CLINICAL CORNER: FROZEN SHOULDER SOLVED!

A 54 year old air conditioning technician came to our office with a right frozen shoulder for the past 2 years. Patient had received physical therapy by another PT for over a year along with 3 cortisone injections by an Orthopedist with no significant help. His pain level was at 6/10 and he had more than 50% reduction in the ROM. There was no other important medical history and it appeared to us that his frozen shoulder was the result of improper treatment.

TREATMENT: We found significantly increased trigger point activity in the subscapularis and infraspinatus muscles, along with significant restriction in inferior, anterior and posterior glides of the right shoulder. Patient received MyoFascial Trigger Point Therapy for the subscapularis and infraspinatus muscles along with some Muscle Energy Technique for shoulder abduction and external rotation. After 5 sessions we introduced grade III & IV mobs to open up above mentioned capsular restrictions. Patient re-gained 80% of normal shoulder mobility and a pain level of 1/10 after a total of 11 manual therapy sessions. It is projected that patient will be completely discharged in another 3 sessions.

THIS IS THE POWER OF MANUAL THERAPY!
Dr. Dimitrios Kostopoulos