You are treating a patient for idiopathic frozen shoulder (adhesive capsulitis) that began approximately 6 months ago. Her shoulder external rotation is 0-30 degrees (normal ROM 0-90) and her shoulder abduction is 0-75 (normal ROM 0-180) degrees. She complains that she is frustrated because she is unable to reach for things on high shelves or style her hair. You decide that treatment should emphasize:
Question
You are treating a patient for idiopathic frozen shoulder (adhesive capsulitis) that began approximately 6 months ago. Her shoulder external rotation is 0-30 degrees (normal ROM 0-90) and her shoulder abduction is 0-75 (normal ROM 0-180) degrees. She complains that she is frustrated because she is unable to reach for things on high shelves or style her hair. You decide that treatment should emphasize:
Solution
The treatment should emphasize on improving the range of motion (ROM) in the patient's shoulder. This can be achieved through a combination of physical therapy and pain management.
Step 1: Pain Management The first step in treating adhesive capsulitis is to manage the pain. This can be done through non-steroidal anti-inflammatory drugs (NSAIDs), corticosteroid injections, or other pain management techniques.
Step 2: Physical Therapy Once the pain is managed, the patient can start physical therapy. This will involve exercises to improve the range of motion in the shoulder. The exercises will start off gentle and gradually increase in intensity as the patient's condition improves.
Step 3: Home Exercises In addition to physical therapy sessions, the patient should also do exercises at home. These exercises will help to maintain the improvements made during physical therapy and further increase the range of motion in the shoulder.
Step 4: Regular Follow-ups Regular follow-ups with the healthcare provider are important to monitor the patient's progress and adjust the treatment plan as necessary.
By focusing on these areas, the patient should be able to regain enough range of motion in her shoulder to reach for things on high shelves and style her hair.
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