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MUA with large RCR

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daisy View Drop Down
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    Posted: Jan 16 2010 at 11:51am
Hello all - I have a pt. that underwent a MUA in Nov. 2009 - at the same time the surgeon performed a RCR for a large tear.  I saw this pt. every day for one week, however, I did not range her through full range secondary to the RCR - the Dr. sent no protocol.  She is now presenting with frozen shoulder - any ideas? Thanks
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arj View Drop Down
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Post Options Post Options   Thanks (0) Thanks(0)   Quote arj Quote  Post ReplyReply Direct Link To This Post Posted: Jan 21 2010 at 7:59am
You were right not to perform full range of motion after the RCR and manipulation as you don't want to compromise the RCR. I would continue to treat and progress the patient with the main understanding that she had the RCR. Aggressive therapy too soon to achieve additional ROM could actually do more harm than good. Worse case scenario she would have to undergo another MUA once the RC has healed.    
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