Conditions and Treatment
Frozen shoulder
Frozen shoulder, also known as adhesive capsulitis, is a condition characterized by stiffness and pain in your shoulder joint. It begins gradually, worsen over time and then resolves, usually within one to three years.
Frozen shoulder has three stages
Freezing stage– Any movement of your shoulder causes pain and your shoulder’s range of motion starts to become limited.
Frozen stage– Pain may begin to diminish during this stage. However, your shoulder becomes stiffer, and using it becomes more difficult.
Thawing stage– The range of motion in your shoulder begins to improve with exercises and when shoulder moved with correct pattern.
Our approach
Depending upon which stage you are the approach of the treatment will change.
First phase- Pain relief with gentle mobilization, muscle release, PNF techniques and taping.
Second phase- Restoring normalize movement pattern with gentle and specific mobilization and stretches, exercises to regain range and strength.
Third phase- Physiotherapy is most important during this phase to get complete range and
strength with progressive mobilization and stretches tolerated by the patient followed by
strengthening and home exercise program..
Rotator cuff injury
The rotator cuff is a group of muscles and tendons that surround the shoulder joint, keeping ball and socket joint stable.
Rotator cuff damage can be due to an injury to the shoulder or due to friction of tendon within bones to cause wear and tear.
Repetitive overhead activity or heavy lifting over a prolonged period of time may irritate or damage the rotator cuff.
Our approach
We treat with the help of gentle mobilization, taping, stretching and followed by strengthening and stability exercises.
Correcting posture and position of the scapulae/shoulder blade is essential to retrain the rotator cuff muscles.
Ac joint separation
A separated AC joint is an injury to the ligaments that hold your collarbone (clavicle) to your shoulder blade. Injury can be a minor stretch to a complete tear of the ligament.
People may present with shoulder pain, bruising, swelling and limited shoulder movement.
Our approach
We work on stabilizing the joint with the help of taping, gentle mobilization for pain relief and proper movement recruitment pattern followed with good strengthening protocol for return to function.
Clavicle/collar bone fracture
A fall on an outstretched hand or directly onto the lateral shoulder frequently causes a clavicle fracture.
Post surgery or after removal of sling the shoulder movements become stiff and there is lot of muscle thinning which leads to muscle weakness.
Our approach
We work on the rehabilitation part post fracture with the help of physiological mobilization, movement and strength trainingand help you restore normal movement, strength.
Shoulder impingement
Shoulder impingement is commonly described as a condition characterized by excessive or repetitive contact between the ball and the socket. This ultimately leads to impingement of structures like rotator cuff tendons and the glenoid labrum.
The person may present with painful arm movement in certain angles only, muscle asymmetry, joint instability and poor shoulder blade movement.
Our approach
Our goal is to reduce pain, improve dynamic stability and restoration muscle balance with the help of gentle mobilization, taping to give support, scapula stability exercises for stability followed by strengthening programs to get back to your normal activities.
Bursitis
Bursae are cushions between the bones, tendons and muscles near our joints. Bursitis occurs when these bursae become inflamed due to friction or wear and tear changes. Subacromial bursitis often occurs near joints that perform frequent repetitive motion which causes swelling of the bursae on top of the shoulder joint. Person may present with shoulder pain, redness and restricted movements due to pain.
Our approach
We help to offload the joint by taping and gentle joint mobilisation while performing on the strength and stability exercises of the surrounding muscles.
Anti-inflammatory and ultrasound therapy can be useful in the early stages to help healing.
Dislocated shoulder
A dislocated shoulder is an injury in which your upper arm bone pops out of the cup-shaped socket that’s part of your shoulder joint. The shoulder is the body’s most mobile joint, which makes it susceptible to injury and dislocation.
Post dislocation the joint becomes unstable and painful due to damage of tissues in the shoulder joint.
If patient has several dislocations, then surgery is needed to stabilize the shoulder.
Our approach
We start with gentle movement exercises and the progress to functional progressive resistance exercises, then implemented muscle strength and endurance exercises and finally we work shoulder stability exercises. The goal is oriented in restoring the functional activities to pre-injury level and prevent further dislocation.
