Lake City Hospital

Frozen shoulder is characterized by progressive pain and stiffness of the shoulder which usually resolves spontaneously after about 18 months. 

There are three phases that the condition will pass through; 
A freezing phase where the joint tightens up, a stiff phase where the movement in the shoulder is significantly reduced and a thawing phase where the pain gradually reduces and mobility increases.

Clinical features

• Age - 40 - 60 yrs
• History of trauma, often trivial followed by aching in the arm and shoulder.
• Tenderness
• Stiffness
• Wasting

Cardinal features: stubborn lack of active and passive movements of shoulder in all directions.

Treatment: 

• One should seek proffessional advise before attempting any frozen shoulder rehab.
• Treatment is divided into two modes: conservative. And surgical.
• Conservative treatment: physiotherapy plays an important role in the prevention as well as resolution of this condition. It aims to releive pain and prevent further stiffening with:
• Rest
• Non steroidal anti inflammatory drugs
• Electrotherapy - ultrasound, tens & laser treatment may also help reduce pain and inflammation.

Therapeutic exercises

1 Pendulum exercise

2 Wand exercises

3 Therapist assisted mobilizations

4 Stretches - 

• Shoulder flexion stretch
• External rotation stretch
• Chest stretch
• Posterior shoulder stretch

 
5 Strengthening exercises

• Isometrics shoulder exercises
• Postural exercises - scapular squeezes

6 Taping

• Surgery 
• Surgery is the last resort if normal treatment has failed.

1. Expose yourself to sunlight for a few minutes every day.

2. Take a diet rich in calcium such as milk products, salmon, broccoli.

3. Exercise for weight bearing, walking. Jogging, aerobics, cycling etc will help you out.

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The core muscles, mainly concentrated around the abdomen, hips, lower back, trunk, and glutes, are indeed a powerhouse that gets you going. The stronger the core muscles, the fitter you stay. Without a proper core strength, a lot of the day to day activities including lifting or bending gets affected. Certain health conditions can weaken the core muscles. But how to know if the core muscles are weak? There are many signs and symptoms associated with weak core muscles.

Mentioned below are some important signs that may be an indication of weak core muscles.

1. For your posture to be correct, the spine and pelvis need to be stable: The muscles of the lower back and the abdomen does exactly that, ensuring a steady and correct posture. However, when the core muscles weaken, they are unable to provide stability to the spine and the pelvis resulting in a poor posture. Left unattended, poor posture, in turn, can trigger a myriad of complications and discomfort.
2. The body loses its balance: As already mentioned, the core muscles go a long way in stabilizing the body and helping you to maintain the body balance. You can perform a small test to know if your balance is affected. Close your eyes and stand on one foot. Repeat the procedure with the other foot as well. If you have a developed core, you will be able to hold the position for at least 10 seconds, if not more (both the legs).
3. A pain concentrated to the lower back: Do not ignore a lower back pain. It could be an indication of your core muscles not being strong enough, especially the ones adjacent to the spine. The weak muscles fail to provide the necessary support to the discs and the vertebrae resulting in pain (mild to severe depending on the severity of the condition) and discomfort. Timely medical intervention may help improve the condition.
4. Weakness throughout the body: The strong core muscles are an indication of a healthy and fit body. When the muscles start to lose its strength, the entire body gets affected. A person finds it difficult to even lift things. Doing even a small and regular work leaves a person weak and tired.
5. You can also perform the Hollowing Test to check your core strength: Sit in a comfortable position. Starting breathing in and out. As you breathe out or exhale, try to pull your stomach inwards towards the spine for at least 10 seconds. Unable to pass this test (can't hold the position for 10 seconds) indicates weak core muscles.
6. You can also try the plank test: Get yourself in a push-up position with the entire body resting on your elbows, arms, and toes. The hip should be level and steady. Failing to stay in this position for 50 seconds is indicative of weak core muscles

Dislocation refers to an injury, which causes the bones to abnormally separate from each other in the joint, which is the meeting place of the bones. Dislocation causes intense pain and is most common in the fingers, shoulders and the elbows. Although a timely diagnosis can make your pain go away, any future injury in the tendons or the ligaments might bring back the injury. 

What can cause a dislocation?
The causes of dislocation are as follows:

1. A body joint can get dislocated if you have suffered a fall.
2. If you are into any form of sports that requires strenuous physical activity and intense exertion on certain body parts like gymnastics, football or volleyball you have a chance of suffering from dislocated body joints.
3. Automobile accidents can also cause dislocation of joints.
4. Some People who are with a loose ligament and are more likely to get a dislocated joint than other people. This may happen without the influence of a major physical trauma or stress.

Understanding the signs and symptoms

In the majority of the cases, a dislocation of the joint is easily detectable as it induces inflammation along with redness and deformation of the affected area. Some of the other symptoms that might occur as a result of the dislocation of the body joints could be: 

1. You might experience severe pain while moving the dislocated joint.
2. There will be a lack of sensation near the dislocated portion.
3. There might be a stinging sensation in the dislocated area.
4. In certain areas you may not be able to move the joint at all

If you have a dislocated joint, the doctors can easily relocate them. Depending on the amount of swelling and pain you are experiencing, the doctor might administer local anesthesia during the process. If the joint dislocation is too severe or has multiple instances of dislocation, then you may have to undergo surgery. Surgery may also be suggested if the adjoined ligaments or tendons are severely affected along with the joints.

Back pain is a common source of pain, which can be acute, subacute or chronic in nature. Back pain is classified along the segments of the spine and can be divided into neck pain, middle back pain, lower back pain or tailbone pain.