Fourth time with frozen shoulder. A rubber ball the size of a golf ball, against the wall pressing on the teres major has helped me with the pain and give me more mobility.
Cool, I'll try it tomorrow. I found that true frozen shoulder patients really get irritated after I do all the "old fashion" mobs. I do get more range of motion but it rarely helps with dealing with pain. Hopefully your best mob wins.
Let me know what happens. The problem with true "issues in the tissues" is that we can't actually deform fascia, joint capsule, stretch muscle any more rapidly than hypertrophy occurs. Other simple conditions like impingement or ROM loss in one plane (but not all or after an immobilization) can change rapidly because we are only changing tone and perception of threat/stretch. That's why it's useless to crank on a frozen shoulder or anyone who has been immobilized s/p fracture or post op because it just takes time and continuous regular pain free motion.
Great info! I have a patient with frozen shouder after a surgery to repair his rotator cuff! unhopefully he has developed lateral epicondilitis and carpal symdrome! the worst nightmare on earth! I'm a big fan of manual therapy in my PT practice! but It has been very difficult to help my this patient! any ideas?
Surly you have to stretch it I’ve had a really bad frozen shoulder that they wanted to operate on but I’ve had real improvement recently with gentle stretching. What are your thoughts ?
Yes, you definitely need to stretch gently. This technique relaxes the shoulder joint and muscles so that you can start moving and keep moving. Stretching too much only increases sensitivity and makes it harder to move gently and regularly.
im in therapy right now for frozen shoulder after rotator cuff repair. however my therapy has gotten extremely painful and i cry during the stretching part. what are stretches i can do 18 weeks after surgery to get movement back
Therapy shouldn’t be painful. You can’t force or rush mobility back. You’re going to the wrong clinician. I can’t say what you can do however without a full history and thorough examination.
Hi just found your channel and would like to ask a question? I was involved in a serious road accident where I broke my shoulder blade and collar bone and ribs 1to 9, I’ve been diagnosed with a frozen shoulder and been working hard with physio to free it up. The orthopaedic surgeon wants to give injections but I’m concerned that it’s not just a frozen shoulder as all the muscles around my scapula are so tight and painful. Would be grateful for your thoughts. Thank you.
Hi Sparky, forget about the injection. That is every surgeon's answer and not the healthiest thing. We should always try to avoid injections/medication if possible. Also, if you were involved in a road accident and your neck hasn't been treated or assessed, as well as your mid back, especially for frozen shoulder like issues, you probably aren't going to the right physio.
What I’m curious about is if - particularly during the Covid_19 pandemic- people with diagnosed “frozen shoulder” might try to do these exercises in any sort of “at home” capacity if they have another family member who might be willing to help them (but who has no clinical training or experience)? Is this safe and or even possible?
People would try before the quarantine. All my techniques are easy and pain free for the most part. Things will either work or not work but it's hard to damage something. Someone might get irritated but not injured if they pay attention to what I'm teaching and the person's response
"Beating the crap out of the shoulder?" 😲 I am about to go to PT for first time for shoulder pain...frozen shoulder. If the therapist puts me in excruciating pain, I am not going back. I'd rather push myself at home with stretching exercises than risk further injury because a therapist "beat the crap out of my shoulder" and manipulated it to the point where i am in severe pain for weeks. Or God Forbid... dislocated my shoulder. I've seen some vids for frozen shoulder and some therapists are too aggressive....with the patient obviously in severe pain, kicking legs in the air or screaming.
Hopefully you won't have that experience. If it's really a frozen shoulder, whether you decide to stay in PT or not, patience and consistency is key. Just keep moving within your tolerance and move often.
@@STate-lt8xq it takes the right treatment plus the right mindset and hard work on the patients part. Regular movement into end range several times a day. Treatment and surgery don't accomplish much without the patient's hard work in most conditions
Everything works. There actually isn't evidence for any of the mechanical mechanisms of Manual Therapy. It's all non specific neurophysiological effects. If you learned the effects are mechanical that's the problem. But all techniques that result in rapid effects are for nonspecific reasons. Read this pubmed.ncbi.nlm.nih.gov/29034802/
You don't know how comfortable slacking the shoulder opposed to stretching can be until you've had it done. It is normally a completely pain free technique. Either way, if it would have caused any pain to a patient, I would immediately stop as none of my techniques are supposed to cause pain.
Using a colleague is easier - they don't have to sign a waiver and I didn't have any current frozen shoulder patients. The majority of videos out there use "models" instead of real patients. It's just a technique demonstration you don't need an active case to demonstrate a technique.
@@chriscoughlan5221 I hope you never attend a live seminar that uses demonstrations instead of real live actual cases for every technique. It's all about the application of the technique, not a real live example. Good luck in your search
Fourth time with frozen shoulder. A rubber ball the size of a golf ball, against the wall pressing on the teres major has helped me with the pain and give me more mobility.
Fourth time? Are you sure it’s frozen shoulder and not coming from your neck? You need to keep moving as much as possible so it doesn’t recur
Cool, I'll try it tomorrow. I found that true frozen shoulder patients really get irritated after I do all the "old fashion" mobs. I do get more range of motion but it rarely helps with dealing with pain. Hopefully your best mob wins.
