#Adhesive Capsulitis

[doctorenzoyeh]

3 Stretches You Need to Know for Frozen Shoulder

If you have constant burning pain that came out of nowhere and it just doesn’t go away, you might have frozen shoulder (adhesive capsulitis)! Today I’m going to show you three simple stretches that are appropriate for all stages of frozen shoulder rehabilitation!

[mcatmemoranda]

Going through questions:

The U.S. Preventive Services Task Force (USPSTF) recommends exercise interventions to prevent falls in community-dwelling adults ≥65 years of age who are at increased risk for falls (B recommendation). Falls occur at least once annually in approximately 30% of community-dwelling adults 65 years or older, and the USPSTF recommendation is based on studies that demonstrated improved fall-related outcomes for patients who participated in exercise programs.

Most evidence included group exercise, but supervised individual interventions also appeared to be of benefit. Gait, balance, and functional training; resistance training; flexibility work; and endurance training all appeared to be effective for reducing falls.

Other interventions associated with a reduction in falls or fall-related fractures include an annual fall risk assessment, assistive devices such as grab bars or walkers, and environmental assessment and modifications such as the removal of trip hazards from the home. However, the evidence for in-home assessment of environmental hazards is less robust.

There is no evidence for psychological evaluation in the prevention of falls. The USPSTF recommends against vitamin D supplementation to prevent falls in community-dwelling adults ≥65 years of age in those who are not known to have osteoporosis or vitamin D deficiency (D recommendation).

Above image:

The pearly, papular appearance of this patient’s growth and the overlying telangiectasia makes the most likely diagnosis a nodular basal cell carcinoma. Basal cell carcinoma is the most common cutaneous malignancy. The incidence increases with age and occurs most commonly in Fitzpatrick skin types 1 and 2. The tumors appear most frequently on the face, scalp, ears, and neck, and less frequently on the torso and extremities. In-office dermoscopy may make the branching blood vessels or telangiectasias characteristic of basal cell carcinoma easier to see. In pigmented basal cell carcinomas, dermoscopy can highlight pigmented globules or other areas of abnormal deposition not easily seen without a dermatoscope. Basal cell carcinoma can be locally destructive but rarely metastasizes.

A 55-year-old male with a 40-pack-year smoking history comes to your office with the results of spirometry he had at a health fair. He quit smoking 1 year ago. He does not have any cough, dyspnea, wheezing, or sputum production, but he is concerned that the spirometry results show an FEV1/FVC ratio of 0.65 and an FEV1 of 70% of predicted, which indicates mild to moderate airflow obstruction.

Based on the best available evidence, which one of the following should you recommend in order to prevent the development of symptomatic airflow obstruction?

Answer: No treatment

There is no evidence from randomized, controlled trials to show that treating asymptomatic individuals who have mild to moderate airflow obstruction on spirometry prevents future respiratory symptoms or reduces subsequent declines in lung function. Partly for this reason, the U.S. Preventive Services Task Force and joint guidelines issued by the American College of Physicians, American College of Chest Physicians, American Thoracic Society, and European Respiratory Society recommend against screening for COPD in asymptomatic adults. Regardless of the results of this patient’s spirometry testing, treatment should not be initiated in the absence of symptoms. Detailed history-taking would be appropriate to detect patients who have limited their activity in order to avoid symptoms. A long-acting anticholinergic, a long-acting β-agonist (LABA), an inhaled corticosteroid (ICS), and combination therapy with an ICS and a LABA would not be recommended for this patient.

Family physicians are often required to manage dyspnea and evaluate common office spirometry results. The American Thoracic Society recommends complete pulmonary function testing with diffusing capacity of the lungs for carbon monoxide (DLCO) measurement when office spirometry suggests a restrictive pattern, which is defined as an FVC less than 80% of predicted. This level of pulmonary function testing gives further information about gas exchange and lung volumes, allowing a more definitive diagnosis.

The 6-minute walk test is used to evaluate the treatment response for known cardiopulmonary disease. Bronchoprovocation testing helps identify asthma triggered by allergens or exercise when office spirometry is normal.

