Let us together rewrite a part of Rheumatology.

I am working in Pain Management since last twenty years. Not only that I have vast and valuable experience in the treatment of Pain syndromes but I have devised new modalities and established new algorithm for the treatment of Osteo-Arthritis Knee Joint, Chronic low back Pain and other major myalgic problems. My work has given new concepts that are supplemented by clinical results. Our findings are:





Frozen Shoulder

Points of the frozen shoulder

The Major point of the frozen shoulder is in Bicipital groove. This point is very superficial and is easily demonstrable. It is most probably due to tendonitis of the tendon of long head of biceps Brachii while it passes through the groove.

Secondary points may be found in the posterior wall of the shoulder. Here the trigger points are deep seated and are most probably in close proximity of the joint capsule. Superiorly point may be found in the area of suprascapular muscle.

Course of the disease:

The clinical results of the treatment of frozen shoulder through this new treatment algorithm indicate that primarily the lesion is the tendonitis of the long head of the Biceps Brachii in the bicipital groove. Secondary lesions develop because of the spasm of the Rotator Cuff Muscles. If the spasm can effectively be relieved then it is possible to achieve an early recovery. Electro-Acupuncture has proved to be the effective therapeutic technique to achieve this target ( 1,6,15 ). The known techniques of physiotherapy and MUA till date have not been effective in relieving the muscle spasm, that is why frozen shoulder keeps on lingering for years and final outcome is left to its being a self limiting disease. However it may not be self limiting but it is more appropriate to say that it finally burns down to something, so that the agony of the disease is reduced but still leaving behind remnant disability to the patient. In this new treatment algorithm, in the initial stage, a physician has to simply unmask the lesions through the newly explained technique of "Unmasking and treating the underlying problem".

Thus physician will have the pinpointed organic cause before him and he will have a choice, to make a line of action that will lead to early recovery of the patient. However if the patient's fate is left to the conventional concept that the condition will burn out in three years time period, it finally will lead to generalized osteoarthritis of the affected shoulder joint and may finally lead to adhesive capsulitis a very disabling outcome. By this newly introduced technique the clinical outcome is that the patient recovers in three to four weeks time, gets highly specific targeted treatment and is prevented from a long disabling illness.

Syed Zahid Hussain Bokhari, Latest on Osteoarthritis and Myalgia: The Technique of "Unmasking and treating the underlying problem. ISBN: 978-3-8454-3712-5 " LAP LAMBERT Academic Publishing, 2011