Shoulder Ortho Frozen Shoulder

Question 1

Reason for Frozen Shoulder

Answer 1

Idiopathic

Question 2

Frozen shoulder can occur in both arms in about ____ of the cases ?

Answer 2

1/3

Question 3

Frozen shoulder onset begins at what ages?

Answer 3

40 - 65YO

Question 4

What could be an explanation of Frozen Shoulder although it is considered idiopathic?

Answer 4

Muscle Guarding

Question 5

Who is more affected by Frozen Shoulder, men or women?

Answer 5

Women

Question 6

What disease group has FS? What is the percentage?

Answer 6

Diabetics, 10 - 20%

Question 7

When does the pain occur, what are the limitations?

Answer 7

Lift arm to twist door knob
• decrease in PROM ABD
• external (aka lateral) rotation

Question 8

What tissue change happens inside of the shoulder?

Answer 8

• Capsule becomes fibrous
• inferior ‘folds’ of the capsule adhere to each
other

Question 9

How many stages does Frozen Shoulder have?

What are they?

Answer 9

4, initial, freezing, frozen, thawing

Question 10

Stage 1 (name & timeframe)

Answer 10

Initial Stage (0-3 months) 3

Question 11

Stage 2 (name & timeframe)

Answer 11

Freezing Stage (3-9 months) 6

Question 12

Stage 3 (name & timeframe)

Answer 12

Frozen Stage (9-15 months) 6

Question 13

Stage 4 (name & timeframe)

Answer 13

Thawing Stage (15-24 months) 9

Question 14

What test is diagnostic to Frozen Shoulder?

Answer 14

Shoulder ROM

Question 15

Adhesive Capsulitis

Answer 15

Frozen Shoulder

Question 16

What would be the Ortho diagnosis?

Answer 16

Wind-Cold invasion => Progression => painful to fixed Bi

Question 17

What would be the TCM diagnosis?

Answer 17

LV Blood Def.

Question 18

General idea of the treatment?

Answer 18

Dispel painful or fixed Bi, move Qi & Blood, relax sinew channel

Question 19

Frozen Shoulder local treatment

Answer 19

TW14, LI15, GB21, Subscapularis HT1 => SI11

Question 20

Frozen Shoulder distal treatment

Answer 20

LI4, LU7 (shoulder pain: Yuan/Luo)
LI10
GB34
ST38