Pearly papules of the penis are a benign, normal anatomic variant and are not sexually transmitted. They are dome-shaped, skin-colored papules 1–4 mm in size with a ring-like distribution around the corona of the glans penis, more commonly found along the dorsal side of the corona. They are present in up to 15%–40% of males. They most commonly occur in late puberty and early adulthood. Circumcised males have a lower incidence. The differential diagnosis includes condyloma acuminata; Tyson glands, which are modified sebaceous glands in a parafrenular distribution; or molluscum contagiosum.

Angiokeratomas are well-circumscribed red or blue papules that are 1–6 mm in size. Genital warts are raised masses that can be pearly and smooth or have a rough, cauliflower-like appearance, and are not confined to the penile corona. Lichen nitidus consists of discrete, hypopigmented, 1-mm papules that are not confined to the corona and can also occur on the upper extremities and abdomen. Squamous cell carcinoma may be endophytic (ulcerated) or exophytic (thickened skin or wart-like growths that can progress to a large, irregularly shaped, fungating mass).

Adhesive capsulitis is characterized by worsening shoulder pain that is hard to localize. The underlying pathology is contraction of the glenohumeral capsule resulting in decreased active and passive range of motion. It is an idiopathic condition but has an increased prevalence in patients with diabetes mellitus and hypothyroidism. Adhesive capsulitis is often self-limited but can persist for years in some patients. Nonsurgical treatment options include physical therapy, oral or intra-articular corticosteroids, acupuncture, and hydrodilatation.

Osteoarthritis is more common among older patients and typically develops more chronically than the subacute presentation of adhesive capsulitis. There is often a history of trauma, previous surgery, or repetitive work. Superior labrum anterior to posterior (SLAP) lesions can be acute (e.g., sustained during a fall on an outstretched hand) or chronic (e.g., in throwing athletes or other high-risk professions). Passive range of motion may be sustained. Infraspinatus tendinopathy may show pain with resisted external rotation. It may also arise due to acute injury or chronic repetitive overuse. Supraspinatus tendinopathy may present with normal strength but positive impingement testing as well as a positive Jobe test or empty can test.

[shailendr]

Understanding Frozen Shoulder: Causes, Symptoms, and Treatment Options

: Frozen shoulder, or adhesive capsulitis, is a condition that causes stiffness, pain, and limited range of motion in the shoulder joint. This comprehensive guide explores the causes of frozen shoulder, its stages, common symptoms, and effective treatment options, including physical therapy, medications, and in some cases, surgery. Whether you're looking to manage your symptoms or seeking long-term solutions, learn everything you need to know about this painful shoulder condition.

4o mini

[hollyevolving]

Welp, now I know why the physical therapist in 2022 did not have me do table slides.

Lower back pain in excess of acceptable parameters, due to my lumbar spine being entirely the wrong shape.

Off the list they go.

While I recover, my threshold for tolerating annoyance today is zero.

[besthip]

A frozen shoulder, also called adhesive capsulitis, can make it very painful to move your arm. Dr. Divyanshu Dutt Dwivedi is a leading orthopedic expert in Lucknow who treats frozen shoulders.

Schedule a consultation today!

Call: +919899389359

Get directions: https://bit.ly/4ekJsNB

[monkeymeghan]

Having a frozen shoulder suuuuuuuuuucks. I’m going to physical therapy three times a week, and they say I’m doing good. My range of motion is so limited, though, and I am impatient and want to be better now, so I’m frustrated. I’m also in a lot of pain at the moment. IcyHot and Advil are my friends. *nods*

0/10 do not recommend.

[jupitervega]

reblog to put yr quarter in 🪙

[halfmoon-horse]

This guy is an expert on submarine design, and there are a lot of engineers in the comments. Consensus is that they're most likely already dead, as the submersible was not designed with contingency in mind.

