Symptoms
Frozen shoulder pattern
Loss of passive shoulder range with significant myofascial restriction in subscapularis, teres major and pectoralis major.
Overview
Loss of passive shoulder range with significant myofascial restriction in subscapularis, teres major and pectoralis major. Identifying which muscle reproduces the patient's familiar pain on palpation guides treatment and often produces meaningful change alongside standard care.
Clinical notes
Combine joint mobilization with myofascial release of internal rotators.
Red flags — when to refer
Acute trauma, suspected fracture or dislocation — refer.
Muscles often involved
References
- • Travell & Simons — Myofascial Pain and Dysfunction