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  • Frozen Shoulder

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    Vivek Agrawal MD
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    Frozen Shoulder - source: http://www.theshouldercenter.com/ BACKGROUND/RATIONALE: The defining characteristic of a stiff shoulder is limitation of both active and passive motion of the glenohumeral joint. While, the term frozen shoulder is most often used to describe a stiff shoulder without a known cause, many known factors can contribute to a higher risk of developing a secondary frozen shoulder:

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    Frozen Shoulder - source: http://www.theshouldercenter.com/ BACKGROUND/RATIONALE: The defining characteristic of a stiff shoulder is limitation of both active and passive motion of the glenohumeral joint. While, the term frozen shoulder is most often used to describe a stiff shoulder without a known cause, many known factors can contribute to a higher risk of developing a secondary frozen shoulder:

    Copyright:

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    Download as PDF, TXT or read online from Scribd
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    91 views1 page

    Frozen Shoulder

    Uploaded by

    Vivek Agrawal MD
    Frozen Shoulder - source: http://www.theshouldercenter.com/ BACKGROUND/RATIONALE: The defining characteristic of a stiff shoulder is limitation of both active and passive motion of the glenohumeral joint. While, the term frozen shoulder is most often used to describe a stiff shoulder without a known cause, many known factors can contribute to a higher risk of developing a secondary frozen shoulder:

    Copyright:

    Attribution Non-Commercial (BY-NC)
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    The Shoulder Center, PC

    ARTHROSCOPIC CAPSULAR RELEASE PROTOCOL

    BACKGROUND/RATIONALE: The defining characteristic of a stiff shoulder is


    limitation of both active and passive motion of the glenohumeral joint. While, the term
    frozen shoulder is most often used to describe a stiff shoulder without a known cause,
    many known factors can contribute to a higher risk of developing a secondary frozen
    shoulder:
    • Diabetes • Hypoadrenalism
    • Thyroid Disorder • Stroke
    • Trauma/Fracture • Calcific Tendinosis
    • Immobilization • AC Arthritis
    • Parkinson’s • Pulmonary Disease
    • Cardiac Disease • Corticotropin deficiency
    • Shoulder Surgery • Fibromatosis
    • Arthritis • Breast Surgery
    • Rotator Cuff Tear/Tendinosis • Myofascial Pain Syndrome
    • Cervical Radiculopathy • Hyperlipidemia
    • Peripheral Neuropathy

    The primary goals of treatment are pain relief and a gentle progressive program to restore
    motion and function. Prior to initiating surgical intervention, an extended course of
    rehabilitation is recommended.

    Along with supervised therapy, patients should be educated to perform gentle passive
    stretching four to five times daily, preferably in the supine position. It is important to
    perform frequent but short sessions because the shoulder will become stiff again
    between each session.

    The therapist’s role as educator is vital in reinforcing to patients that success or failure of
    the therapy largely depends on their ability to perform stretching not only with the
    therapist but four or five times daily on their own.

    POSTOP: (Day 0)
    Initiate passive assisted motion while Acute Pain Service Catheter/Block
    in place-reinforces gained motion without pain and establish trust with
    therapist. Two therapy sessions the day of surgery are preferable in
    addition to self-directed passive motion. Safe limits of motion achieved
    intra-operatively will be documented per protocol.

    Sling is worn for comfort only and may be weaned over the first 1-3
    weeks. Active-assisted motion can typically be added at 3-4 weeks
    postoperatively if passive motion is maintained and patient is pain free.
    Gentle functional strengthening may be added once ROM is pain free.

    www.TheShoulderCenter.com
    (317) 802-9686

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