Case of the Week Update 1-16-12: Bilateral Frozen Shoulder | Modern Manual Therapy Blog - Manual Therapy, Videos, Neurodynamics, Podcasts, Research Reviews

Case of the Week Update 1-16-12: Bilateral Frozen Shoulder

Just a quick update of this case.

After 8 visits, his right shoulder is WFL but still has some mild end range pain. Left shoulder elevation is coming along more slowly, it's been holding steady at 160-165 abduction 3 visits after the last update, but has been more "sore." We completely stopped him doing elevation stretches and the between visit "soreness" has diminished significantly.

He states most of his pain is now at night, as he rolls on his side and wakes up with bilateral shoulder pain; it does not matter which side he sleeps on as the WB and NWB side are both sore upon waking. Last visit, he was instructed on sleeping supine (how he normally starts the night) but supporting both of his shoulders in resting position with a pillow under each arm. He found this position very comfortable in the clinic. The more comfortable you are, the less chance you are to perform micro-movements and eventually roll over.

The last technique the improved his flexion on the left side quite a bit was IASTM and functional release to the triceps in an elevated position. It surprises me that many of us think to work on the hamstrings to improve hip flexion, but not the triceps to improve shoulder flexion.

Triceps Release

Shoulder Circles and Open Book

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