Frozen shoulder?

by Clare
(UK)

Hi there, I suffered a bad injury late sept 2013. I was hospitalised for two weeks due to post concussion syndrome and an onset of hemiplegic migraine due the injury.

I am still suffering with PCS, my neurologist suggests I may be suffering up to another 12 months. I have been prescribed low dose anti-depressants to control the headaches and aura (onset of weakness right arm, leg, sometimes both, weakness to my face, stammering, plus after effects, difficulty walking correctly for, say, 2/3 weeks after a bad episode.

In addition (if that's not enough!!) for approx 2 months I have constant odd feeling, tingling, occasional weakness in my R arm, leg and face, in conjunction with what I think is a frozen shoulder. The worst pain in the world on lifting my arm; I have virtually no range of movement left. The physio is at a loss for the moment awaiting an MRI to come back on my neck looking for trapped nerve. My arm has got worse over the last two weeks. I can't even put my hand on my hip, I can't raise it higher than my waist, and my neck feels so stiff.

I'm obviously looking forward to my MRI coming back. But I feel wiped out. And probably need a bloody good cry lol :

Hello Clare,
A blood cry wouldn't do any harm. You're hurting, and lets admit it.

The rule is: if there was enough force in the blow to your head to give you these serious concussion symptoms, then assume you've had a neck injury simultaneously.

Particularly in light of the stiff neck and pain in the arm.

A few questions.

Lie on your back and lift your arm, using the other to help if necessary. Is moving your arm just as painful and stiff when you're not fighting gravity.

Standing, arm hanging at your side, rotate the lower arm inwards, and move your arm backwards and behind your back. What happens?

Turn your head, first right, then left, and simultaneously look up. What happens?

Can you lie on your back with arm out at 90 degrees on a bed? If you can, use the search function at chiropractic help to find the upper limb tension test. What's the difference right and left?

Ask if anyone has done Adson's test on you. Checking your radial pulse whilst you turn your head, look up and breathe in. Not an easy test to do.

Keeping to this thread and let me have your answers.

Dr B

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Interesting challenges of the day

1. Mr S is a 76 year old man with neck pain of some 9 months duration. Luckily, most of the discomfort is upper cervical which is only rarely arthritic; his lower cervical spine is a degenerative mess that I've left alone. After seven treatments his pain and stiffness is 50 percent better, and he's happy in the circumstances. He can sleep through the night now and that makes a huge difference.

2. Mr P is 32 year old man with very severe lower back pain radiating to the big toe which is 30 percent numb. He had an episode three weeks ago, took anti inflammatories and was soon better as is typical of the medial disc herniation. But before it healed, after a trivia it came roaring back, much worse. The characteristic crossed sign was evident; sitting in a chair, straightening the right leg provoked severe left back pain and tingling in the leg. He's doing well.

3. Severe lower back pain is scary; just ask Mrs P. Just watching her get out of the car I she was in trouble; she had a slipped disc at L4 making her lean towards the opposite side; luckily she had no pain in the leg. Despite family pressure that this was far too severe for a chiropractor, she persevered. Within five days she was standing upright, and after two weeks almost painfree. 

Despite a hectic job, she wisely took my advice and stayed home for what I call exercising bed rest.

4. Mr S has had lower back, groin and back of thigh and calf pain for fourth months.

He has a pincer deformity in the hip causing the stabs in the groin, and a degenerative facet causing the sciatica. Both are responding well to chiropractic and he's well pleased; sixty five percent better after three treatments.

5. Mr T is a wise man; he's taken a warning TIA seriously and has lost 15 pounds, and has at least as much again to lose. A change to a low starch diet and half hour daily walk has made the difference; but the walking is making his foot and back miserable. The expensive orthotic is hopeless; luckily his hips and back are fine, but he needs a simple heel lift.

6. I too have had serious lower back issues, luckily fixed by my own chiropractor; so I too have to do my exercises, take care when lifting supers full of honey, gardening and using the chainsaw. Regaining the function of your spine is just as important as the pain.

7. My own granddaughter, only 7 is hypermobile giving her pelvic, knee and ankle issues. Xrays show a mildly dysplastic hip. Years ago we would have called it growing pains. She too regularly needs chiropractic care and luckily responds well. Increased range of motion is more difficult than too stiff in my opinion. Our care is for kids too.

8. This 65 year old lady is a serious gardener; every day she is bending, lifting and digging for 2 to 3 hours a day. It regularly catches her in the sacroiliac joint, so she has a treatment once a month that sorts it out. She does her lower back exercises faithfully.

9. This 88 year old lady is an inspiration; every day she is busy in the community. With a nasty scoliosis she manages very well with a chiropractic adjustment every six weeks and exercises faithfully done.  

10. Mr X is a 71 year old retired man who wants to continue with maintenance care every six to eight weeks; he had suffered from two years of lower back pain when he first came a year ago. He has no discomfort now after 8 chiropractic treatments, but is aware that danger lurks.

11. Mrs C has been having severe headaches, and taking a lot of analgesics. It's a non complicated upper cervical facet syndrome, and she's doing well.

12. Mr D is a 38 old year man with chronic shoulder pain after a rotator cuff tear playing cricket. It responded well to treatment, but he knows he must do his exercises every day; for two years he couldn't sleep on that shoulder.

13. Mr D, a 71 year old man, has a severe ache in the shoulder and midback since working above his head. Trapped nerve tests are negative but he has advanced degenerative joints of Luschka; after just two treatments he is 50 percent better. Can we reach 90?

And so the day goes; chiropractors shouldn't be treating the elderly most medical sites state but that's so much bunkum.



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