Manipulation under anesthesia for frozen shoulder with and without steroid injection

As an Osteopathic Physician, I was trained in various types of manipulation during medical school. I was taught that there are a few different types of ‘barriers’ to consider when performing manipulation. The most important of these is the ‘anatomic barrier’. The anatomic barrier is the physical barrier created by the integrity of the supporting ligaments, bones, etc. Moving a joint though the anatomic barrier will likely result in permanent compromise to the structural integrity of the joint or even a fracture. Most of the time, a conscious patient is able to protect themselves from reaching the anatomic barrier by ‘guarding’ themselves before it is reached. My concern is that since this guarding is eliminated during anesthesia, the manipulation may inadvertently cross the anatomic barrier and result in structural damage.

When I was in the agency from the late 1950s on through to the late 1960s, the agency had operations going internationally, regionally, and nationally, attempting to penetrate and manipulate the institutions of power in countries around the world, and these were things that I did in the CIA—the penetration and manipulation of political parties, trade unions, youth and student movements, intellectual, professional and cultural societies, religious groups and women’s groups and especially of the public information media. We, for example, paid journalists to publish our information as if it were the journalists’ own information. The propaganda operations were continuous. We also spent large amounts of money intervening in elections to favor our candidates over others.

Manipulation under anesthesia for frozen shoulder with and without steroid injection

manipulation under anesthesia for frozen shoulder with and without steroid injection

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manipulation under anesthesia for frozen shoulder with and without steroid injectionmanipulation under anesthesia for frozen shoulder with and without steroid injectionmanipulation under anesthesia for frozen shoulder with and without steroid injectionmanipulation under anesthesia for frozen shoulder with and without steroid injectionmanipulation under anesthesia for frozen shoulder with and without steroid injection