Let me know what happens. The problem with true "issues in the tissues" is that we can't actually deform fascia, joint capsule, stretch muscle any more rapidly than hypertrophy occurs. Other simple conditions like impingement or ROM loss in one plane (but not all or after an immobilization) can change rapidly because we are only changing tone and perception of threat/stretch. That's why it's useless to crank on a frozen shoulder or anyone who has been immobilized s/p fracture or post op because it just takes time and continuous regular pain free motion.
Great info! I have a patient with frozen shouder after a surgery to repair his rotator cuff! unhopefully he has developed lateral epicondilitis and carpal symdrome! the worst nightmare on earth! I'm a big fan of manual therapy in my PT practice! but It has been very difficult to help my this patient! any ideas?
Hard to say without a full history and evaluation. I would start with the C spine if Sx are all the way up and down the arm
Surly you have to stretch it I’ve had a really bad frozen shoulder that they wanted to operate on but I’ve had real improvement recently with gentle stretching. What are your thoughts ?
Yes, you definitely need to stretch gently. This technique relaxes the shoulder joint and muscles so that you can start moving and keep moving. Stretching too much only increases sensitivity and makes it harder to move gently and regularly.
@@modernmanualtherapy Thanks for your advice 👍👍
This is great info. Thank you so much!
im in therapy right now for frozen shoulder after rotator cuff repair. however my therapy has gotten extremely painful and i cry during the stretching part. what are stretches i can do 18 weeks after surgery to get movement back
Therapy shouldn’t be painful. You can’t force or rush mobility back. You’re going to the wrong clinician. I can’t say what you can do however without a full history and thorough examination.
Hi just found your channel and would like to ask a question?
I was involved in a serious road accident where I broke my shoulder blade and collar bone and ribs 1to 9, I’ve been diagnosed with a frozen shoulder and been working hard with physio to free it up.
The orthopaedic surgeon wants to give injections but I’m concerned that it’s not just a frozen shoulder as all the muscles around my scapula are so tight and painful.
Would be grateful for your thoughts.
Thank you.
Hi Sparky, forget about the injection. That is every surgeon's answer and not the healthiest thing. We should always try to avoid injections/medication if possible. Also, if you were involved in a road accident and your neck hasn't been treated or assessed, as well as your mid back, especially for frozen shoulder like issues, you probably aren't going to the right physio.
Is wearing a shoulder brace good for frozen shoulder?
What I’m curious about is if - particularly during the Covid_19 pandemic- people with diagnosed “frozen shoulder” might try to do these exercises in any sort of “at home” capacity if they have another family member who might be willing to help them (but who has no clinical training or experience)? Is this safe and or even possible?
People would try before the quarantine. All my techniques are easy and pain free for the most part. Things will either work or not work but it's hard to damage something. Someone might get irritated but not injured if they pay attention to what I'm teaching and the person's response
Thanks
No prob! Glad you liked the video
"Beating the crap out of the shoulder?" 😲
I am about to go to PT for first time for shoulder pain...frozen shoulder.
If the therapist puts me in excruciating pain, I am not going back. I'd rather push myself at home with stretching exercises than risk further injury because a therapist "beat the crap out of my shoulder" and manipulated it to the point where i am in severe pain for weeks. Or God Forbid... dislocated my shoulder.
I've seen some vids for frozen shoulder and some therapists are too aggressive....with the patient obviously in severe pain, kicking legs in the air or screaming.
Hopefully you won't have that experience. If it's really a frozen shoulder, whether you decide to stay in PT or not, patience and consistency is key. Just keep moving within your tolerance and move often.
Am I allowed to try this, when it's an chronic frozen shoulder, about 7years old ?
You can try it at any point in time. Like anything it might work well, might work a little or not at all. Lmk what happens!
Curious too. Mine is in its 7th year as well. Have tried it all, including surgery.
@@STate-lt8xq it takes the right treatment plus the right mindset and hard work on the patients part. Regular movement into end range several times a day. Treatment and surgery don't accomplish much without the patient's hard work in most conditions
So mobilization with movement( mulligan technique) aspect we studied in school is crap? Is you technique evidence based?
Everything works. There actually isn't evidence for any of the mechanical mechanisms of Manual Therapy. It's all non specific neurophysiological effects. If you learned the effects are mechanical that's the problem. But all techniques that result in rapid effects are for nonspecific reasons. Read this pubmed.ncbi.nlm.nih.gov/29034802/
Whats new?It,s an old school method.
“if it’s REALLY frozen shoulder”
why do you keep saying that?
There are a lot of conditions that mimic frozen shoulder. If you can rapidly improve mobility, then it’s NOT frozen shoulder.
Go Bills!
She doesn't appear to be in any pain. Everything he did would have def hurt me.
You don't know how comfortable slacking the shoulder opposed to stretching can be until you've had it done. It is normally a completely pain free technique. Either way, if it would have caused any pain to a patient, I would immediately stop as none of my techniques are supposed to cause pain.
Some sort not doing anything
why do these videos always use a young attractive woman to represent a patient? its bloody ridicolous, using a 60+ person wud b better.
Using a colleague is easier - they don't have to sign a waiver and I didn't have any current frozen shoulder patients. The majority of videos out there use "models" instead of real patients. It's just a technique demonstration you don't need an active case to demonstrate a technique.
@@modernmanualtherapy BS!!
@@chriscoughlan5221 I hope you never attend a live seminar that uses demonstrations instead of real live actual cases for every technique. It's all about the application of the technique, not a real live example. Good luck in your search
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