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Patient Review Highlights
(Syn. Periarthritis Shoulder, Adhesive Capsulitis)
Frozen Shoulder Syndrome usually presents as a limitation of shoulder movements associated with pain. It usually presents around the age of 40 years equally affecting males and females. Diabetic and obese people are more prone to it. Bilateral frozen Shoulder is almost always found in Diabetics. It usually starts with minor trauma, often ignored by the patient. The patient often claims it to have insidious, spontaneous onset.
On many occasions the patient may have been confined to bed rest for some medical problem, does not do any shoulder movements, and hence gradually slips into shoulder stiffness. Cervical Spondylosis when causes pain in neck and around shoulder, may initiate and precipitate frozen shoulder.
Treatment is simple.
Diabetes must be ruled out in all the patients and treated well in those who are suffering from it.
No treatment will ever succeed unless diabetes is controlled.
X-ray should be done to rule out other associated disorders
E.g. Koch’s, metastatic deposits
Patient needs anti inflammatory drugs (NSAIDS) to control the inflammatory process going on inside.
Muscle relaxants are needed to relieve the spasm of the muscles. They facilitate the shoulder movements.
Neurotropics, antioxidants and omega three fatty acids are needed to improve the general metabolism and health of the patient. They also potentiate the analgesic effect of NASAIDS.
Sometimes manipulation of the shoulder under General Anaesthesia may have to be undertaken.
With advancement of surgical technology, arthroscopic fibrinolysis of the shoulder joint is undertaken with good results.
In the end, it is the active physiotherapy that is the sheet anchor of treatment, until the patient makes a wilful determined effort no treatment will succeed.
The mixture is made with these flowers:
Clematis: for a better concentration
Chestnut bud: to better remember things
Gentian: not to respond when in front of an unexpected situation
Elm: for a surplus of care that an exam requires
Larch: to have confidence in your abilities
Some of my ideas that may help you customizing this mixture:
Mimulus: if you're scared about the exam or if you're shy
Impatiens: especially useful towards the end of the studying process and during the days before an exam, if you're afraid that you might not have enough time to study or if you can't wait for the exam
White chestnut: when your mind always goes to the things that you're studying or when you can't stop thinking about the exam itself. This mixture for the exam is very useful. But don't forget to study.
Intelligent boy is not scoring marks -
Is there any fear of exam? (Mimulus)
Does he forget during the exam but remember after the exam? (Scleranthus)
Or is he going blank and forgetting the answer? (white chestnut)
Or does he not have enough time? (elm)
Or feeling shaky while reading the question paper? (rescue remedy)
Or making silly mistakes and getting fewer marks. (impatiens)
Is he sitting to study putting the required efforts? (oak)
Or not sitting to study in the house? (chestnut bud)
I am 25 years old female. I am married. During intercourse my husband gets relax in just few seconds but I don't get relax in such few seconds ever. My husband's age is 28. We are facing this problem from the first day of our marriage. I am pregnant this time without getting relax. I want to ask you whether problem is in me or in my husband. And also want its solution.
Hello Dr. last night my gf spend with me means just sleep together and do kiss but our badluck that we do not have control and slowly do all thing even intercourse but in morning she angry on me but is not only my fault? And second was when I insert my penis it go easily inside in vagina so she is not virgin or she do sex before?
Hi i am 23 I have Pcos and last in 2014 December I conceived via hmg amd hcg shots but later during 7th month lost my pregnancy due to IUGR. Also I am having thyroid (normal now) Again I am trying to conceive. My doctor gave me clomifene citrate from day 3 to 7. Hmg injections on day 3 and 5. On day 11 I was having a 16mm follicle in right ovary and 19mm ovulated follicle in left. (Ovulation occurred from left ovary without hcg) I want to know if 16mm follicle will rupture at the same time or within 24hrs of each other? My doctor said there are chances of 16mm follicle to rupture till next day. Is it possible?
If any patient failed to become pregnant on a treatment of infertility one should be advised to take a break from treatment and take yoga session and relaxation therapy. Good result are seen after therapy.