Shoulder Injury – Frozen Shoulder
70% of patients will improve with non-surgical care. Initial treatment involves anti-inflammatory medication, ice, avoiding over shoulder reaching and lifting activities. In the very acute painful phase exercises are avoided. When pain subsides somewhat, rotator cuff exercises are begun. The primary goal of the exercises is to work the uninjured portion of the rotator cuff. This is accomplished by emphasizing internal and external rotation exercises using an elastic tubing. Scapula stabilizers are also strengthened. Deep tissue work by a physical therapist can help relieve associated spasm. Isolated strengthening of the most commonly injured supraspinatous tendon should be avoided. If there is no response to this treatment program, an injection of cortisone is provided. Cortisone is a strong anti-inflammatory medication that, when used appropriately and sparingly, is safe and can be dramatically beneficial. iasm.com
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