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Special Episode on the Frozen Shoulder – How to Know When to Push, What Modalities We Use, and Treatment Suggestions

On this episode of the #AskMikeReinold show we talk about the frozen shoulder, including questions on knowing when you can start to push motion, what modalities to use, and our treatment strategy. To view more episodes, subscribe, and ask your questions, go to mikereinold.com/askmikereinold.

 

#AskMikeReinold Episode 88: Frozen Shoulder – How to Know When to Push, What Modalities We Use, and Treatment Suggestions

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4 replies
  1. Jake Ellingson
    Jake Ellingson says:

    It seems like with true frozen shoulders, education is the most vital component of the treatment plan. Education on the stages of frozen shoulder, pathophysiology, importance of painfree active use of the shoulder at home, a proper yet simple HEP that can be performed frequently (even hourly) throughout the day whether at home/work/car, correct performance of the HEP since it is so vital, methods for self pain modulation, explaining pain, etc… I seem to spend a great deal more time educating patients with frozen shoulder than any other patient. Completely agree on the end-feel determining how aggressive we should be, importance of consistency, and decreasing frequency of visits during frozen stage. The concept of the “long game” is important.

    Reply
  2. Chris Miller
    Chris Miller says:

    Thanks for the info, guys. Always great to hear your ideas. My experience with frozen shoulders first comes down to ensuring it is adhesive capsulitis as I find some docs prematurely give someone this label. I try to make sure the issue is the capsule vs soft tissue (ROM with soft tissue on slack,etc). Then, try to stage it for them by their history. I typically will only see pts with true frozen shoulder a handful of times to ensure the stage, educate them on the expectations, and send them home with a HEP focusing on ROM. I keep in contact with them, obviously, but tell them to call me on the other side. I also educate people on manipulations, the typical disruption of the labrum, and the minimal benefits as there are still docs out there who think they can “fix” it with a manip under anesthesia.
    I have yet to find anything in the literature that supports anything for adhesive capsulitis. So, to your point of treating vs not treating, I feel we are doing a disservice to our patients by continuing to treat when we really have little evidence that we are helping with regular visits. Also, these patients will value your recommendation and your knowledge and you will often find yourself being the “go to” person in the future.

    Reply

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