The shoulder joint is the second largest and most mobile joint in the human body and can be easily understood if divided into three layers. view
Trauma is the term used to describe injury. Trauma is classified by its severity depending on the amount of force used to cause the injury. view
Shoulder Fractures or breaks in the shoulder can occur in the humeral bone, collar bone or the in shoulder blade. view
A shoulder dislocation is classified according to the direction of the dislocation (Anterior, posterior or multi-directional), the amount of force it took to dislocate the shoulder (Traumatic or Atraumatic), and whether it is accompanied by a fracture (fracture dislocation). view
Shoulder Arthritis is the loss of the cartilage cushion in the joint surfaces (blue section) that allows the smooth pain free gliding required during shoulder motion. view
Nerve compression syndromes are normally found in adults of all ages and it is rare to find nerve compression syndromes in patients younger than 20 years of age. view
Shoulder pain is the most common presenting shoulder complaint in an orthopedic practice. view
The shoulder is one of the most well perfused areas of the human body and because of this ample blood supply to the shoulder which carries circulating white blood cells, offers excellent protection against infection, consequently making a shoulder infection a rare occurrence. view
A Frozen shoulderalso called adhesive capsulitis is a condition presenting withshoulder stiffness and severe shoulder pain when shoulder motion is initiated. view
Tumors are divided into benign and malignant types. view
Frozen shoulder is a condition presenting with shoulder stiffness and severe shoulder pain when shoulder motion is initiated. Also called adhesive capsulitis.
Normal Shoulder Structure
Frozen Shoulder Structure
Types of Stiff or Frozen Shoulders
Glenohumeral Internal Rotation Deficit (GIRD) Shoulder
Conditions Increasing Chance of Developing Frozen Shoulder
Once a frozen shoulder is treated, the likelihood of it returning on the same side is remote.
The mainstay of treatment for a frozen shoulder is shoulder capsular stretching exercises. Treatment duration is about 2 years.
Our experience at ROC is that 90% of patients with idiopathic frozen shoulders can obtain 85% of normal movement in about three months if they engage in a good supervised exercise program continued daily with a supplemental home exercise routine 95% of patients presenting with idiopathic frozen shoulder are treated by non-operative means. Non-Operative Means:
Shoulder Six Pack Exercise Program
ROC follows very specific therapy focusing on an assisted passive stretching program. This is very hands-on with a trained therapist. Due to the significant amount of pain experienced during capsular stretching, a patient cannot be expected to do the exercises alone. This is why we advise patients to take prescribed pain medication 30 minutes prior to beginning therapy and also to warm up prior to stretching.
The sequence of stretching is extremely important and involves stretching the shoulder capsule one plane at a time. Two such exercises include forward flexion stretching and cross body adduction stretching. Once these two planes of motion have been achieved, the anterior capsule and rotator interval is stretched by external rotation at the side and in abduction. The final stretch is internal rotation stretching behind the back.
Surgery for Frozen Shoulder is considered if:
Surgery is a combined closed manipulation and arthroscopic release of the shoulder capsule. A closed manipulation performed alone risks injury to the shoulder. Post-traumatic frozen shoulder is the condition most likely resulting in surgery and simple manipulation alone does not release all layers of adhesions present in the subacromial space. This is why an arthroscopic decompression must accompany the capsular release to achieve success.