Saturday, June 2, 2012

The "Best" frosty Shoulder rehearsal

Occupational Therapy Programs - The "Best" frosty Shoulder rehearsal
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The most frustrating qoute I encounter when treating a inpatient with freezing shoulder is apathy. When the inpatient arrives for their first therapy session they are normally in desperation mode because of the sleepless nights they have encountered over the past 6 months due to shoulder stiffness and pain. They are willing to do just about anything short of cutting off their arm to get rid of the pain and return function... At least that's what they say to my face during this all prominent first visit. "What's the best freezing shoulder exercise?" is normally one of the first questions I get, and the patient's apathetic expressions begins when I begin explaining that freezing shoulder medicine consists of a mixture of exercise and rest, performed in manifold but brief sessions throughout the day. "Do you think going to a chiropractor would help me more?" has been other question on more than one occasion. "Not necessarily, sir" is the reply followed by "their are many techniques to treating your stiff shoulder, most of which are pretty good, but the prominent thing is that you are somewhere taking action".

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Now I'm not trying to sound like a "self-help" guru, but taking daily activity is the absolute crucial first step man with freezing shoulder can do to help speed recovery. Despite beloved belief, just resting the shoulder only makes it more stiff and painful when you have to move it.

Now the next most prominent step is to avoid production it worse. Now as I just wrote the old line, I can roughly here the sarcasm laden reply of thousands of web surfers as they say "ya think?" any way this is not as obviously uncomplicated as it seems. You see, in the world of injuries and recovery, my wife is known as a "tester". If she happens to have an injury such as a painful shoulder, neck, etc... Then everyday, no, some times a day she "tests" that injury to see if it still hurts. For instance if reaching overhead pinches or hurts her shoulder, she will repeat this movement throughout the day to see if "it's getting any better". The point of all of this is to emphasize that if you happen to be a type "A" personality, then bulling your way through the day using your painful shoulder is not the answer.

This is not to say that you will not feel pain throughout the day during exact freezing shoulder exercise, because you certainly will. The prominent belief here is to realize the disagreement between "damaging" pain and "non-damaging" pain. Now I can go into a whole section on the disagreement between the two (which is out of the scope of this article), but basically "damaging" pain is pain you feel when, obviously, damage is being done to soft tissue, ligament, or bone. Damaging pain is often described with words such as "sharp", "tearing", "nerve pain", and "shooting". Most citizen automatically stop when encountering damaging pain (although some low-pain-threshold citizen will push through damaging pain).

By contrast, non-damaging pain is is pain felt due to shortened muscles, ligaments, soft tissue, connective tissue, or tendons and is often described with words such as "achy", "dull", "pulling", and "pressure". precisely there are many more words to enumerate these two types of pain, but these are the ones I have encountered over thousands of inpatient visits over the years. The point of all of this is that if you do exercise and do not push through non-damaging pain with freezing shoulder exercise, you Will Not heighten your chances of recovery. A trained physical therapist can help give you the best mixture of freezing shoulder exercise to maximize your recovery.

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