Best Anesthesia Services Group

Frozen Shoulder Manipulation Or Physical Therapy - What's Best?

There are many options for treatment of adhesive capsulitis. The two most popular treatments are frozen shoulder manipulation (MUA) and physical therapy. PT can be considered the more long-term solution to a normal functioning shoulder. Manipulation under anesthesia (MUA), however, is a quick fix. Therapy is still an integral part of any treatment, or at least it should be. The question is often asked, "Which one is better?" It all depends on the individual's expectations and circumstances.

An orthopedic doctor will usually perform a frozen shoulder manipulation. After being prepped, the patient is given general anesthesia. After the shoulder has been moved to its final point, it is thrust into normal range. The following motions are possible: Forward elevation, abduction (outward to the overhead), Group Anesthesia Company external rotation (rotating arm/shoulder towards patient's back), inner rotation (rotating shoulder towards front of the body), as well as across the body. This motion is usually sufficient to allow for extension. Stabilizing the scapulae (shoulder) is essential to maintain normal motion. This will make the shoulder appear full-range of motion. However, it is not. The shoulder blade is just going along with the ride. This can result in a poor outcome. A competent practitioner with extensive experience should perform a frozen shoulder manipulation.

A therapist who has experience in treating frozen shoulders is the best person to help you. A therapist's license does not guarantee that they will provide the best treatment. Before blindly following a therapist's lead, it is best to research the credentials and experience of any therapist. You will find many blog and forum posts from unhappy patients who have attempted therapy with little or no success. For a positive outcome with physical therapy, the clinical process is straightforward: 1) Pain/muscle spasm management, 2) Proper manual joints mobilization, 3), Home exercise prescription with correct frequency, intensity, 4), Measures for Gain, and 5). The outcome of adhesive capsulitis can be improved if this is done by an experienced clinician. Therapy is my preferred method of treatment. Therapy will be required in both cases, as the shoulder will stiffen quickly and scar tissue can form.

It is important that patients take responsibility for their own care and do their research on the recommended treatments. Although a frozen shoulder treatment may seem to be quicker, long-term physical therapy can have better and longer lasting results if the patient selects the right therapist.