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Thursday, August 21, 2008

Supercharge Your Frozen Shoulder Exercise

Most frozen shoulder exercise programs are performed in routines 3 times a day. However if the patient is not getting sufficient ROM gains then I would recommend a different attack. Try 8-10 times a day, however with significantly shorter exercise sessions. This allows the shoulder not to tighten up between exercises and often makes the exercise less painful and with less soreness afterwards. Always remember to warm the shoulder with moist heat prior to each session and ice after each session, particularly if you are prone to inflammation. The heat should be applied for approximately 20 minutes for maximum heat depth with a temperature that is very warm but of course not enough to burn the skin. Ice on the other hand should be applied for 15 minutes at a time. Gel packs are ideal as they conform to the shoulder nicely. Completely rest the shoulder in between these frequent but short sessions. The best frozen shoulder exercise will not do any good if not performed correctly.
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Wednesday, August 20, 2008

Frozen Shoulder Treament After Cuff Surgery

This particular patient has developed a frozen shoulder (secondary) 4 weeks after undergoing cuff surgery. She came to physical therapy 1 week after her surgery and did well to begin with. I've discovered her main problem to be her exercise frequency as she is inconsistent. I was able to perform P/A glides with her and gained 20 or so degrees today. I reviewed her posture (very important) and her exercise frequency - focused on performing stretches in 10 (yes 10) brief sessions over the next few days. Believe it or not I find this type of frequency with my patients to be very helpful. She understands there is no frozen shoulder "cure" and that consistency is key in getting return of function. Here's hoping this session was successful! Also reviewed the most efficient frozen shoulder exercise.