This podcast episode features Professor Jeremy Lewis discussing the complexities of diagnosing and assessing frozen shoulder. He clarifies the historical context of terms like "adhesive capsulitis" and "frozen shoulder," tracing their origins to the 19th century. Lewis emphasizes that diagnosing frozen shoulder is more of a hypothesis based on factors like the patient's age (around 50), symptom duration (at least a month), and a significant reduction in external rotation. He advocates for a two-stage model focusing on pain versus stiffness, rather than traditional three or four-stage models. While impairment measurements like range of motion are important, Lewis stresses the significance of patient-reported functional improvements and whether the patient is still preoccupied with their shoulder issue. He also promotes his new book, highlighting its focus on incorporating the patient's voice.
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