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Milwaukee shoulder syndrome
Milwaukee shoulder syndrome (apatite-associated destructive arthritis) is a rheumatological condition similar to calcium pyrophosphate dihydrate deposition disease (CPPD). It is associated with periarticular or intra-articular deposition of hydroxyapatite crystals.
Crystal deposition in the joint causes the release of collagenases, serine proteases, elastases, and interleukin-1. This precipitates acute and rapid decline in joint function and degradation of joint anatomy. Subsequently disruption of the rotator cuff ensues.
Along with symptomatology, the disease typically presents with positive radiologic findings, often showing marked erosion of the humeral head, cartilage, capsule, and bursae. Though rare, it is most often seen in females beginning in their 50s or 60s.
Diagnosis is made with arthrocentesis and Alizarin Red staining along with clinical symptoms.
Signs and symptoms
Signs and symptoms may include the following:
- Limited active range of motion, usually unrestricted passive range of movement (early)
- Joint pain
- Joint stiffness
- Joint inflammation and tenderness
- Synovial hemorrhagic effusion/hematoma
- Radiologic positive findings
- Hydroxyapatite crystals in synovial fluid
Xrays, arthrography, USG, CTScan and MRI are helpful in diagnosing this condition
Treatment may include the prescription of one or more of the following:
- Non-steroidal anti-inflammatory drugs (NSAIDs)
- Intra-articular steroids
- Physical therapy
- Partial or complete arthroplasty
Milwaukee shoulder syndrome physiotherapy
The goals of treatment are to reduce pain, decrease inflammation, and improve a person's overall functioning.
Research studies have shown that physical exercise of the affected
joint can noticeably improve long-term pain relief. Furthermore,
exercise of the arthritic joint is encouraged to maintain the health of
the particular joint and the overall body of the person.
Individuals with arthritis can benefit from both physiotherapy and hand therapy.
In arthritis the joints become stiff and the range of movement can be
limited. Physical therapy has been shown to significantly improve
function, decrease pain, and delay need for surgical intervention in
early to advanced arthritic cases.
Exercise prescribed by a
physiotherapist has been shown to be more effective than medications in
treating osteoarthritis of the knee. Exercise often focuses on improving
muscle strength, endurance and flexibility.
Physiotherapy intervention includes
- decreasing and managing ongoing pain and inflammation with cold therapy
therapy to accelerate the healing process
- joint and soft tissue movement and range of motion
- muscle strengthening of the affected joints and the muscles around it
- weight loss programs such as exercises, working with our dietitian
- prescribe any walking aids if necessary and train how to use them safely and effectively
- prescribe customized finger, hand or foot splints
don't recommend patients take medicine or painkillers for long term due
to risk of side effects as well as addictions, and for severe cases,
patients may consider joint replacement surgeries. An artificial joint
can last 10-15 years.
That being said, one of the best ways to
treat rheumatoid arthritis is prevent it entirely by being active, and
exercise with us and our senior physiotherapists to prescribe
arthritis-specific exercises programs. If you already have it, then
we can help to slow down the progress by managing it well.
Even if you require surgery, post-surgery physiotherapy will help you accelerate your progress to back to work, life and activities that matter to you.
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Phoenix Rehab physio Services
Phoenix Rehab Group works with specialist
physiotherapists and rehab therapists who are highly
trained, qualified, experienced and passionate to provide high level of
expert care to our patients.
PHYSIOTHERAPY & PHYSICAL THERAPY
HAND THERAPY & SPLINTING
Patients who sustained injuries to their elbows, forearms, hands, wrists
(sprains and fractures) and fingers, and requires Hand Therapy to increase the function of their hand
following injuries or post-operations as well as custom made hand splints.
Commonly treated hand pain injuries includes
CLINICAL PILATES & WELLNESS PILATES
Clinical Pilates is a form of physical exercise that focuses on
- core stability
- flexibility and
It is a system of safe and effective exercises, which
meet specific individual needs, to treat a wide range of injuries
You may do Pilates as matwork or with the reformer or both, and every session will be customized 100% to your fitness, injury and tolerance.
TRADITIONAL CHINESE MEDICINE (TCM)
DEEP TISSUE RELEASE & SPORTS MASSAGE THERAPY
Sports and deep tissue release massage helps to increase nutrient-rich blood
flow to tired, tight and tense muscles to
- accelerate recovery and
- shorten downtime / recovery period required
It also prevents
muscles from scar tissue micro-tears (and potential ruptures), and increases muscle
Done regularly, it will keeps your muscles healthy and fit with body/movement-confidence. Read the benefits of regular deep tissue release therapy here.
All our allied health therapists and TCM physicians are fully insured and registered with Allied Health Professions Council (AHPC) and Traditional Chinese Medicine Board (TCMB).
See our entire team here with introductions and their specializations.
At the first session, our specialist physiotherapists will carry out a thorough
assessment, helping them to select the most appropriate treatment to
help you recover as well as provide treatment in the same session.
Follow up sessions are inline to provide
expert treatment for your pain as well as prescribing specific
exercises to reduce your risk of re-injury and giving you a long term
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