The Unclear Treatment for Adhesive Capsulitis

2. During inspection of the patient’s affected shoulder, name at least three key clinical aspects that you need to observe on both shoulders that would suggest any pathology or abnormality on the shoulders. From the three clinical aspects that you observed, explain what each of the findings would indicate concerning the pathology of the shoulder. For example if the shoulder is

The ice will not only numb some of your pain, but it will also decrease swelling and inflammation in the muscles.

Dr. Jeff Roderick is an experienced chiropractor who is certified in the Active Release Technique and trained in the myofascial release modality. He also holds an official Certified Chiropractic Sports Physician designation. Over the course of his career, he has served as a chiropractic sports medicine physician at the Salt Lake City Olympics, the team physician for the Madison and South Fremont high schools, and a chiropractor with Madison Ridge Chiropractic. While working for Madison Ridge, Dr. Jeff Roderick earned special recognition for excellent service and dedication to the chiropractic profession from the Logan College of Chiropractic.

The project began with the formulation of a PICO question in an area of interest to guide the literature search. The PICO (population, intervention, control, and outcomes) format was used as a strategy for framing a foreground evidenced-based question. Dissecting the question into its component parts and restructuring was an essential first step in the evidence-based practice project. After careful consideration of the clinical manifestations and practitioner professional experience, the PIO question emerged was, Does Kinesio taping decrease pain and improve engagement in functional tasks in patients with shoulder pathology? Fortunately, there was sufficient evidence within the literature to support the PIO question.

This paper is going to be over rotator cuff injuries and what to do if this occurs to an athlete. The rotator cuff consists of four muscles which are the Subscapularis, infraspinatus, teres minor, and the supraspinatus and their associated tendons that insert into the Humerus. These groups of muscles are responsible for rotating the arm internally and externally as well as abducting the shoulder. The acronym for the four muscles of the rotator cuff is known as SITS. The best treatment for symptomatic, nontraumatic rotator cuff tears is unknown. The purpose of this trial was to compare the effectiveness of physiotherapy, acromioplasty, and rotator cuff repair for this injury. The way this trial worked was that 180 shoulders with the symptomatic,

Ice or cold therapy should be applied throughout the rehabilitation process. Apply ice for 15 minutes every hour initially for the first day then reduce this to 4 to 5 times a day from then on as required. Do not apply directly to the skin as this may cause ice burns. Using ice wrapped in a wet towel or cold pack can avoid this. In the first stage ice will constrict blood vessels and prevent further bleeding. Long-term benefits include reduction of pain and muscle spasm. Ice should not be used for longer than 15 minutes as prolonged cooling has the reverse effect of increasing blood flow and long periods of cooling can also cause nerve injury. Ice therapy should be used throughout the rehabilitation process to control inflammation, but only in 15-minute sessions each time.

Komblatt, the patient underwent extensive chiropractic treatment with 87 sessions from 10/07/11 through 07/11/12. It was opined that it does appear that the IW ha s undergone excessive passive-chiropractic treatment referable to both lumbar spine and right shoulder. It was further opined that the IW has reached MMI regarding the lumbosacral strain and contusion of the right shoulder within approximately 6-8 weeks post injury. Appropriate treatment would have consisted of aggressive right shoulder and low back rehabilitation to include aerobic conditioning, strengthening exercises involving the right upper extremity, lumbar spine and core, and resumption of normal recreational and work activities within 6-8

Adhesive capsulitis is an increasingly common injury found in sports rehabilitation and exercise medicine. Due to the increase in older athletes adhesive capsulitis is also on the rise. Somewhere between 2% and 3% of the adult population between the ages of 40 and 70 develop the condition at some point in their lives, with it being more common in women (Norris, 2011).

DOI: 7/1/2015. Patient is a 63-year-old female nursing assistant who sustained injury to her left shoulder while helping to move a patient. Per OMNI entry, she was initially diagnosed with adhesive capsulitis of the left shoulder, in the setting of a bursal-sided partial rotator cuff tear. IW underwent a left shoulder arthroscopic capsular release, bursal release, and subacromial decompression on 11/16/16.