Possible shearing forces on the adhesive holding the carbon fibre tube and metal domes together

Advertised 96 hours of air, but it's not stipulated whether that's for 1 person or 5

Controlled by a third party wireless game controller, unknown if back-up wired steering system is in place or spare batteries for the controller are brought along

No way of removing smoke or toxic gases in the event of a fire, and no reported oxygen masks with positive pressure

No way to open from the inside even if they surface - reminiscent of the Apollo 1 tragedy where all three astronauts died in a fire on the launch pad because they couldn't escape the capsule

And so much more. It's a deathtrap. I'm hoping that considering the negligence of construction and lack of quality assurance and testing their little waiver will be struck down and they're sued out of existence. It's not about this one company being stopped, it's about preventing similar companies in space and ocean exploration making the same mistakes. Even NASA gets things wrong - Apollo 1, Challenger, Colombia - so these private businesses must be held to the same or better standards when there is a risk to life, just as the aviation industry is.

Regulations are written in blood.

[phantom-pennis]

For context, I work in a shipping warehouse.

Every time that we book a shipment, a little 1x4” receipt sticker gets generated for each shipping label that looks like this:

Back in 2019, my coworkers and I decided to save these stickers and just stick them all together as we work. See what happens.

So these seemingly innocuous strips of paper slowly built up layer after layer, and we’d sorta beat it on the concrete to increase the density…

After about 2 years of commitment, the result was a masterpiece. A life size replica of Thor’s hammer composed entirely of thermal paper and adhesive. It weighs around 12 lbs and packs quite a wallop.

After this project, we started fresh and created a little time capsule that can be encased in receipt stickers. Progress was slow, employees came and went. I promoted up and now I run the shipping department. Our workflow has changed and we no longer have the time to work on the project while on the clock. But I have continued to save each and every sticker that we generate, and just dumped them in a drawer until I can find the time to get back to work.

This brings us to today.

I’m now on paternity leave! And I made sure to collect the massive sum of stickers before I left.

Here’s where we are so far. I’m thinking this one has big pineapple energy, but I’m really not sure how big it will end up! If you have any suggestions for what it should be, let me know!

[pinacoladamatata]

Everyone got these beautiful headcanons for Astarion and I'm sitting in the corner like a weirdo thinking about how after he was locked in a tomb for a year, "not moving for months" he would have had the Worst case of adhesive capsulitis. Ever. "Months of clawing at the door". This man's rotator cuffs are probably a Wreck.

[meret118]

After a series of troubled test flights and ongoing problems with its commercial aviation wing, Boeing is set to launch its Starliner space capsule into orbit on Monday carrying human pilots for the first time.

. . .

The Starliner failed to reach the I.S.S. during its first mission in 2019 after its onboard clock, which was set incorrectly, caused a computer to fire the capsule's engines too early. The spacecraft successfully docked with the I.S.S. during its second test flight in 2022, despite the failure of some thrusters during the launch.

Boeing then scrapped the planned launch of the Starliner's first crewed flight last year, after company officials realized that adhesive tape used on the craft to wrap hundreds of yards of wiring was flammable, and lines connecting the capsule to its three parachutes appeared to be weaker than expected. The launch was delayed indefinitely.

------

Umm . . .

[autobot2001]

Unchecked Anger

Author: Autobot2001 Genre: Fanfiction Fandom: Transformers Rating: E Warnings: mention of blood Pairing: None Description: Crosshairs' anger results in a shattered glass.

Day 7 @fluffyfebruary; Pain @fluffbruary; potatoes | blue | glass

Cogman watches Drift peeling potatoes. He can tell Drift is stressed and concerned he’ll cut himself with the peeler. Maybe I should have told him no. Cogman worries. He’d likely just argue with me. Cogman sighs and leaves the room. He didn’t know Crosshairs and Drift returned until he walked into the kitchen. He hopes Jamie is with them rather than in her dimension. Worried about how bad things went in her dimension.

Cogman believes he got his anser as Crosshairs rushes down the stairs, pissed. He rushes to the three friends’ room.

Cogman sees Jamie asleep. There’s evidence that she has been crying. Cogman sighs frustrated, and closes the door. “What happened?” Vivian asks. “They returned,” is all Cogman says. How upset is she this time? Vivian worries.

