Frozen Shoulder
Restriction of ROM with no initiating factor.
common association - DM and Thyroid disease
https://www.buoyhealth.com/learn/frozen-shoulderStages
1. Painful freezing
2. Progressive Stiffness
3. Resolution
O/E -
diffuse tenderness
both active and passive motion restricted
Investigations
X-ray to differentiate primary and sceondary frozen syndrome
Bone scan to differentiate from RSD.
MRI - to rule out other pathology
Arthroscopy - therapeutic and diagnositc
Management
Analgesics
USG/ TENS
Steroids - I/A
Stretching exercises
MUA - sequence
FEAR (Flexion, External Rotation, Abduction, Adduction, Ext rotation, Internal Rotation)
Arthroscopic Release
rotator interval , MGHL, coracohumeral ligament
Rehabilitation
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