THE MULTIMODAL PLAYBOOK FOR SHOULDER TENDINOPATHY/ IMPINGEMENT
Neck pathology All shoulder patients should be screened for neck pain or nerve involvement to rule out other conditions or nerve involvement that may be contributing to shoulder dysfunction. Traction, transcutaneous electrical nerve stimulation (TENS), and high-power lasers may be beneficial in relieving pain from nerve impingement and cervical conditions.
TRITON DTS™ 6E
Traction Patients suffering from nerve
impingement and disc related radicular complaints can benefit from traction to help normalize intradiscal pressures, improve space in the foramina, and improve blood flow and EMG activity in affected muscles. 45-47 Both mechanically driven traction and home cervical traction units have been shown to benefit patients with radicular complaints.
SAUNDERS NECK TRACTION
Adding mechanical or home traction to an exercise program compared to exercise alone, has been shown to significantly impact NDI (Neck Disability Index) scores and reduce neck and arm pain, especially at long term follow up. 48 Two traction devices that can help are the Triton DTS™ system for clinic use and the Saunders cervical and lumbar home traction unit for remote applications. The Triton system is highly customizable and can provide cervical traction in a variety of intermittent and static pull patterns. The Saunders Cervical unit is a pneumatic device that is easy to use at home and can provide up to 50 lbs of pull in a comfortable supine position. Adjusting tension on the device is done via a simple hand pump to create desired levels of traction as compared to over the door units that often require adding or subtracting water to a bag to adjust traction levels.
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