1. Jose S. Santiago M.D.

2. Periarthritis of Shoulder Peri- around Arthr/0- joint -itis- inflammation Periarthritis- inflammation around the joint

4. Periarthritis of Shoulder Periarthritis of shoulder- inflammation around the joint of the shoulder Also called “frozen shoulder”

5. Treatment of Shoulder Periarthritis 1. Analgesics 2. Microwave therapy- warmth or heat is created in the tissues 3. Interferential therapy (IFT)- uses low frequency electrical stimulation of nerves

6. Case 1 A 50 year old man comes to the Physical Therapy Department with inability to raise his upper extremity for the past 1 week. He complains of severe pain in the shoulder region and inability to put on his shirt.

7. P: Patient T: Therapist P: Good _______. T: Good _______. What is your _______? P: Actually, I have severe ___ in my shoulder region for the past one month. I can’t _____ my upper extremity for the past one week. I saw the orthopedic doctor and he prescribed me _______ and physical therapy for one week.

8. T: Please wait. I will _____ your chart. P: Okay. T: Yes, come in please. Sit down. Can you ________ your shirts by yourself? P: No, I cannot. T: Let me _____ your shoulder. Please ___ down in the bed.

9. T: Please give me your hand. I will move it and tell me where you feel the ____ and when the pain increases. P: I have pain just ____ the shoulder and the pain is ______ slowly after that range. T: That’s fine. Can you try to touch your ______? P: No sir. I have pain. I can’t do it.

10. T: From the test, x-ray results and your pain symptoms, it is _____ that you have periarthritis of the shoulder. The doctor has __________ microwave therapy and interferential therapy for one week. P: Okay, sir. Can you explain the _______ to me?

11. T: Yes, sure. In microwave therapy, you will feel a little _____ and in inferential therapy, a little prickling sensation. Both the treatment helps in reducing the pain. Now, I will ____ the treatment. Please take off your shoes and lie down. P: Yes, I will do it.

12. T: Each treatment is for 15 minutes. If you have any discomfort, please let me know about it. P: Okay, sure.

13. Sometime later: T: Yes, the treatment is over. You can come down. Take a rest at home. Don’t do heavy work with this ____. P: Okay, sir. Thank you. See you tomorrow. T: Yes, thank you. Goodbye.