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[IP] Frozen shoulder - lengthy article quoted

I sent this to the list quite some time ago, but the topic has come up=

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,
lung 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 sometimes painfully) returning to
normal after 3.5 years ;-|
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