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A 32 year old female presents to the clinic complaining of left shoulder pain.  The patient’s symptoms are consistent with that of adhesive capsulitis.  What would be the MOST effective initial treatment?

  1. Refer the patient to their primary care provider for intracapsular corticosteroid injections.
  2. Begin gentle progressive stretching exercises with the focus on increased active range of motion.
  3. Initiate rotator cuff strengthening exercises, focusing on external rotation at 90 degrees abduction.
  4. Instruct the patient on Codman pendulum exercises and apply a moist heat pack.

The correct answer is: (Click for answer)

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