Hello Sharr
No concrete evidence, but it may be because they have overused the remaining
unaffected limb because of the severe pain in the original affected side.
Not only is that a result of the pain, but you will see clearly the abnormal
movement patterns with the whole upper thorax and neck-shoulder complex
which is bound to have an effect on altering biomechanics. it is also a
common link with diabetics so that may have something to do with it too if
looked at it epidemiologically. In my experience the doubles I've had,
haven't had diabetes.
I think continued physio -active movement s that are challenging do help to
improve the situation and it is my hunch that they decrease the severity of
the second shoulder involvement but that is all just my hearsay - anyone
like to research it??
I think physio and exercises is the best treatment. I don't think
mobilisations (as in PAs and glides etc) to the shoulder are of much help.
the problem
generally resolves spontaneously and the client will often, but not always,
have some residual restrictions. I also find that deep tissue massage, while
uncomfortable is quite beneficial - perhaps that is a case of it feels good
when you stop banging your head etc...... joking! I actually think that the
massage plus exercise contributes to the recovery. definitely because of the
total involement, chasing the T & C spine is good but just need to remember
that is not the primary approach to recovery.
I agree with the other comment from Robert that lots of things get labelled
as FS which are really something else. The doctors I have discussed this
with have described FS as having definite capsular changes and thickening
and a "glued down" appearance in arthroscopy. It is a true capsular
restriction with fibrosis, fibroblastic proliferation, definite changes in
the connective tissue and loss of intracapsular volume. It is generally
insidious and that is why I think if you can work the muscles and fix it
quickly, it probably isn't a FS. the most restricted range is lateral
rotation but in my experience all of them are pretty 'orrible
If an MUA is done, the active and pass movements really have to start
intensely and vigorously as soon as the person wakes up!
Cheers,
Anna.
Anna Lee
Principal,
Work Ready - Industrial Athlete Centre
Physiotherapist and Occupational Health Consultant
Write to me at [log in to unmask]
Visit me at www.workready.com.au
Snail mail:
Suite 3, 82 Enmore Road,
Newtown NSW 2042
Australia
Tel: (02) 9519 7436
Mob: 0412 33 43 98
Fax: (02) 9519 7439
----- Original Message -----
From: <[log in to unmask]>
To: <[log in to unmask]>
Sent: Monday, 20 March 2000 5:47
Subject: Re: Frozen shoulder
> Hello again Anna. Do you have any suggestions why this unfortunate 10% of
> patients go on to develop frozen shoulder in the opposite arm. Are there
any
> central influences contributing?
>
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