- This topic has 1 reply, 2 voices, and was last updated 5 years, 8 months ago by
.
-
Posts
-
I have a 34 y/o female who sustained a Gr III AC separation on 7/2/20. She presented to PT on 9/9/20 – 10 wks post injury and following a dog bone Arthrex AC joint repair. She spent about 6 wks inactive in a sling prior to PT. She continues to have quite a bit of mobility impairment that really mimics adhesive capsulitis with all the classic capsular patterns of restriction and lateral shoulder pain. She does not have good glenohumoral rhythm and the humerus still seems “stuck” in the glenoid fossa. I’m curious about some good spots/techniques to place some needles in order to hopefully restore some motion. Currently she demonstrates active shoulder flexion to around 120 deg with passive motion up to around 130 deg. Thanks in advance!
I had to look that one up, Robert! I love the Arthrex videos! I use them all the time in my surgical class at AT Still.
Anyway, ugh, that is a tough one. I would needle at the AC joint (just 1/2″ needles”) for some pain control and then muscle wise, I would go posterior cuff (infra and supra like we did in class) and the in and out technique at the lat/ teres, as we demonstrated in class. You could always go anterior/ posterior glenohumeral joint as well and attach estim for pain control, if there are no contraindications there. I do that in side lying, with the patients are very supported so it doesn’t fall forward or backward during treatment. You may or my not feel comfortable with that as depending on who you took class with and when, we may not have shown that technique. But it’s a thought.
Hope that helps! Good luck and keep us posted!
Sue
- You must be logged in to reply to this topic.