Frozen Shoulder...Fear Avoidance?

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. 

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Adhesive Capsulitis - Management

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"?

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Adhesive Capsulitis - Pathology & Assessment

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.

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