Frozen Shoulder Holistic Treatment
Adhesive capsulitis of the hip has previously been described in the literature as case reports.75-79 The following profile of this condition is presented based on our experience and previously published information. Adhesive capsulitis of the hip presents and behaves similar to adhesive capsulitis in the shoulder. There may or may not be associated intraarticular pathology. Some respond to conservative treatment including oral antiinflammatory medication and physical therapy emphasizing range of motion. It is likely that there are numerous cases that resolve spontaneously without getting treatment. Also, adhesive capsulitis of the hip may not present to the physician as frequently as adhesive capsulitis of the shoulder because the accompanying dysfunction may not be as severe. Patients are able to compensate for restricted range of motion in the hip much better than they can for restriction in the shoulder. As with other hip disorders, MRI is variable in its ability to detect...
The distention shoulder arthrogram involves progressive distention of the glenohumeral joint capsule with a combination of water-soluble contrast material and anesthetic agents such as bupivicaine. This procedure has been advocated in the diagnosis and treatment of glenohumeral adhesive capsulitis or the stiff and painful shoulder (12). It is a minimally invasive alternative to surgical capsular release. Objective assessment of response to this procedure can be performed by comparing passive and active range of motion before and after anesthetic capsular distention. Often the administered anesthetic agents combined with the capsular disten-tion will provide enough symptomatic relief to facilitate increased exercise capacity. This can ultimately end the cycle of the stiff and painful shoulder, allowing the patient to gradually increase the duration and frequency of range of motion exercises.
Secondary problems can occur, such as joint mobility limitations analogous to adhesive capsulitis of the shoulder. Over time, limited joint motion and postural alterations can transfer into faulty mechanics and compensatory stress of joints above or below the hip. Additional musculoskeletal pain syndromes and functional limitation can develop. Secondary knee irritation or lumbopelvic problems are common and
Paralyses may affect one or more limbs, or one side of the face. They may be flaccid or occur with contractures. In a hysterical spasm both arm and leg are contracted on the same side of the body, the hand is closed tightly, the knee is flexed, and perhaps the legs and the foot are drawn up. Paralysis with contractures is one of the most extreme examples of disability caused by hysterical illness. Both that form of paralysis and spasmodic contractures due to hysteria are diagnosed much less commonly today than formerly. We now tend to think that contractures occur because of disuse imposed by the existence of a painful syndrome and inadequate mobilization. Likewise, spasmodic contractures are now much more often thought to be due to organic problems. 'Frozen shoulder' is a common modern example of supposed hysterical contracture a partially frozen shoulder, or arm, which is limited in movement is usually related to a physical cause. Patients exist who were said to have 'psychogenic'...
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