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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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How Can Frozen Shoulders Be Treated?

I had cataract surgery in 1994. Post surgery effects on my left eye, my right hand turned black and my right shoulder became frozen. I called my neurologist immediately and he said that he did not know how to resolve the problem and referred me to a Professor of neuroscience at UCSD. After multiple tests, scans and other tests nothing seem to lead to a resolution of the problem. The Profesor at UCSD referred me to a rheumatologist who schedule three Stellate Ganglion Injections followed by physical therapy. After the third injection w/ physical therapy the black area around my right hand disappeared and finally the shoulder was corrected. However, the pain issue was not resolved. I was sent to another Neurologist who had two board certifcations. He treated me with OxyContin and Oxycodone. Shortly thereafter, he retired and I was referred to a pain specialist who prescribed the above medication. Since my wife had cancer (Stage IV) she could barely get out of bed much less get dressed. This pain specialist called me on my cell phone on the way to the appointment and terminated both of us. My spouse had cancer (stage IV) and peripheral neuropathy. He refused to see either of us and shortly thereafter she died. With all the publicity of OxyContin, I have found it impossible to get a prescription for OxyContin or Oxycodone. Instead I have received Norco which does not help at all. Additionally, I was referred to another Pain Specialist but because he shared an office suite with another doctor who I voluntarily left because the PA miswrote every prescription and after going back to his office and a pharmacy over four times, finally the Office Manager told the PA not to re-write the prescription. I received a telephone call from said physician and stated that he would write the prescription. I sought the referral for another pain specialist; however, because he shared an office suite with another pain specialist neither my wife nor I could make an appointment, despite the fact that neither my wife nor I had seen this physician. Since office space is very limited where I live (north San Diego County) these specialist share an office suite to cut their expense. Would you please tell me what course of action I could pursue. Sincerely, Jerry H. Sankary, Esq.
Wed, 25 Jul 2018
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General & Family Physician 's  Response
Hello and Welcome to ‘Ask A Doctor’ service.
I have reviewed your query and here is my advice.

Treatment for frozen shoulder usually starts with non steroidal anti-inflammatory drugs (NSAIDs) and application of heat to the affected area, followed by gentle stretching. Ice and medicines (including corticosteroids injections) may also be used to reduce pain and swelling. And physical therapy can help increase your range of motion. A frozen shoulder can take a year or more to get better.If treatment is not helping, surgery is sometimes done to loosen some of the tight tissues around the shoulder. Two surgeries are often done. In one surgery, called manipulation under anesthesia, you are put to sleep and then your arm is moved into positions that stretch the tight tissue. The other surgery uses an arthroscope to cut through tight tissues and scar tissue. These surgeries can both be done at the same time. Gentle, progressive range-of-motion exercises, stretching, and using your shoulder more may help prevent frozen shoulder after surgery or an injury. Experts don't know what causes some cases of frozen shoulder, and it may not be possible to prevent these. But be patient and follow your doctor's advice. Frozen shoulder nearly always gets better over time.

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How Can Frozen Shoulders Be Treated?

Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. Treatment for frozen shoulder usually starts with non steroidal anti-inflammatory drugs (NSAIDs) and application of heat to the affected area, followed by gentle stretching. Ice and medicines (including corticosteroids injections) may also be used to reduce pain and swelling. And physical therapy can help increase your range of motion. A frozen shoulder can take a year or more to get better.If treatment is not helping, surgery is sometimes done to loosen some of the tight tissues around the shoulder. Two surgeries are often done. In one surgery, called manipulation under anesthesia, you are put to sleep and then your arm is moved into positions that stretch the tight tissue. The other surgery uses an arthroscope to cut through tight tissues and scar tissue. These surgeries can both be done at the same time. Gentle, progressive range-of-motion exercises, stretching, and using your shoulder more may help prevent frozen shoulder after surgery or an injury. Experts don t know what causes some cases of frozen shoulder, and it may not be possible to prevent these. But be patient and follow your doctor s advice. Frozen shoulder nearly always gets better over time. Hope I have answered your query. Let me know if I can assist you further.