoulder muscles. They can also determine if there are additional factors contributing to the problem that need to be corrected. A regular massage therapist MAY be able to help, but their training will not be as advanced or work as quickly as the NMT or Rolfer.
References :
NMT, LMT, CPT
Pain Relief and Structural Bodywork Specialist
March 5th, 2010 at 11:36 am
Frozen shoulder; glue capsulities
Definition: Boost adhesion’s on the shoulder joint with decrease of capsular sample or LOM such as Abduction and external rotation. Unable to go your shoulder on all planes of motion.
Stages;
Freezing; with pain during movement
Frozen; pain at rest
Thawing: No pain but with capsular restriction
PT Medicines include the Following
1. Ultrasound ( i suggest you see a physical therapist) so you could be applied. this ultrasound decreases the boost adhesion’s from your shoulder joint.
2. TENS- this must be applied to decrease your pain
3. Codman’s exercise
4. Shoulder wheel
5.Over head pulley
no 3,4,5 must be done for 30 sec hold x 5 reps only
6 AROME X 10 reps for muscle contraction around your shoulder joint.
*** Please seek a PT rehabilitation to cure your Frozen shoulder *** (+) Apley’s scratch test
Please go to a registered physical therapist, they know how to treat your condition. Please to prevent further complication
drug: NSAIDS
Ointment:vigel **** seek a physiatrist for complete meds
References :
_______________________
Im a graduate of BS Physical therapy 2006
I handle patients mostly with frozen shoulder
I passed my revalida with this topic
This syndrome is my specialty
March 5th, 2010 at 12:11 pm
exercises
Ladder climbing exercise
circumduction exercise.
Gentle stretching for range of motion.
TENS tretament
Hot and cold compress
Massage to shoulder joint
References :
March 5th, 2010 at 12:51 pm
The Frozen Shroulder gets cured with RUTA 200 B.D.for 1 to 2 weeks a Homoeopathic Medicine
References :