Shoulder Symptom Modification Procedure - picking the right shoulders to treat

December 19, 2015 by Sian Smale

This week we take a look at one more approach to assessing shoulders, the Shoulder Symptom Modification Procedure. It was developed by internationally acclaimed Physiotherapist Dr Jeremy Lewis and it links beautifully with the previous shoulder blogs, providing a more holistic assessment for the painful shoulder. The SSMP helps identify those suitable for conservative treatment and directs our initial rehabilitation approach.

Frozen Shoulder...Fear Avoidance?

March 19, 2014 by Alicia Rayner

A interesting case study presented by Alicia from her clinical experience during her Masters on adhesive capsulitis. Sometimes when the pieces don't fit together we need to think beyond the patho-anatomical model. In this case, fear and the cognitive-affective aspects of the presentation were the patients biggest problem. In this blog Alicia explores the fear-avoidance model and its effect on pain.

Adhesive Capsulitis - Management

January 05, 2014 by Alicia Rayner

A systematic review by Blanchard (2010) found corticosteroids are better at improving pain, passive external rotation and shoulder disability in the first 6 weeks post-injection. However, physiotherapy was more beneficial at 12 weeks in reducing pain and disability, with both injections and physiotherapy more beneficial than placebo. So should we wait for it to "burn out"?

Adhesive Capsulitis - Pathology & Assessment

December 11, 2013 by Alicia Rayner

Adhesive capsulitis is a shoulder condition resulting in loss of active and passive ROM. It's a combination of synovial inflammation and capsular fibrosis. This blog outlines the clinical assessment of adhesive capsulitis and differential diagnosis.