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Re: Frozen shoulder and numbness in the arm
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Re: Frozen shoulder and numbness in the arm - June 14, 2006 5:03:00 PM
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nari
Posts: 1568
Joined: November 14, 2003
From: Australia
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Ginger
The good part about the neuro first, mechanical stuff later if needed, is the knowledge support from the neurosciences. Mechanical thinking is dandy, but neuro is quicker. Excuse pathetic rhyme.
Nari
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Re: Frozen shoulder and numbness in the arm - June 14, 2006 7:18:00 PM
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ginger
Posts: 647
Joined: February 26, 2005
From: Melbourne Victoria
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Nari
Though it may be argued that a facet joint mobs approach is somewhat mechanical , and I don't deny there is a mechanistic aspect , there is also a very substantial neuromodulation quality to the effects as well. Indeed I relate the speedy changes and best outcomes to these neuromodifying effects. As i use only small pressures to mobilise joints and for long periods of time, I can't imagine there will be changes to distal structures ( as is commonly seen ) without there having been neromodulation. It must seem wierd for the unitiated as it were, to relate to the referred pain/dysfunction/sensation stories that you and I provide here, without the experiences to get it all into perspective. We can only try.
_____________________________
Ubi est mea anaticula cumminosa?
The Grand Pediculator
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Re: Frozen shoulder and numbness in the arm - November 2, 2006 8:23:00 PM
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joelkphysio
Posts: 27
Joined: September 25, 2006
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the only frozen shoulder Ive seen with a neuropathic involvement had a previous history of the ulnar nerve having a scar adherence (from a lump removal next tot he ulnar nerve). The nerve was so sensitive that the ULTT was positive with the arm in 0 deg flex and the hand and fingers were extended. Doing dural mobs (lateral glide of the head in a contralat direction) I was able to get the arm moving into a "typical" frozen shoulder capsualr pattern with resolution of the neural signs.
Is the nerve still sensitive? Likely, but unreachable to illicit this sensitivity due to the true frozen shoulder.....
Fun stuff@!!
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