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in oxford they got some design students to build them an high backed chair , the patient sits with there arm over the back with a bag of saline and just waits till the shoulder reduces itself. Ive been using the milch technique with anagesia and no sedation seems to work well and if you do it slowly enough little pain , it also worked for my friend on the ski slope last year andy stearman spr A & E poole %%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%