“… I’m sick of seeing her hurt, and there’s nothing we can do!” Crosshairs rants. He doesn’t realize he’s squeezing the glass cup until it shatters. Drift looks up from peeling the potatoes. “Frag.” He gets paper towels to wrap Crosshairs’ hand in. There are shards of glass in Crosshairs’ hand. He hurries to get the first aid kit from its capsule. He sets it on the counter and puts gloves on before getting the tweezers. “Owe, easy, Drift,” Crosshairs complains as Drift pulls shards of glass out of his hand. “You know I have to remove every shard of glass.” Vivian walks in, seeing what’s going on. “It was an accident,” Crosshairs tells her once Drift is finished pulling the shards out. “Again? No more glass cups for you.” “Hey!” Drift and Vivian laugh. “Well, you did this before. You were ranting about Jamie’s mental health too, weren’t you?” Vivian asks. “Owe, seriously, Drift!” Vivian isn’t sure if Drift is angrily taking care of Crosshairs’ hand or if the cuts are serious, even if Drift hasn’t said he needs to stitch them. She watches Drift take care of the cuts and wrap Crosshairs’ hand.

“Ok, I think you both need to relax,” she tells them. “But I was making dinner,” Drift says, pointing to the potatoes. “Tell me what you’re making. I’ll cook.” Drift sighs, and tells Vivian what he was planning on cooking as he cleans up the mess from taking care of Crosshairs’ hand, but the first aid box back in the capsule and leaves the kitchen with Crosshairs.

The two sit in the sectional. Crosshairs pulls Drift close to him. “You need to relax.” “Says the mech who shattered a glass cup again. You need to be careful before that happens frequently.” Crosshairs looks at his hand, noticing the blue wrapping. “How did you get blue adhesive wrapping?” “It’s the same as the tan. To keep the gauze in place.” Drift leans on Crosshairs as Crosshairs turns on the TV. Crosshairs wasn’t expecting Drift to fall asleep. That wasn’t long. Crosshairs thinks. He carefully lies Drift on the sectional and gets the grey blanket that hangs on the back of the couch. He covets Drift and leaves the room. Cogman sees that Drift is asleep. He’ll ensure no one disturbs him. Crosshairs goes upstairs. He’ll stay in the bedroom, waiting for Jamie to wake up. Unaware that he'd also fall asleep.

[airheartz]

Leo's injuries in my fic I'm making

Over 35 injuries (my boy's going through it 😞)

*All recovery times will be less than stated, due to Leo’s mutant healing factor. 

Ruptured eardrum. Will heal within 3 - 6 weeks. Take antibiotics + ear drops.

2. Scrapes on feet.

3. Bruising on tailbone + lower back. Recovery time: 4 - 6 weeks.

4. Skidded knees.

5. Bloody nose.

6. Bruised face.

7. Scratched arms, legs, hand, knees, and plastron.

8. Scraped Shell + Arms.

9. Broken Ankle (Lateral malleolus fracture). This is the most common type of ankle fracture. It is a break of the lateral malleolus, the knobby bump on the outside of the ankle (in the lower portion of the fibula). Recovery time: 8 weeks. Boot for the last 5.

10. Cuts and scrapes on the left side of the body, bruising from around there.

11. Broken ribs on his left. Recovery time: 6+ weeks.

12. Bruising surrounding said ribs.

13. Mild bruising and scratching on shoulder.

14. Black eye.

15. Dented top-middle shell. 

16. Concussion from whiplash.

17. Shell punctures from claws and surrounding cracks.

18. Broken shell. Recovery time: 1+ yrs. Drill small screws into the shell on either side of the fracture and then wrap wire around the screws, tightening the shell down almost like opposing tissue during suturing. Apply fiberglass patch and resin. Wrap with sterile gauze to help stabilize any broken shell pieces that may be present. 

