It shocks me that frozen shoulders get called tendonitis by specialists. There are 4 things I check for to Dx
- Severe pain keeping them up at night
- Decrease ROM in all planes
- Severe pain with arm in abduction and I apply minimal inferior glide to GH joint
- If you ask them to raise their arm up their upper trap raises in conjunction with the Humeral head. They go up together. This happens when the joint is locked. You see this with a nerve injury and RTC tear too but a myotome test and empty can test rules those out.
A lot of times the person is told it’s RTC tendonitis. Well if I grabbed your wrist joint and squeezed and told you to perform flexion and extension all day how long do you think it would take for you to develop tendonitis!
Watch this teaching video of Frozen shoulders and how I Dx and treat it below. In 2 decades I have never had a patient need to get an MUA (that I am aware of) and my rehabs usually take 8 weeks. I also can usually get 10-12 degrees of ROM in a few minutes without touching the shoulder the patient loves it!
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