-IBIS-1.5.0-
tx
musculoskeletal system
bursitis
physical medicine

exercise

• wall-walking exercise (shoulder)
• ROM exercises for shoulder
• to break adhesions: flex forearm to right angle, grasp wrist with one hand and point of elbow with other hand elevate shoulder by pushing up on elbow, strongly supinate and pronate forearm, maintaining shoulder elevation, do this at various degrees of abduction, follow with heat
• pendulum exercises (shoulder)


hydrotherapy

• ice pack: for acute, keep on 5 min. remove 1 min. and repeat 3x
• heat applications: to relieve pain e.g. hot fomentation to shoulder 20 min. followed by shower
• alternating hot and cold compresses
• hot epsom salt packs: after swelling
• castor oil packs
• paraffin bath


manipulation

• massage: superficial
• spine: check and align level of dermatome (e.g., deltoid bursitis = C5)
• check for restrictions in pure motion of affected joint; restore using specific gliding mobilizations.


electrical and oscillating

• diathermy: active electrode over anterior shoulder, inactive electrode, large pad, over posterior shoulder
• ultrasound
• Galvanism: (+) to ant. shoulder use comfrey on pad
• iontophoresis: SOD, proteolytic enzymes
• TENS : for analgesia
• interferential:
acute: 90-150 Hz, mild intensity, 12-15 min.;
chronic: use 0-100 setting


footnotes