19. Fractured clavicle (collarbone). Recovery time: 6 - 8 weeks. Sling. 

20. Fractured temporal skull. Recovery time: 5 - 7 weeks.

21. Broken femur (thighbone). Recovery time: 4 - 6 months.

22. Punctured lung. Recovery time: 6 - 8 weeks. 

23. Neck bruising.

24. VERY skinned knees and lower legs.

25. Back of arms + shell got cut by claws.

26. Broken humerus (upper arm bone). Recovery time: 4+ months. Needs  temporary splint extending from the shoulder to the forearm and holding the elbow bent at 90 degrees.

27. Broken scapula (shoulder blade). Recovery time: 6-12 weeks. Needs short-term immobilization along with motion exercises to prevent adhesive capsulitis, also called frozen shoulder.

28. Fractured vertebrae. Recovery time: 3+ months. Would need a brace, but with his shell, it won't happen.

29. Fractured orbital bone (eye socket). Recovery time: 3+ weeks. 

30. Pneumothorax (collapsed lung). Recovery time: 1 - 3 weeks. Needs chest tube (but how will THAT work?).

31. Bruised liver (minor). Recovery time: 1 - 2 weeks.

32. Stomach bleed. Will lead to vomiting blood, yay.

33. Fractured sternum (breast bone). Recovery time: 6 weeks. Sternal injuries can usually be treated conservatively involving rest, restrictions of activities and painkillers, or occasionally through some form of intervention including targeted physical therapy.

34. Mild brain bleed. Recovery time: 6+ months. Surgery needed to drain blood from the brain Draining the fluid that surrounds the brain creates room for the hematoma to expand without damaging brain cells. Drugs are used to control blood pressure, seizures or headaches. Burr hole surgery is the main treatment for subdural hematomas that develop a few days or weeks after a minor head injury (chronic subdural hematomas). During the procedure, one or more small holes (the size of dimes) are drilled in the skull and a flexible rubber tube is inserted to drain the hematoma. Will drain within 2 - 3 days.

35. Second degree burns on his front. Recovery time: 1 - 3 weeks. Treat with antibiotic cream and wrap if the skin is raw, if the blisters open, or if there is risk of infection.

Homeboy will also deal with some other stuff, see my other post about it.

Credit to bellflowering and her ROTTMNT injuries masterpost!

[palestporn]

Karkat: Reassure this idiot

"Nobody's coming after us," you say, and shuck a few painkiller capsules out of their blister packs, packing them into the chamber of the aerosol mask. "You killed half of them by hand, dipshit, and the rest are floating in space. You saw their ship blow up, remember? Anybody who wants to hurt us is dead."

He takes another breath, and his eyes flick from the mask in your hands and back up to your face. When he blinks, a tear overflows one of his eyes and streaks the paint and blood on his cheek.

"We're safe," you say, and he shivers hard, convulsive. "It's okay to stop now. I'm going to take care of everything else."

He doesn't protest when you step back toward him, leaning down to fit the mask over his mouth and nose. His throat works as he swallows, once; when you stroke along the line of his neck, playing the pad of your thumb over the marks your fangs left, he gives a muffled groan and his eyes drift halfway shut.

"Breathe in," you say, a quiet order, and trigger the aerosol as he obeys. He tenses at the smell of the drug, and his breath hitches hard. Then he looks up, meets your eyes, and finishes a sharp, shaky inhale.

It takes you a second to realize what he's waiting for--when you do, that terrible soft thing in your chest turns over painfully. "Breathe out," you tell him, more quietly than you mean to, almost reverent. He lets the air out, holding your eyes, waiting. "Breathe in."

When you take the mask away and run the blunt backs of your claws over his cheek he turns into the touch and makes a foggy noise. He barely winces when you peel the bloody fabric off his leg and plaster mediculler adhesive over the nasty puncture through the meat of his thigh, and when you're done he slumps and smiles at you.

You have to pry him out of the seat, after that; he makes a quiet, complaining noise when he has to get his feet under him, but he limps gamely along, swaying, until you can push him down in the ablution chamber and catch your breath.

Karkat: Next priority

==> Get out of your uniform and take stock of your injuries ==> Roll up your sleeves and get to work on Gamzee ==> Call your successful mission in to the empress

[Start Over]

[theoriginalmarke]

Written six years ago...

