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"The Shoulder" Demo

Distractions

Definition

Reflex therapy on the capsule of the shoulder.

Indications

Arthritis in stage III ; arthritis in stage II in combination with a spastic endfeel.
"Steroid sensitive arthritis in all stages. The treatment of choice however, is a series of intra articular injections with triamcinolone.

Mechanism

Longstanding stimulation of the noci-sensors increases sympathetic activity, giving rise to a vasoconstriction of the vessels around the joint. Very gentle and rhythmic elongation of the capsule, performed in such a way that the fibres are stretched longitudinally stimulates the sensor mechanisms in the joint and in the surrounding tissue. This may inhibit the neuro-vegetative reflexes that are co-responsible for the increased inflammation of the joint.

Technique | Sequence and follow up | General Principles Treatment

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