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Ultimate Pain Management

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, (Author)
Latest on Osteoarthritis and Myalgia(First Edition): The Technique of "Unmasking and treating the underlying problem. Paperback. ISBN-10: 1490969357 ISBN-13: 978-1490969350. CreateSpace Independent Publishing Platform; 2 edition (July 28, 2013). (Available on

• Osteo-arthritis Knee Joint

Pain Knee

Pain knee is not due to Osteoarthritic changes.

Trigger spots as the cause of Pa

These trigger spots rae outside the knee proper.

• Lumbago-Sciatica


Pain is due to trigger spots in the strong Paravertebral muscles.


A misnomer as the pain is not in the Sacroiliac Joint.

Disc Prolapse

Seen radiologically is not always the cause of pain.

• Frozen Shoulder

Shoulder Pain

Frozen Shoulder is due to tendonitis of the long head of Biceps brachii.

• Cervical Spondylosis

Pain Neck

This pain is due to trigger Spots in the strong paravertebral Muscles.

lipping of the Cervical vertebra

Is not the cause of Pian neck it is simply a radiological finding. However in advanced stage it may be the cause of clinical presentation of symptoms.

• Fibro-myalgia

Myalgia widespread

we have given our recommendations. This condition needs to be explored by Unmasking and treating the underlying problem technique.