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Frozen shoulder
Right hand frozen shoulder since last one year. Intracellular injection has not taken, physiotherapy done, including ift.
Arm moving upwards normally, but pain in backward movement and constant pain on shoulder joint.
He is diabetic patient for more than 20 years. Donot have thyroid.
Answers (8)
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Young pt having stiff soulder(frozen shoulder is wrong word as it doesnot convey anything and is misnomer) with gud arm lift may b not true stiff in ur words true frozen shoulder.
Clinically it can b correctly diagnosed and managed but I need specific details eitheo wr can meet online or physical meeting with safety norms .
Next Steps
Right approach is required as already one year u have suffered .
Can contact me on Practo consult as i m in New Delhi Malviya nagar locality and Shoulder ,knee &Hip specialist at A O speciality.
Health Tips
Get fresh blood sugar,S uric levels and if any ultrasound or Scan with u it will b additional help but important is clinical assessment
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Hello,
Inorder to get effective treatment and appropriate consultation for your problem it is advisable to consult online with me. This is important as I can know detailed history and findings and suggest appropriate management.
You can also get a chance to solve all your queries through free chat following the consultation.
Consult directly with me, your orthopaedic doctor, through Practo for detail history, discussion and treatment plan. Here we can chat or can also do audio or video consultation for detailed management. Take appointment for thorough prescription and consultation. Use following link to do online consultation: https://www.practo.com/mumbai/doctor/chintan-doshi-orthopedist/consult
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Take appointment for thorough prescription and consultation. Use following link to do online consultation: https://www.practo.com/mumbai/doctor/chintan-doshi-orthopedist/consult
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Need to check clinically. Also check for sugars. If severe requires manipulation under anesthesia
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Please consult for physical examination
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Check diabetic status.
If normal...Get intrarticular injection done.
If pain is tolerable and exercises possible, then do pendulum and rom exercises.
Next Steps
Consult online.
Health Tips
Exercises are mainstay in forzen shoulder.
Rotations are affected first and most.
Patients do not do exercises effectively while in pain, so pain management is must.
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Dr. Sandeep Saraf Agarwal
Orthopedist
10 yrs exp
Visakhapatnam
HOME EXERCISES
PHYSIOTHERAPY
INTRAARTICULAR INJECTION AND MANIPULATION
U NEED TO CONSULT WITH ME DIRECTLY THROUGH PRACTO FOR COMPLETE DISCUSSION ON THIS .....!
DR .SANDEEP SARAF AGARWAL
Next Steps
Kindly ask to take APPOINTMENT through the following link https://www.practo.com/visakhapatnam/doctor/sandeep-saraf-agarwal-orthopedist?cache_refresh=true
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Dr. Ahesan R Shaikh
Ortho surgeon
8 yrs exp
Mumbai
You can try MUGA ( MANIPULATION UNDER GENERAL ANAESTHESIA.) + INTRA ARTICULAR INJECTION.
ITS LIKE PATIENT IS SLEEPING AND SURGEON GIVE INTRA ARTICULAR INJECTION AFTER THAT SERIES OF SHOULDER MOVEMENT WILD MILD FORCE TO BREAK THE ADHESSION FORMED INSIDE TISSUES .
AND AFTER THAT AGGRESSIVE PHYSIOTHERPY + PAIN KILLER FOR FEW DAYS.
AND GET HIS DIABETIES UNDER CONTROL. AS INTRA ARTICULAR STEROID DOSE IS LOW. IT WONT CAUSE MUCH FLUCTUATION IN SUGAR LEVEL. BUT ALREADY IF SUAGRS ON HIGHER SIDE THE SMALL FLUCTUATIONS CAN ALSO MAKE BIG DIFFERENCE.
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Dr. Siddhartha Maredupaka
Orthopedist
12 yrs exp
Hyderabad
Pain and inability to reach out to the back is very typical of adhesive capsulitis, commonly called as frozen shoulder
Next Steps
consistent capsular stretches and cuff strengthening exercises will help a lot in this situation
also control DM
Health Tips
can consult with me through PRACTO for further advice and management
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