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Re: [IP] tendonitis, somewhat lengthy article

Barb G:

First off - I'm no expert on this, merely a "problem shoulder" person.

Secondly - it's worth a second (or third, or fourth) opinion. The pain is
real, the discomfort pretty constant. Check around, if you can.

I am posting a copy of an article I saved from a message "way back". The
source is cited at the end of the article. Apologies for the length. Delete
if it's off target, please.

"Dear Viewer:

Frozen shoulder is also known as adhesive capsulitis. There have been many 
proposed causes and treatments. Frozen shoulder is characterized by pain 
with restricted range of active (patient moves it) and passive (examiner 
moves it) motion. The most popularly promoted theory of how a frozen 
shoulder develops is that inflammation localized to the joint and its 
surrounding capsule leads to stiffness and pain with eventual scar tissue 
build-up. Conditions associated with frozen shoulder include internal chest 
or breast surgery, shoulder injury and immobilization, heart attack, age,
disease, thyroid disease, and diabetes. 

Conditions which mimic frozen shoulder include dislocations, torn rotator 
cuff (tendon group around the shoulder), arthritis of the spine in the neck, 
and rarely tumors of the upper lung. Frozen shoulder is diagnosed based on 
the pain and limitation of motion noted above. Plain x-rays are usually not 
remarkable. Frozen shoulder can be confirmed with arthrography (x-ray with 
contrast dye into the joint), but this is usually not necessary. The 
treatment of a frozen shoulder can be difficult and slow. Treatments used 
include cortisone by mouth or injections into the shoulder, nonsteroid 
antiinflammatory drugs, physical therapy, manipulation (sometimes under 
anesthesia), acupuncture, ultrasound, injection of saline into the joint 
with pressure, surgery (arthroscopy and/or open surgery), and combinations 
of these.

Generally the first steps toward recovery involve cortisone and physical 
therapy with exercise regimens that stretch the scarred shoulder. These 
exercises can often be done at home, but physical therapists can provide 
initiation and maintenance guidance.

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end of quoted article


Bob - whose shoulder is slowly (and painfully) returning to normal after
2.5 years ;-|

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