Intuitively I started using strength stretching as you recommend on this video and it seems to have helped much more than what I was receiving at physical therapy where I was doing static stretching. I was in a very bad automobile accident where I had to have C-3,4,5 fused. After the accident I could not close my left hand or open it all the way. Also I could not straighten my left arm. My left shoulder was also very stiff and the orthopedic surgeon said I had capsulitis but during anesthesia he was able to move my shoulder in full range of motion he said. So i’m so glad I came across this video because my intuitive sense let me to Weight stretching as you described in this video. I’ve come to the same intuitive conclusion. I also asked my physical therapy best if I could do exactly as you said is to have my arm stationary and move my body around my shoulder and that made a huge improvement in my range of motion!
I believe I have frozen brain and that is what’s keeping me from having full range of motion. I think it resulted from the traumatic vehicle accident I was in back in October 2021
Manual therapy is just a pain modulator + education + active movement within range of patient preference. Usually the pain I have seen is referred pain from infraspinatus and subscapularis. Deal with that, then encourage movement = pain decreases and better outcomes. N=5 so take that for what it is. All successful though so something is working. Patient 1 was the longest and we worked together a lot, eventually deadlifted 90 lbs, benched 50 lbs and had marked improvement in his pain and function
I have overuse syndrome. I believe the capsulitis is a built-in shoulder immobilizer to protect the shoulder from overuse. If I put the arm in a sling for long enough, I will gain range of movement. I actually fell off of bicycle and fractured my wrist. My wrist was put in a cast for 8 weeks and the pain subsided, because I couldn't use the arm at all during that time. After having the cast removed and gaining strength in my wrist, my shoulder started to hurt again and I went to a doctor. Doctor sent me to physical therapy which caused frozen shoulder. Doctor was so stupid, he didn't realize I had full range of movement on my first visit and that his exercise program cause the frozen shoulder.
Thank you Adam for your insightful information.The only thing I don't agree with you,is not using manual therapy tools for FS.You said stretching is useful for a neuro physiological effect for improving ROM,but at the same time you think manual therapy is useless.I want to ask you, what is the effect of passive mobilisation on a joint ROM?Is that not also a kind of stretching?Do mobilisations not have a neuro physiological effect?I think it does have a positive effect on a joint.Excuse me for my english.
It's because stretching is "more excessive" than simple joint mobilization. Joint mobilization won't produce such amount of stretching force as stretching would.
@@kazion12 I don't agree with that.It depends on how your manual techniques are.Some manual techniques are very excessive for a joint.It depends on which degree you want to mobilize as a therapist and how you mobilize.You have grades in mobilisation techniques for example
@@DenisCzech96 No its not simple.Some patients need a passive adjustment,because they fear to move to the end of ROM.When a therapist doing that passively,tgan you can reach far more than when a patient doing that by him self(avoidance behaviour,fear etc)and you let the patient feel safe to move to the end of ROM.After that you can let him stretch by his own.Its kind of exposure physical therapy.
@@sahand3083 He was saying that manual therapy does not physcially change the length of soft tissues aroung the joint due to how strong the capsule of the joint is (that was when he cited you need 600+kg of weight to actually break the shoulder capsule, when an average mobilisation you do is around 20 kg of force), HOWEVER he also said it can be useful when a neurophysiological effect is wanted to be achieved, which can cause a short term positive effect.
Sounds like a guy who’s never done a manipulation on a frozen shoulder in the clinic. When somebody walks in with 95° of flexion and a completely frozen shoulder and you perform a manipulation with a true tissue adhesion release and that patient walks out of the clinic with 165° of range of motion that same day I’d be skeptical to say that manual therapy is ineffective, and that true adaptations to the capsule can’t be made. Using a statistic that looks at compressive deformation of capsular tissue is very different than load required with shearing of a tissue when there is an angular lever arm. The education system has failed our profession particularly true in Europe.
you may have got someone with "frozen brain" then, you failed to identify the true capsulitis. I use manual therapy, but the effects you are describing are most likely to do with a misdiagnosis of your mate, unless you show me a paper or a series of data which systematically reproduce the results you claim of. Classic of a manual therapist guru
@@blaschito1lol watch an MUA and tell me it’s all just some form of neuropsychological response and not a physical/ structural change. Same thing when a translatory manip is done in the clinic with tissue release. Read some papers on the application of adhesive capsulitis manipulations under anesthesia. I’m far from a manual zealot… Your inexperience and cognitive bias is showing.
@@Max-cm2fo hellooo, under anesthesia! So you tell me you can apply the same forces as you would do under anesthesia. You get into a dissection room and tell me about your fantasies, which is the only thing at the moment being "released"
Is ER0 = ER30° as it’s shown in the slude at 29:13?
Had a rotator cuff injury 14 years ago dev frozen shoulder 4 years ago had hydro dilation done that sorted it, but on w its coming back...
