Management of "Frozen Shoulder"Made Easy; Critical Evaluation on Myofascial Pain Syndrome and Conventional Orthopedic Approaches.

Objective: To evaluate the various coexisting soft tissue pathology that made up "frozen shoulder" and the treatment outcomes. Design: Prospective case series report Methods: All patients with "frozen shoulder from soft tissue origin were included in this study. A new assessment tool for "frozen shoulder" was performed integrating the conventional orthopaedic approaches with myofascial pain syndrome by performing only three simple range of movement tests; abduction of shoulder joint (Painful Arch Test), external rotation with abducted shoulder joint and Hand On Scapular Blade Test. Results: Fifty percent (50%) of the patients presented with multiple pathology and sixty six percent (66%) of them revealed multiple structures involvement. Prevalence of MPS and tendinitis were equally high in "frozen shoulder" (75%). Seventy five percents (75%) of the patients were successfully managed based on this three steps clinical evaluation. Conclusion: The key success of the "frozen shoulder" management depends on the ability to identify the accurate diagnosis/pathology that made up this complex disorder. [ABSTRACT FROM AUTHOR]