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Acupuncture frozen shoulder

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acupuncture and frozen shoulder :a case report

Publicada em: Saúde e medicina
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Acupuncture frozen shoulder

  1. 1. Understanding the role of electro acupuncture in shoulder pain for frozen shoulder A case report www.arvindam.com
  2. 2. What is frozen shoulder? Frozen shoulder is also known as adhesive capsulitis or capsulosis is an acute inflammation which affect the glenohumeral joint It can arise spontaneously or after a modest injury Patients usually complain in the pain night time and movement range of shoulder significantly reduced
  3. 3. Anatomical structure of shoulder joint Acromioclavicular joint
  4. 4. Attachments of rotator cuff tendons • https://orthoinfo.aaos.org/en/dise ases--conditions/rotator-cuff-tears/
  5. 5. Painful movement Resisted movement Tendon involved Arm abduct no more than 15 degree Supraspinatous Internal rotation Subscapularis External rotation Infraspinatus Terus minor Biceps
  6. 6. History A 50-year-old patient present to the clinic with complain of Pain and stiffness in the shoulder for last 2 months Unable to lift his hand more than 60 degree
  7. 7. Examination Inspection •Shape and counters are compared on both sides •No deformity, no swelling and no wasting is noted Palpation •Muscle spasm and trigger points were palpated Movement •Active and passive movement was restricted from 60 degree above
  8. 8. Stages Freezing ,frozen and thawing 2-9 months Fibrotic contracture 4-12 months Resolution May take years
  9. 9. Point selection Local points Gall bladder 21 which is located at the highest point of the shoulder, midway between GV.14 and Ll.15 Large intestine 15 which is located in the anterior depression on the lateral border of the acromion process. Large intestine 14 is located on the lower border of the deltoid muscle
  10. 10. Distal points Distal point Stomach 38 one finger’s breadth lateral to the anterior border of the tibia. Gall Bladder 34 is located in the depression anterior and inferior to the small head of the fibula.
  11. 11. Acknowledgements A special thanks to Dr Tarun Ray for contributing the case for the learning purposes
  12. 12. Reference • https://orthoinfo.aaos.org/en/diseases-- conditions/rotator-cuff-tears/ • Emad S Tukmachi Frozen shoulder: a comparison of Western and traditional Chinese approaches and a clinical study of its acupuncture treatment https://aim.bmj.com/content/acupmed/17/1/9.full.pdf • Murtag John General Practice/john Murtag,5th ed.
  13. 13. Thank you