Frozen Shoulder Technique

Front 1

NMT Shoulder Procedure

Back 1

Start with the patient in a sitting position. Feel the upper fibers of the trapezius muscle, taking note of the nodules beneath the skin. Massage the area and slowly build the pressure until you have hit the pain zone. If the pressure is too much, reduce the pressure but do not pull away entirely. Ask patient to focus on breathing and and try to internally locate the tender point and visualize it. Some effects include: attenuating of the afferent pain feedback pathways, stretching tight myofascial structures, stimulating localized inflammation and thus blood supply to clear away debris and toxins, stimulates the release of powerful pain killing endorphins and to reciprocate the repair of the fascia.

Perform several deep, slow strokes one-way from the elbow towards the head only. Move upwards and stretch the band on the journey applying slow and steady pressure on the embedded nodules. Follow up with gentler effleurage massage upwards only.

Lay them on the good shoulder side, let the bad upper arm hang off the bed as much as possible. Find the TP located in the joint capsule zone (Teres minor). Gently bring arm back to the side. Articulate the arm, which involves taking the bent arm and moving it in increasingly larger complete circles (circumduction). It is important that the patient's arm is completely heavy and relaxed. Take it to the pain zone and then come away about 20% using slow, confident movements. Repeat several times.

With patient on the back, work slowly up the long head biceps tendon. Moving upwards only, pause on the nodules along the tendon. Hold the TP where the biceps tendon joins the capsule. Now, use deep sustained pressure on the TP in the infraspinatus in the middle of the shoulder blade. Move clockwise around the zone until the pressure can be felt "inside" the front of the shoulder joint.

Front 2

AIS Shoulder Procedure

Back 2

Start by standing up, bending over at the waist, and doing clockwise arm circles towards the ground. Sit in chair and horizontal abduction at 90 degrees, arm straight forward in front of face with Barbie angle, pull it directly outwards from the front. Horizontal abduction at 135 degrees, taking the arm from 90 degrees take it backwards and upwards. Horizontal abduction 2, bend arms up and back so hands are folded behind the neck to stretch pectoralis minor. Hyper-extension to both arms, pull arms behind back, clasp hands, and turn elbows out 90 degrees. Take both arms directly backwards with both hands parallel, back, and up. Horizontal abduction - posterior (clap in back) 195 degrees. Externally rotate one arm out 95 degrees and upwards, and then downwards for internal rotation. For triceps, raise elbow to sky and keep arm parallel, and then do the same but to the side at 95 degrees and fully over head laterally with the thumbs up & down.

Front 3

PT for Frozen Shoulder

Back 3

Always warm up the shoulder before performing exercises. You can use a moist heating pad or damp towel heated in the microwave.

1. Pendulum stretch. Do this exercise first. Relax your shoulders. Stand and lean over slightly, allowing the affected arm to hang down. Swing the arm in a small circle — about a foot in diameter. Perform 10 revolutions in each direction, once a day. As your symptoms improve, increase the diameter of your swing, but never force it. When you're ready for more, increase the stretch by holding a light weight (three to five pounds) in the swinging arm.

2. Towel stretch. Hold one end of a three-foot-long towel behind your back and grab the opposite end with your other hand. Hold the towel in a horizontal position. Use your good arm to pull the affected arm upward to stretch it. You can also do an advanced version of this exercise with the towel draped over your good shoulder. Hold the bottom of the towel with the affected arm and pull it toward the lower back with the unaffected arm. Do this 10 to 20 times a day.

3. Cross-body reach. Sit or stand. Use your good arm to lift your affected arm at the elbow, and bring it up and across your body, exerting gentle pressure to stretch the shoulder. Hold the stretch for 15 to 20 seconds. Do this 10 to 20 times per day.

4. Armpit stretch. Using your good arm, lift the affected arm onto a shelf about breast-high. Gently bend your knees, opening up the armpit. Deepen your knee bend slightly, gently stretching the armpit, and then straighten. With each knee bend, stretch a little further, but don't force it. Do this 10 to 20 times each day.

5. Ouward rotation. Hold a rubber exercise band between your hands with your elbows at a 90-degree angle close to your sides. Rotate the lower part of the affected arm outward two or three inches and hold for five seconds. Repeat 10 to 15 times, once a day.

6. Inward rotation. Stand next to a closed door, and hook one end of a rubber exercise band around the doorknob. Hold the other end with the hand of the affected arm, holding your elbow at a 90-degree angle. Pull the band toward your body two or three inches and hold for five seconds. Repeat 10 to 15 times, once a day.