Frozen Shoulder Syndrome

Frozen Shoulder Syndrome Diagnosis and Treatment

If you are experiencing pain and stiffness in your shoulder that makes movement uncomfortable and restricted, you may have Frozen Shoulder Syndrome, medically known as adhesive capsulitis. Your shoulder is a complex joint that interacts with may structures, so shoulder pain can have multiple sources. Accurate diagnosis is key to effective treatment.

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August 31, 2017

Understanding a Frozen Shoulder

Here’s a guide to understanding a frozen shoulder This condition, also referred to restrict movement, which causes pain.

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June 23, 2016

Can Frozen Shoulder Happen to You?

The short and simple answer is, yes. The fact is that it is so little is known about frozen shoulder syndrome that it is safe to say this shoulder joint condition can happen to anyone. Frozen shoulder or adhesive capsulitis is a condition in which the tissue around the shoulder joint stiffen causing limited movement […]

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May 31, 2016

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In this instance, an athlete was originally diagnosed with minor quadriceps muscle strain and was treated for four weeks, with unsatisfactory results. When he came to our clinic, the muscle was not healing, and the patients’ muscle tissue had already begun to atrophy.

Upon examination using MSUS, we discovered that he had a full muscle thickness tear that had been overlooked by his previous provider. To mitigate damage and promote healing, surgery should have been performed immediately after the injury occurred. Because of misdiagnosis and inappropriate treatment, the patient now has permanent damage that cannot be corrected.

The most important advantage of Ultrasound over MRI imaging is its ability to zero in on the symptomatic region and obtain imaging, with active participation and feedback from the patient. Using dynamic MSUS, we can see what happens when patients contract their muscles, something that cannot be done with MRI. From a diagnostic perspective, this interaction is invaluable.

Dynamic ultrasonography examination demonstrating
the full thickness tear and already occurring muscle atrophy
due to misdiagnosis and not referring the patient
to proper diagnostic workup

Demonstration of how very small muscle defect is made and revealed
to be a complete tear with muscle contraction
under diagnostic sonography (not possible with MRI)

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Complete tear of rectus femoris
with large hematoma (blood)

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Separation of muscle ends due to tear elicited
on dynamic sonography examination

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