Intuitively I started using strength stretching as you recommend on this video and it seems to have helped much more than what I was receiving at physical therapy where I was doing static stretching. I was in a very bad automobile accident where I had to have C-3,4,5 fused. After the accident I could not close my left hand or open it all the way. Also I could not straighten my left arm. My left shoulder was also very stiff and the orthopedic surgeon said I had capsulitis but during anesthesia he was able to move my shoulder in full range of motion he said. So i’m so glad I came across this video because my intuitive sense let me to Weight stretching as you described in this video. I’ve come to the same intuitive conclusion. I also asked my physical therapy best if I could do exactly as you said is to have my arm stationary and move my body around my shoulder and that made a huge improvement in my range of motion!
I believe I have frozen brain and that is what’s keeping me from having full range of motion. I think it resulted from the traumatic vehicle accident I was in back in October 2021
Manual therapy is just a pain modulator + education + active movement within range of patient preference. Usually the pain I have seen is referred pain from infraspinatus and subscapularis. Deal with that, then encourage movement = pain decreases and better outcomes. N=5 so take that for what it is. All successful though so something is working. Patient 1 was the longest and we worked together a lot, eventually deadlifted 90 lbs, benched 50 lbs and had marked improvement in his pain and function
Adam. You can't tear rotor cuff without tearing capsule??
depends
I have overuse syndrome. I believe the capsulitis is a built-in shoulder immobilizer to protect the shoulder from overuse. If I put the arm in a sling for long enough, I will gain range of movement. I actually fell off of bicycle and fractured my wrist. My wrist was put in a cast for 8 weeks and the pain subsided, because I couldn't use the arm at all during that time. After having the cast removed and gaining strength in my wrist, my shoulder started to hurt again and I went to a doctor. Doctor sent me to physical therapy which caused frozen shoulder. Doctor was so stupid, he didn't realize I had full range of movement on my first visit and that his exercise program cause the frozen shoulder.
Thank you Adam for your insightful information.The only thing I don't agree with you,is not using manual therapy tools for FS.You said stretching is useful for a neuro physiological effect for improving ROM,but at the same time you think manual therapy is useless.I want to ask you, what is the effect of passive mobilisation on a joint ROM?Is that not also a kind of stretching?Do mobilisations not have a neuro physiological effect?I think it does have a positive effect on a joint.Excuse me for my english.
It's because stretching is "more excessive" than simple joint mobilization. Joint mobilization won't produce such amount of stretching force as stretching would.
@@kazion12 I don't agree with that.It depends on how your manual techniques are.Some manual techniques are very excessive for a joint.It depends on which degree you want to mobilize as a therapist and how you mobilize.You have grades in mobilisation techniques for example
The reason for this is pretty simple :
You can do the stretching alone without a therapist which is far better for the self efficiency of the patient
@@DenisCzech96 No its not simple.Some patients need a passive adjustment,because they fear to move to the end of ROM.When a therapist doing that passively,tgan you can reach far more than when a patient doing that by him self(avoidance behaviour,fear etc)and you let the patient feel safe to move to the end of ROM.After that you can let him stretch by his own.Its kind of exposure physical therapy.
@@sahand3083 He was saying that manual therapy does not physcially change the length of soft tissues aroung the joint due to how strong the capsule of the joint is (that was when he cited you need 600+kg of weight to actually break the shoulder capsule, when an average mobilisation you do is around 20 kg of force), HOWEVER he also said it can be useful when a neurophysiological effect is wanted to be achieved, which can cause a short term positive effect.
I’m on my third epic of frozen shoulder 😡😡😡😡😡
Hey, just wondering how your shoulder is going?
Sounds like a guy who’s never done a manipulation on a frozen shoulder in the clinic. When somebody walks in with 95° of flexion and a completely frozen shoulder and you perform a manipulation with a true tissue adhesion release and that patient walks out of the clinic with 165° of range of motion that same day I’d be skeptical to say that manual therapy is ineffective, and that true adaptations to the capsule can’t be made. Using a statistic that looks at compressive deformation of capsular tissue is very different than load required with shearing of a tissue when there is an angular lever arm. The education system has failed our profession particularly true in Europe.
you may have got someone with "frozen brain" then, you failed to identify the true capsulitis. I use manual therapy, but the effects you are describing are most likely to do with a misdiagnosis of your mate, unless you show me a paper or a series of data which systematically reproduce the results you claim of. Classic of a manual therapist guru
@@blaschito1lol watch an MUA and tell me it’s all just some form of neuropsychological response and not a physical/ structural change. Same thing when a translatory manip is done in the clinic with tissue release. Read some papers on the application of adhesive capsulitis manipulations under anesthesia. I’m far from a manual zealot… Your inexperience and cognitive bias is showing.
@@Max-cm2fo hellooo, under anesthesia! So you tell me you can apply the same forces as you would do under anesthesia. You get into a dissection room and tell me about your fantasies, which is the only
thing at the moment being "released"