Shoulder

Arthroscopic subacromial decompression for subacromial shoulder pain – Full Text Article

The Lancet VOLUME 391, ISSUE 10118, P329-338, JANUARY 27, 2018 Prof David J Beard, DPhil Published:November 20, 2017DOI:https://doi.org/10.1016/S0140-6736(17)32457-1 Summary Background Arthroscopic sub-acromial decompression (decompressing the sub-acromial space by removing bone spurs and soft tissue arthroscopically) is a common surgery for subacromial shoulder pain, but its effectiveness is uncertain. We did a study to assess its […]

Risk Factors for Shoulder Stiffness: Current Concepts – Full Text

Joints. 2017 Dec; 5(4): 217–223. Published online 2017 Dec 11. doi: 10.1055/s-0037-1608951 PMCID: PMC5738468 Davide Cucchi Abstract Shoulder stiffness is a condition of painful restriction of the glenohumeral range of motion. Numerous risk factors for primary and postoperative shoulder stiffness have been described. This article summarizes the known aspects of the pathophysiology of shoulder stiffness, […]

Utilization of Manipulative Treatment for Spine and Shoulder Conditions Between Different Medical Providers in a Large Military Hospital – Full Text Article

Archives of Physical Medicine & Rehabilitation January 2018 Volume 99, Issue 1, Pages 72–81 Daniel Rhon, DSc’ Abstract Objective To describe the use of manipulative treatment for shoulder and spine conditions among various provider types. Design Retrospective observational cohort. Setting Single military hospital. Participants Consecutive sample of patients (N=7566) seeking care for an initial spine or shoulder […]

Abnormal Pain Response After a Compensable Shoulder Injury – Full Text Article

Posted on December 24, 2017 by Scott Buxton on Physiospot.com The role of psychosocial factors has been established in patients with shoulder abnormalities. However, the prevalence of exaggerated pain behaviors and their association with the characteristics of injured workers have not been well studied. The aim of the study was to examine the prevalence of abnormal pain responses (APRs) […]

Managing The Frozen Shoulder – E-book

A self-care guide for those suffering from frozen shoulder William E. Morgan, DC Sarah Potthoff, DC Download Ebook

No benefit of arthroscopy in subacromial shoulder pain – Full Text Article

Berend W SchreursEmail the author Berend W Schreurs, Stephanie L van der Pas Published: 20 November 2017 Scoping the shoulder (arthroscopy) for an impingement  syndrome is responsible for up to 70% of all shoulder problems. A study in the past showed that the scientific clinical evidence in favor of this type of shoulder surgery is […]

Hydraulic distention and frozen shoulder management

Frozen shoulder is a commonly found disorder that is both painful and debilitating to a patient. Currently, no standard treatment protocol is universally accepted for the management of frozen shoulder. The authors of this study examine the effectiveness of hydraulic distention, also known as hydroplasty, as a fast, inexpensive, low risk manoeuvre for the management […]

Very High Prevalence of Frozen Shoulder in Patients With Type 1 Diabetes of ≥45 Years’ Duration: The Dialong Shoulder Study

Niels Gunnar Juel, MD Archives of Physical Medicine and Rehabilitation August 2017 Volume 98, Issue 8, Pages 1551–1559 Highlights Of patients with type 1 diabetes for ≥45 years, 59% had frozen shoulder, with 73% affected bilaterally. Patients with painful frozen shoulder had highest disability and least shoulder mobility. High glycemic index was associated with severe disability […]

Work-related risk factors for specific shoulder disorders: A systematic review and meta-analysis

AUGUST 18, 2017 Occupational and Environmental Medicine van der Molen HF, et al. The goal of this paper was to identify which work–related risk factors were associated with specific soft tissue shoulder disorders. The data revealed Low-quality evidence with regard to the absence of associations for arm repetition, social support, decision latitude, job control and […]

Corticosteroid injections for rotator cuff tendinosis

The wide use of corticosteroid injections into the subacromial space for symptomatic rotator cuff tendinosis may be attributable to habit or an incentive to satisfy the patient with a “quick fix” rather than discuss other options such as physiotherapy and exercise. This 2016 meta-analysis found corticosteroid injections provide, at best – minimal transient pain relief […]

Shoulder Pain: Manual Works Well and Costs Less Than Shots

by Shara Yurkiewicz August 04, 2014 Patients with shoulder pain receiving corticosteroid injections (CSI) versus manual physical therapy (MPT) had the same amount of symptom improvement, but the corticosteroid group used more healthcare resources, researchers reported in a study published in Annals of Internal Medicine on Aug. 4. Patients assigned to receive injections had more […]

