Keys to FROZEN SHOULDER Physical Therapy Treatment
To go along with today's episode I have a nice infographic to share...
Frozen Shoulder Evidence Based Cheat Sheet
Click HERE to Download FREE
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- FPF Mini Course - 7 Reasons Why Injuries Happen in the Gym and What to do About it
- The Fitness Pain Free Certification
In today's video we go over Keys to FROZEN SHOULDER Physical Therapy Treatment: FPF Show Episode 137:
Timeline:
- 0:00 - Intro
- 1:05 - How to get an accurate diagnosis of frozen shoulder
- 3:56 Should we use outcome measures for patients with frozen shoulder and which are best?
- 8:39 Using your diagnosis to guide treatment [Treatment strategies based on stage of injury]
- 12:04 Why determining level of tissue irritability in patients is imperative
- 14:50 How to determine if a patient is high, moderate or low irritability
- 19:10 Indicated treatments for highly irritable patients
- 25:28 Treatment strategies for moderate irritability
- 27:57 Should we incorporate strength exercises into our treatment program and when and how to start
- 29:20 Interventions for patients with low irritability
- 34:47 Is Physical Therapy alone the best treatment for frozen shoulder?
- 35:26 The critical importance of using corticosteroids (cortisone) in combination with physical therapy for frozen shoulder
- 39:25 Hydrodilatation and suprascapular nerve blocks to treat frozen shoulder.
- 41:57 Should patients undergo surgery (manipulation under anesthesia MUA) for frozen shoulder?
Icicles on my shoulder....
- Dan Pope DPT,OCS,CSCS
Show Notes / Relevant Articles:
- FPF Mini Course - 7 Reasons Why Injuries Happen in the Gym and What to do About it
- FROZEN SHOULDER - What Physical Therapists Need to Know
- 4 Keys to Rotator Cuff Repair Physical Therapy
- 6 Keys to SLAP Tear Physical Therapy [Guide for Physios]
- What Physical Therapists Need to Know About SLAP Tears
- 8 Key Tests for Diagnosing SLAP Tears in the Shoulder
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Thank you!
Dan Pope DPT, OCS, CSCS
References:
- Kelley MJ, Shaffer MA, Kuhn JE, Michener LA, Seitz AL, Uhl TL, Godges JJ, McClure PW. Shoulder pain and mobility deficits: adhesive capsulitis. J Orthop Sports Phys Ther. 2013 May;43(5):A1-31. doi: 10.2519/jospt.2013.0302. Epub 2013 Apr 30. PMID: 23636125.
- McClure PW, Michener LA. Staged Approach for Rehabilitation Classification: Shoulder Disorders (STAR-Shoulder). Phys Ther. 2015 May;95(5):791-800. doi: 10.2522/ptj.20140156. Epub 2014 Dec 11. PMID: 25504491.
- Pandey V, Madi S. Clinical Guidelines in the Management of Frozen Shoulder: An Update! Indian J Orthop. 2021 Feb 1;55(2):299-309. doi: 10.1007/s43465-021-00351-3. PMID: 33912325; PMCID: PMC8046676.
- Le, H. V., Lee, S. J., Nazarian, A., & Rodriguez, E. K. (2016). Adhesive capsulitis of the shoulder: review of pathophysiology and current clinical treatments. Shoulder & Elbow, 9(2), 75–84. doi:10.1177/1758573216676786
- Maund E, Craig D, Suekarran S, Neilson A, Wright K, Brealey S, Dennis L, Goodchild L, Hanchard N, Rangan A, Richardson G, Robertson J, McDaid C. Management of frozen shoulder: a systematic review and cost-effectiveness analysis. Health Technol Assess. 2012;16(11):1-264. doi: 10.3310/hta16110. PMID: 22405512; PMCID: PMC4781571.
