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Adhesive capsulitis can be diagnosed by history and physical exam. It is often a diagnosis of exclusion, as other causes of shoulder pain and stiffness must first be ruled out. On physical exam, adhesive capsulitis can be diagnosed if limits of the active range of motion are the same or similar to the limits to the passive range of motion.
There is moderate quality evidence that manual therapy and exercise may help significantly decrease pain in patients with adhesive capsulitis of shoulder. [2] However the study also indicates that glucocorticoid (a type of anti-inflammatory) injections were more effective.
Hydrodilatation or hydraulic arthrographic capsular distension or distension arthrography is a medical treatment for adhesive capsulitis of the shoulder. [1] The treatment is applied by a radiologist assisted by a radiographer. Contrast medium, a local anaesthetic and cortisone are injected into the joint.
Clinical significance. Frozen shoulder (adhesive capsulitis) is a disorder in which the shoulder capsule becomes inflamed.
If the therapist performs a treatment direction test and gently applies joint traction or a caudal glide during abduction (MWM), the painful arc may reduce if the problem is bursitis or adhesive capsulitis (as this potentially increases the subacromial space). [citation needed] The following clinical tests, if positive, may indicate bursitis:
Indications for the Spencer technique include adhesive capsulitis. [3] The following is a common sequence: [3] Glenohumeral extension Use slow gentle springing motion at the point of resistance and muscle energy. Glenohumeral flexion; Circumduction with compression; Circumduction with traction; Abduction of the shoulder joint; Internal Rotation ...
Adhesive capsulitis. In the case of adhesive capsulitis of the shoulder (also known as frozen shoulder), adhesions grow between the shoulder joint surfaces, ...
Medical history (the patient tells the doctor about an injury). For shoulder problems the medical history includes the patient's age, dominant hand, if injury affects normal work/activities as well as details on the actual shoulder problem including acute versus chronic and the presence of shoulder catching, instability, locking, pain, paresthesias (burning sensation), stiffness, swelling, and ...
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