A frozen shoulder is a painful condition characterized by pain and stiffness. In frozen shoulder, the capsule of the joint gets inflamed, leading to pain that limits shoulder movement and thereby affects shoulder functions. There are three stages of frozen shoulder, and the symptoms differ according to the stage. Physiotherapy plays an important role in the management of a frozen shoulder. The Spencer technique is a seven-step technique that is used to treat shoulder movement restrictions. In this case report, we present the case of a 57-year-old male shopkeeper by occupation with a right frozen shoulder with complaints of pain and stiffness around the shoulder region and reduced range of motion (ROM) for more than six weeks. Physiotherapy rehabilitation was given to the patient using Spencer's technique along with standard management for three weeks. Significant improvement in range of motion, decrease in pain, and functional disability, i.e., shoulder pain and disability index (SPADI), were seen post-rehabilitation and were sustained when evaluated at the end of the second, third, and sixth months.
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http://dx.doi.org/10.7759/cureus.41233 | DOI Listing |
Eur J Pain
April 2025
Chair in Clinical Psychoneuroimmunology, University of Granada, Melilla, Spain.
Objective: To investigate the relationship between leptin levels, insulin resistance (measured by HOMA), and clinical outcomes related to pain, disability, and shoulder range of motion (ROM) in patients with frozen shoulder (FS).
Methods: This cross-sectional study included 34 patients diagnosed with FS. Leptin and HOMA levels were measured and analysed in relation to pain and disability scores, as assessed by the Shoulder Pain and Disability Index (SPADI), along with shoulder ROM (flexion, extension, abduction, adduction, and internal/external rotation).
J ISAKOS
March 2025
Division of Orthopaedic Surgery, Department of Surgery, 1200 Main Street West, McMaster University, Hamilton, Ontario, L8N 3Z5, Canada. Electronic address:
Importance: Greater trochanteric pain syndrome (GTPS) is a chronic condition commonly defined as pain in the lateral hip joint that can be severely limiting to activities of daily living, sleep, and overall quality of life. It encompasses numerous disease states causing pain in the region of the greater trochanter of the femur. Non-invasive management approaches of GTPS include corticosteroid injections and physiotherapy, preferred as first-line interventions prior to surgical interventions.
View Article and Find Full Text PDFCureus
February 2025
Community Health Nursing, Bharati Vidyapeeth (Deemed to be University) College of Nursing, Sangli, IND.
Introduction Pain is a physiological and psychological response. For many people, it is a major problem that causes unpleasantness or aversion and reduces productivity in life. According to the International Association for the Study of Pain (IASP), pain is defined as "an unpleasant sensory and emotional experience associated with actual or potential tissue damage or described in terms of such damage".
View Article and Find Full Text PDFSchmerz
March 2025
Department Innere Medizin II, Infektiologie, Immunologie, Rheumatologie, Pneumologie, Universitätsklinikum Innsbruck, Anichstraße 35, 6020, Innsbruck, Österreich.
Background: Patients often report uncertainty about the information provided by physicians and physiotherapists, as well as difficulties in making decisions regarding medical interventions. Making autonomous and informed decisions requires clear explanations about the condition, its associated limitations, prognosis, and treatment options.
Objective: This systematic review aimed to investigate how common diagnostic labels for the same musculoskeletal pathology influence the perceived severity of a condition and patients' treatment preferences.
J Man Manip Ther
March 2025
Bognor War Memorial Hospital, Sussex Community NHS Foundation Trust, Bogner Regis, UK.
Introduction: There has been an emergence of evidence in the area of frozen shoulder (FS) within the past decade related to risk factors, etiology, diagnosis, and management. It has become increasingly challenging for clinicians and researchers to stay up to date in these areas, particularly with the clinical practice guidelines that are available being few and outdated. To this end, the aim of this study was to produce an international consensus on the risk factors, etiology, diagnosis and management for individuals with FS.
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