Over the past decades cryotherapy has been as a strategy in the management of delayed-onset muscle soreness. Cryotherapy is a medical treatment in which all or part of the body is subjected to cold temperature such as ice packs. (Collins English Dictionary - Complete & Unabridged 2012 Digital Edition). One of the techniques of cryotherapy that have been used is the ice immersion. Ice immersion is a technique for administering therapeutic cold treatments to the distal extremities (e.g., the ankle or hand) with a mixture of water and crushed, flaked, or cubed ice with a temperature range 50̊ to 60̊ F (10̊ - 15̊ C). (Medical Dictionary, © 2009 Farlex and Partners). After exercise or training, athletes

^8,5 ASI occurs when the arm is in adduction with the shoulder internally rotated. The biceps complex pulley, also known as a capsuloligamentous complex, adjoins the anterior glenoid causing injury when in extreme motions. With the PSI, the pulley is put into risk with abduction and external rotation on the posterosuperior glenoid. ^8 PSI is also associated with partial-thickness tears on the deep side of the articular surface of the rotator cuff. ^5 This can be a common cause for a peel-back mechanism associated with a SLAP lesion. ^8 Peel-back mechanisms can be produced many different ways, but are mostly seen with a SLAP lesion or internal impingement. These can occur when the shoulder is placed into abduction and extreme external rotation with a torsional force added to the labro-bicipital complex that is at the base of the biceps on the posterior superior labrum. ^1,5 This causes fatigue and failure of the humeral head that rotates medially over the upper rim of the glenoid fossa creating a shearing force. ^1,5 Increased superior labral strain in overhead athletes occurs during the late-cocking phase of throwing when arm is externally rotated. ^1

The study by Ma et al., (2006) examined the treatment methods of physical therapy, acupuncture, and a combination of physical therapy and acupuncture to see which treatment method was more beneficial in patients with spontaneous frozen shoulder over a four week period (Ma et al., 2006). The study consisted of 75 participants with spontaneous frozen shoulder pain for at least three months, unable to lift their arm more than 135 degrees, and agreed to proceed with the medical treatments that were designed for this study (Ma et al., 2006). Thirty participants were randomly selected into the control group received physical therapy only. The control group consisted of fifteen minute hot pack application, five to ten minutes of joint mobilization,

Therapeutic exercises are indicated for the same reasons of increasing strength, increasing range of motion, and promoting normal movement patterns allowing this patient to increase her endurance to ambulate, increase her ability to sit, stand, twist, and bend. Indications on this examination of continued muscular spasms throughout the joints, trigger points, adhesions, and neural compression warrants soft tissue mobilization.

*insert article *attachedBesides being able to see the inside of a shoulder, doctors use different physical tests to evaluate the shoulder in order to determine what type of injury and how severe an injury may be. One such test was recently developed by Dr. Carl J. Basamania at the Womack Army Medical center in Fort Bragg, N.C. The test was developed to evaluate shoulder instability in a patient. During the test the Dr. or examiner stands next to the patient who is to lay flat on his/her back. The hand of the examined should is held firmly by the examiner. The examiner then pushes against the clavicle to stabilize th scapula, while they also gently hold the pectoral muscle with their thumb in order to be able to assess relaxation. The examiner then rotates the arm form neutral to full external rotation. If the patient has AIGHL incompetence there is a lack of tightening as the arm reaches full external rotation. The test has appeared to be highly accurate and may be of value to Dr.'s and surgeons alike. After doctors have determined what type and what degree of injury a patient has sustained using various tests it is on to the next step, rehabilitation.

However, the therapist here can referred the player to the physician and at the same time apply the initial treatment procedures as to ask him/her to reduce the level of activity 3-6 week, then return to normal activity (Boden et al., 2001), applying RICE, and educate him/her some gentle exercises that do not affect the injured area.by this way, the therapist will facilitate and improve the level of health care, avoid any complications may occur, enhance the treatment and shorten the time of returning to normal activity.