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Frozen Shoulder: Understanding the Condition and What You Can Do
Frozen shoulder, also known as adhesive capsulitis, is a painful condition characterized by progressive stiffness and a substantial loss of shoulder movement. Pain can be particularly troublesome at night, and everyday activities such as reaching overhead, putting on a jacket, fastening a seat belt, or reaching behind the back can become surprisingly difficult. The condition involves changes within the glenohumeral joint capsule, including inflammation, fibrosis, thickening,
Dr. Brian Abelson DC
Sep 2721 min read


Thoracic Outlet Syndrome: Diagnosis, Treatment & Rehabilitation
Thoracic Outlet Syndrome (TOS) can be challenging to diagnose because symptoms in the neck, shoulder, arm, and hand can resemble several other musculoskeletal and neurological conditions. Patients may report pain, numbness, tingling, weakness, fatigue, heaviness, or, in vascular cases, changes in circulation.
Dr. Brian Abelson
Sep 2727 min read


Shoulder Injuries, Part 3: Rotator Cuff, Examination and Diagnosis
The rotator cuff plays a central role in shoulder movement, strength, and dynamic control. In Part 3, we examine the four rotator cuff muscles, their anatomy and function, and how rotator cuff-related problems can contribute to shoulder pain and loss of function. We will then move from anatomy into clinical assessment. Shoulder pain can arise from many different structures and mechanisms, and individual examination findings rarely provide the entire answer. An effective asses
Dr. Brian Abelson DC
Sep 2514 min read


Shoulder Injuries, Part 2: Muscles, Scapular Movement and Coordination
In Part 1, we explored the joints and functional articulations that make up the shoulder complex. In Part 2, we turn our attention to the muscles that produce and coordinate movement of the scapula, shoulder, neck, and upper extremity. The scapula provides attachment for 17 muscles, creating an important link between the arm, shoulder, neck, and trunk. These muscles do much more than move the shoulder blade in a single direction. Their coordinated activity continually changes
Dr. Brian Abelson DC
Sep 258 min read


Shoulder Injuries, Part 4: Treatment, Exercise and Rehabilitation
In Part 4, we bring the shoulder series together by examining how treatment and rehabilitation can be adapted to the individual. Shoulder pain and injury can vary considerably between patients, so management should be guided by the diagnosis, symptoms, functional limitations, physical examination, activity demands, and goals of the individual. Some presentations may primarily involve the shoulder itself, while others may be influenced by strength, mobility, neurological facto
Dr. Brian Abelson DC
Sep 2511 min read


Shoulder Injuries, Part 1: Understanding the Shoulder Complex
Understanding the Shoulder Complex The shoulder is one of the most mobile and adaptable regions of the human body. That remarkable range of motion depends on the coordinated interaction of multiple joints and functional articulations, numerous muscles, the rotator cuff, and the surrounding connective and neurological structures. In this four-part series, we explore the shoulder from anatomy through rehabilitation. Part 1 examines the joints and articulations that make up the
Dr. Brian Abelson DC
Sep 2410 min read


Understanding Hand Osteoarthritis
Osteoarthritis (OA) is the most common form of arthritis and one of the most common joint conditions worldwide. It involves gradual changes throughout the joint, including the cartilage, bone, synovium, ligaments, and surrounding tissues. Cartilage provides a smooth, low-friction surface that helps joints move efficiently.
Dr. Brian Abelson
Sep 19 min read


Hand Osteoarthritis: Therapy, Exercise, and Nutrition
Osteoarthritis does not necessarily mean that pain and loss of function will continually worsen. There is often much that can be done to manage symptoms, maintain mobility, and keep the hands active.
Dr. Brian Abelson
Sep 19 min read
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