*What is the best treatment for a frozen shoulder?*
*What treatment gets patients back to normal the fastest?*
There are many treatment options....
For a patient presenting with 50% or more loss of motion in any plane....I have found that an early manipulation under anesthesia is the best option to get someone back to health ASAP. The patient gets about 15 min of propofol anesthesia and a LMA. In 5 minutes or less a gentle MUA is done and full (or nearly full) motion is restored in all planes.
Patient spends about 1 hour total in the facility and goes home with immediate 50% (ish) improvement in motion. They get the remainder back over the next 1-3 months in therapy depending on their starting point. For most their pain is considerably better once the thickened joint capsule is ruptured in the MUA.
With 25 years of history doing this and a fair amount of literature documenting the results....it is one of the best weapons I have against this insidious shoulder pathology.
Oh, and it is cost effective and covered by insurance.
The doctor fee is $198 from Medicare.
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