-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