Systematic Review of Nondrug, Nonsurgical Treatment of Shoulder Conditions

J Manipulative Physiol Ther. 2017 May 26. pii: S0161-4754(17)30009-X. doi: 10.1016/j.jmpt.2017.04.001. [Epub ahead of print] Hawk C1, Minkalis AL2, Khorsan R3, Daniels CJ4, Homack D5, Gliedt JA6, Hartman JA2, Bhalerao S7. Abstract OBJECTIVE: The purpose of this review was to evaluate the effectiveness of conservative nondrug, nonsurgical interventions, either alone or in combination, for conditions […]

Several factors may predict rotator cuff retear after arthroscopic repair

Kim IB, et al. Arthroscopy. 2016;doi:10.1016/j.arthro.2016.03.012. April 12, 2017 Duration of symptoms before surgery of full-thickness rotator cuff tears, tear size and tendon involvement may be used to preoperatively predict retear after arthroscopic repair using the suture bridge technique, according to results of this prognostic case series. Researchers identified 282 patients who underwent arthroscopic rotator […]

Are degenerative rotator cuff disorders a cause of shoulder pain?

Journal of Elbow and Shoulder Surgery May 2017 Volume 26, Issue 5, Pages 766–773 Are degenerative rotator cuff disorders a cause of shoulder pain? Comparison of prevalence of degenerative rotator cuff disease to prevalence of nontraumatic shoulder pain through three systematic and critical reviews Karl Vincent, DC, PT, MSc Hypothesis and Background The role of degeneration is […]

Natural history of frozen shoulder: fact or fiction?

This review found a lack of evidence to support the long-running notion that frozen shoulder is a self-limiting condition with identifiable stages of progression (painful, stiff and recovery phases) and complete resolution of symptoms, even without treatment. The proposed timing of this progression – slower gains in the beginning and faster ones at the end […]

Lung cancer and shoulder pain: What’s the connection?

Tue 14 March 2017 By Zawn Villines Reviewed by Christina Chun, MPH Most people experience shoulder pain, usually due to inflammation or muscle injuries. Much less frequently, shoulder pain can be a sign of lung cancer. Although shoulder pain is not a hallmark of lung cancer, any persistent unexplained pain warrants a visit to a […]

Very High Prevalence of Frozen Shoulder in Patients with Type 1 Diabetes of More than 45 Years’ Duration. The Dialong Shoulder Study

Niels Gunnar Juel, MD Archives of Physical Medicine and Rehabilitation Highlights •59% of patients with type 1 diabetes over 45 years had frozen shoulder, 73% bilaterally. •Patients with painful frozen shoulder had highest disability and least shoulder mobility. •High glycemic index was associated severe disability and restricted shoulder mobility. Abstract Objective To compare the prevalence […]

A systematic review of thrust manipulation for non-surgical shoulder conditions

Amy L. Minkalis Chiropractic & Manual Therapies 2017 25:1 https://doi.org/10.1186/s12998-016-0133-8 ©  The Author(s). 2017 Received: 20 July 2016 Accepted: 7 December 2016 Published: 4 January 2017 Abstract Purpose Although many conservative management options are available for patients with non-surgical shoulder conditions, there is little evidence of their effectiveness. This review investigated one manual therapy approach, thrust manipulation, as a treatment option. Methods A systematic search was conducted of the […]

Dry needling does not offer benefits in addition to personalized, evidencebased physical therapy treatment for patients with nonspecific shoulder pain

Published: Journal of Orthopaedic & Sports Physical Therapy, 2016 Volume:47 Issue:1 Pages:11–20 DOI:10.2519/jospt.2017.6698 Study Design Multicenter, parallel randomized clinical trial. Background Myofascial trigger points (MTrPs) are implicated in shoulder pain and functional limitations. An intervention intended to treat MTrPs is dry needling. Objectives To investigate the effectiveness of dry needling in addition to evidence-based personalized […]

Shoulder pain linked to increased heart disease risk

Date: December 27, 2016 Source: University of Utah Health Sciences Summary: After all the lifting, hauling and wrapping, worn out gift givers may blame the season’s physical strain for any shoulder soreness they are feeling. It turns out there could be another reason. A new study finds that individuals with symptoms that put them at […]