Meralgia paresthetica. Adhesive capsulitis. Plantar fasciitis. Osteoarthritis. Getting old ain’t for sissies. On the bright side, it can teach you a lot of Greek words.

I used to wake up feeling like a million bucks. Now I just feel like a bounced check.

There comes a point in your life that you realize you’ll never play in a ball pit or bouncy house again. A time you switch from Super Sugar Bomb Cereal to Kashi Cardboard Crunch. A time you give up your ponytail for a crew cut.

At least I don’t have to worry about wearing the latest fashions. An old tee shirt with drool stains down the front is my fashion now.

Best of all, I got to see all of the cool bands. Back in the day. Uphill both ways.

Now if you’ll excuse me, I have to try and remember what I was just talking about. 

AND GET OFF MY LAWN

[pcos-and-endo-awareness]

I've had so many pelvic ultrasounds (almost one a year for the past 15 years) due to my pelvic pain and period symptoms over the years and the only thing that ever shows up is an occasional cyst.

My doctor recommended against a laparoscopy because there has never been anything to imply endometriosis.

I am not sure if it would change anything if it turns out I have it but in a way that doesn't show up on ultrasounds.

Any recommendations for what to ask my doctor next? What to research? I feel so powerless because the best I've managed in 15 years on any given birth control is about 6 months of feeling better before it takes a sharp nose dive again, and I get pretty strong side effects from most birth control so swapping sucks really bad.

To be fair, it is nearly impossible to diagnose endometriosis WITHOUT surgery. Nobody ever suggested it to me, I had no idea what it even was, until the OBGYN who did my surgery said “wow that’s one of the worst cases of endometriosis I’ve ever seen.” My surgery was to remove a cyst, we had no idea my organs would be glued together with endometriosis adhesions. Laparoscopy might be necessary for you to determine if there is endometriosis. A surgery to remove the tissue will help (birth control should keep it mostly under control, but it can grow back. I’ve heard some women go periodically to get their insides scraped out.) I’d highly suggest pushing your doctor for it, maybe even finding a new doctor or specialist who will do it. This is the only thing that will remove the pain.

Honestly I so get you about the birth control. It works for a bit and then seems to wean off. Or makes you even more sick! I switched to the depo shot a few years ago and it is the LEAST amount of pain I have been in for YEARS. I personally have very little symptoms with the depo, but I know that isn’t true for everyone. I know swapping sucks but I feel like you’ll eventually find one that works well with your body specifically. I know there’s more medications to try like a cocktail: metformin, spironolactone, mounjaro, and ozempic to name a few. I haven’t tried these yet but it’s my next step! I’ve also taken lots of vitamin supplements to help with symptoms like anemia, fatigue, and inflammation. I take things like B12, fiber supplements, probiotics, and vitamin D. I really like this supplement specifically and recommend it to my friends (a bit pricey but better than buying all the supplements individually, and I only take it 2-3X a week): Herb Krave Cyster Glow Supplement - 9-in-1 Premium Myo-Inositol & D-Chiro Inositol Blend - Hormonal Balance & Healthy Ovarian Function Support for Women – 120 Veggie Capsules https://a.co/d/1uxZkUC

Have you tried pelvic floor therapy? I had a wonderful physical therapist I saw for years, who gave me tons of resources and tips and ideas. Things like a tens machine, pelvic floor yoga, mental health tools, a list of medications to try, doctor referrals, etc. I would highly recommend getting a connection like that, especially if they have endo and can really understand your pain. Even just having someone to talk to with your shared experiences and pain is such a relief. It’s so nice for someone to just listen and understand.

I’ve read many articles online (even the good ones all have opposing advice, so take it all with a grain of salt), and I’ve bought a few books (there’s tons on Amazon!). I can’t say there’s one thing that has been all correct. Even now I am still learning. Unfortunately endo is just under researched and misunderstood. These are two books I have that I’ve taken some things into consideration. There’s tons of more books I’d like to get my hands on though. If anyone has more recommendations please reblog and add to the thread!