FOR ALL SHOULDER CONDITIONS Management

Medical:
NSAIDs
Active shoulder mobilization exercises within the pain free
range.
Pain relieving modalities such as short wave diathermy,
ultrasound therapy.
.Passive shoulder mobilization exercises when the pain
has subsided.
In frozen shoulder, exercises can be performed but
manipulation under
general anesthesia can be tried in resistant cases.
Surgical: When conservative treatment fails after 3
months, excision of
adhesions, arthrodesis or arthroplasty may be indicated.
Pain relief by local
steroid injection is useful. For functional activities, shoulder
must have 30-
45 degree flexion, and 10 degree internal rotation.
Strengthening exercises for
deltoid are often prescribed.
Self-help: Patients are asked to avoid over reaching, like
reaching behind to
open a car door, repetitive overhead activities and
movements such as
mopping and sweeping. When these are unavoidable, long
handled, light
weight or power tools can be used.