Concluded Case

A 51 year female presents with gradual onset of severe restriction of movement at right shoulder inability to abduct since 5 months and painful abduction over the level of shoulder. No co morbidity. Patient has been started on Calcium and vitamin d3 supplement. Was on analgesics and antiinflammatory drugs for a course of 5. Started following physiotherapy routine exercises at home but no relief. What would be the further management in her case?

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Concluded answer

Supraspinatous tendinitis + subacromian bursitis + adhesive capsulitis Likely to be obese diabetic . Difficult case to show early improvement . All modalities tried are correct. Need to persist with physiotherapy, active and passive exercises . Patient is likely to drop out because of pain during passive mobilization. NSAID like etorocoxib + oxalgin oint 1 hour before physiotherapy will help . SWD, US ,and IFT needed at least for one month. Patient should be taught active exercises for shoulder, which she can do at home. Intra lesional steroids help. DM should be looked for and treated . Associated cervical spondylosis with root compression if present, should be treated.

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Supraspinatous tendinitis + subacromian bursitis + adhesive capsulitis Likely to be obese diabetic . Difficult case to show early improvement . All modalities tried are correct. Need to persist with physiotherapy, active and passive exercises . Patient is likely to drop out because of pain during passive mobilization. NSAID like etorocoxib + oxalgin oint 1 hour before physiotherapy will help . SWD, US ,and IFT needed at least for one month. Patient should be taught active exercises for shoulder, which she can do at home. Intra lesional steroids help. DM should be looked for and treated . Associated cervical spondylosis with root compression if present, should be treated.

Treated well in the management of frozen shoulder, but no relief Could be Torn cartilage Bony spur Pinched out nerve at shoulder Arthritis Cervical radiculopathy DM Any tissue or bony growth MRI of RT shoulder/Cervical spine Local piroxicam gel applications NSAIDS Pregabalin+Methylcobalamine Anxiolytic Further management can be done after reports

Thank you doctor
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Frozen shoulder. If Diabetic- Resolve without medication in 18 month. Non Diabetic- Resolve without medication in 12 month. Tab Predmet 16- ODPC 10 days then (8mg) ODPC 10 days then Stop. Pan40- ODAC 20 days. Tab Zerodol 200- ODPC 10 days. Physiotherapy. Review after 2 weeks. Blood for FBG PPBG Uric Acid.

Findings suggest FROZENED SHOULDER Let supratendinitis to resolve than follow physiotherapy

Thanx dr Kute Ankush
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Findings suggestive of frozen shoulder Diabetes to be corrected if there Pendulum exercises Eterocoxib/ serropeptidase Physiotherapy

IT'S A..CASE OF.. ? RT.SHOULER ARTHROPATHY.. * ETEROCOXIB.. * PHYSIOTHERAPY..

Tnx Dr Shivraj Agarwal sir
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Correlates with MRI report No rotator cuff tear Analgesics Chymoral Physiotherapy Consider subacromial steroid injection

Dr.Sanjayji has well repled. Just follow every word of his answer.. I dont have any thing more to add in it.

Frozen shoulder. It takes time to improve. Physiotherapy Anti-inflammatory analgesic drugs can not be given for prolonged period So local gel can be applied It is a self limiting desease Takes 1-2 months to 1-2 years to improve

It is a case of Frozen Shoulder Physiotherapy Nsaid orally Muscular relexants

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