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The condition often resolves itself over time without intervention but this may take several years. [1] While a number of treatments, such as NSAIDs, physical therapy, steroids, and injecting the shoulder at high pressure, may be tried, it is unclear what is best. [1] Surgery may be suggested for those who do not get better after a few months. [1]
Counterstrain is a technique used in osteopathic medicine, osteopathy, physical therapy, massage therapy, and chiropractic to treat somatic dysfunction. [1] It is a system of diagnosis and treatment that uses tender points, which are produced by trauma, inflammation, postural strain, or disease, to identify structures to manipulate. [2]
By doing this, pressure is relieved from the labrum significantly reducing pain. This surgery is performed to alleviate biceps inflammation and can be implemented in correspondence to a SLAP lesion surgery. Recovery is approximately 4–8 months depending on the individual and requires physical therapy. [4]
Within manual therapy, Strain-Counterstrain is a type of "passive positional release" [1] created in 1955 by Lawrence Jones, D.O. It is a hands-on treatment that attempts to alleviate muscle and connective tissue tightness by the use of very specific treatment positions held for 90 seconds (can be held for up to 3 minutes in neurological patients).
Haines-Landram says, "Allow time for rest and recovery to prevent burnout and reduce the risk of injury. Recovery time is also when you can tune into how your body feels and assess how you feel ...
The original technique was first described by Eden [4] in 1924 and verified by Lange in the 1950s. [5] [6] The rhomboid major and rhomboid minor were transferred laterally from the medial border of the scapula to the infraspinatous fossa, and the levator scapulae was transferred laterally to the spine of the scapula, near the acromion.
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