Farnaz, a 50-year-old homemaker from Mandi Bahauddin, came to our to our hospital unable to lift her arm above shoulder level. After 4 months of pain and stiffness, she achieved complete recovery in just 8 weeks through our comprehensive physiotherapy treatment plan. 

Patient Background

Patient: Farnaz, 50-year-old homemaker

Location: Mandi Bahauddin

Chief Complaint: Severe shoulder pain and inability to lift arm above shoulder level

Duration of Symptoms: 4 months before seeking physiotherapy treatment

Presenting Symptoms

Farnaz came to our physiotherapy clinic in Mandi Bahauddin experiencing:

• Severe shoulder pain and stiffness

• Inability to lift arm above shoulder height

• Extreme difficulty with daily activities:

  • Reaching for items on shelves

  • Getting dressed independently

  • Combing her hair

• Disturbed sleep due to nighttime pain

• Limited relief from rest and pain medication

In Her Own Words:
"I could not even put my dress on without help. The pain kept me awake at night, and I was worried that I would never regain full movement."

Initial Assessment and Clinical Findings

Our comprehensive physiotherapy assessment revealed:

Active Range of Motion:

• Forward flexion: 90 degrees (severely restricted)

• Abduction: 70 degrees (severely restricted)

• External rotation: Reduced

• Internal rotation: Reduced

Passive Range of Motion:

• Flexion: 100 degrees

• Abduction: 90 degrees

Functional Limitations

• Unable to reach overhead

• Significant difficulty with self-care activities

• Dependence on others for dressing

Clinical Diagnosis

Frozen Shoulder (Adhesive Capsulitis)

Physiotherapy Treatment Plan

Our evidence-based treatment approach combined multiple therapeutic modalities:

Phase 1 (Weeks 1-4): Pain Management and Initial Mobility

Electrotherapy:

• TENS (Transcutaneous Electrical Nerve Stimulation)

• Ultrasound Therapy (UST)

• Infrared Radiation (IRR)

Manual Therapy:

• Grade I and II oscillatory mobilization techniques

• Gentle joint mobilization to reduce pain and improve movement

Exercise Therapy:

• Pendulum exercises

• Codman exercises

• Wand exercises for gentle range of motion

Phase 2 (Weeks 4-6): Advanced Mobilization

Added Techniques:

• Spencer Technique for frozen shoulder - This specialized technique proved beneficial in gaining range of motion in all directions

• Pulley exercises

• Wheel exercises

• Towel stretches to increase medial rotation

Phase 3 (Weeks 6-8): Strengthening Phase

Progressive Strengthening:

• Shoulder isometric exercises

• Rotator cuff muscle strengthening

• Functional movement training

Treatment Results After 8 Weeks

After 8 weeks of consistent physiotherapy treatment, Farnaz achieved the following outstanding results: 

✅ Range of Motion Recovery

• Flexion

• Abduction

• External rotation

• Internal rotation

✅ Functional Recovery

• Able to perform all household chores independently

• No pain during daily activities

• Complete independence in self-care activities

• Improved sleep quality

Patient Testimonial

" Mara name Farnaz hai. I have severe shoulder pain and stiffness. I was unable to move. My shoulder was jammed, and I was in so much pain. I cannot do anything. Mery kehnay ka matlb hai Mujhe kandhe main sakht dard or stiffness tha ,main kandha hila nhi sakti thi ,mara kandha jam ho gaya tha or mujy both dard hoti thi main koi kam nhi kr skti thi to main  Dr. Iqra Ramzan sy  mili or unhon ny mara treatment kiya ab Allah ka shukar hai main bilkul thik hun. "

If you or someone you know is experiencing similar symptoms, early intervention can make all the difference.  Contact Now