Rhys,
I came across a case like this in the past, Where I had no luck in the ROM
and even the injections did not show any difference. Then the Patient had to
undergo mobilization under anesthesia for that shoulder, and aggressive
Therapy with IontoPhoresis. The patient gained almost 75-80% of the range.
I hope your patient has no contraindication to mobilization under anesthesia.
Muna
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