- Page MJ, Green S, Kramer S, Johnston RV, McBain B, Chau M, Buchbinder R. Manual therapy and exercise for adhesive capsulitis (frozen shoulder). Cochrane Database of Systematic Reviews 2014, Issue 8. Art. No.: CD011275. DOI: 10.1002/14651858.CD011275
- Anjum R, Aggarwal J, Gautam R, Pathak S, Sharma A. Evaluating the Outcome of Two Different Regimes in Adhesive Capsulitis: A Prospective Clinical Study. Med Princ Pract. 2020;29(3):225-230. doi: 10.1159/000503317. Epub 2019 Sep 13. PMID: 31514191; PMCID: PMC7315175.
- Carette S, Moffet H, Tardif J, Bessette L, Morin F, Frémont P, Bykerk V, Thorne C, Bell M, Bensen W, Blanchette C. Intraarticular corticosteroids, supervised physiotherapy, or a combination of the two in the treatment of adhesive capsulitis of the shoulder: a placebo-controlled trial. Arthritis Rheum. 2003 Mar;48(3):829-38. doi: 10.1002/art.10954. PMID: 12632439.
- Rangan A, Brealey SD, Keding A, Corbacho B, Northgraves M, Kottam L, Goodchild L, Srikesavan C, Rex S, Charalambous CP, Hanchard N, Armstrong A, Brooksbank A, Carr A, Cooper C, Dias JJ, Donnelly I, Hewitt C, Lamb SE, McDaid C, Richardson G, Rodgers S, Sharp E, Spencer S, Torgerson D, Toye F; UK FROST Study Group. Management of adults with primary frozen shoulder in secondary care (UK FROST): a multicentre, pragmatic, three-arm, superiority randomised clinical trial. Lancet. 2020 Oct 3;396(10256):977-989. doi: 10.1016/S0140-6736(20)31965-6. Erratum in: Lancet. 2021 Jan 9;397(10269):98. doi: 10.1016/S0140-6736(20)32719-7. PMID: 33010843.
- Rawat P, Eapen C, Seema KP. Effect of rotator cuff strengthening as an adjunct to standard care in subjects with adhesive capsulitis: A randomized controlled trial. J Hand Ther. 2017 Jul-Sep;30(3):235-241.e8. doi: 10.1016/j.jht.2016.10.007. Epub 2016 Nov 21. PMID: 27884497.
- Carette S, Moffet H, Tardif J, Bessette L, Morin F, Frémont P, Bykerk V, Thorne C, Bell M, Bensen W, Blanchette C. Intraarticular corticosteroids, supervised physiotherapy, or a combination of the two in the treatment of adhesive capsulitis of the shoulder: a placebo-controlled trial. Arthritis Rheum. 2003 Mar;48(3):829-38. doi: 10.1002/art.10954. PMID: 12632439.
- Rangan A, Brealey SD, Keding A, Corbacho B, Northgraves M, Kottam L, Goodchild L, Srikesavan C, Rex S, Charalambous CP, Hanchard N, Armstrong A, Brooksbank A, Carr A, Cooper C, Dias JJ, Donnelly I, Hewitt C, Lamb SE, McDaid C, Richardson G, Rodgers S, Sharp E, Spencer S, Torgerson D, Toye F; UK FROST Study Group. Management of adults with primary frozen shoulder in secondary care (UK FROST): a multicentre, pragmatic, three-arm, superiority randomised clinical trial. Lancet. 2020 Oct 3;396(10256):977-989. doi: 10.1016/S0140-6736(20)31965-6. Erratum in: Lancet. 2021 Jan 9;397(10269):98. doi: 10.1016/S0140-6736(20)32719-7. PMID: 33010843.
- Poku D, Hassan R, Migliorini F, Maffulli N. Efficacy of hydrodilatation in frozen shoulder: a systematic review and meta-analysis. Br Med Bull. 2023 Sep 12;147(1):121-147. doi: 10.1093/bmb/ldad018. PMID: 37496207; PMCID: PMC10788845.
- Mardani-Kivi M, Nabi BN, Mousavi MH, Shirangi A, Leili EK, Ghadim-Limudahi ZH. Role of suprascapular nerve block in idiopathic frozen shoulder treatment: a clinical trial survey. Clin Shoulder Elb. 2022 Jun;25(2):129-139. doi: 10.5397/cise.2021.00661. Epub 2022 May 16. PMID: 35698782; PMCID: PMC9185110.