This Is Not How You Treat Frozen Shoulder

My first thoughts (only my opinion) on seeing the picture above was, this is certainly not how you should be treating a patient with frozen shoulder or any problem for that matter. 

The photos above and below taken from  Twitter made me cringe. I am apalled at the amount of damage that had been done to the person's tissues. Manual treatment, at least at our clinics and most that I know, do not look at all like that. Now that patient has to also heal from the damage his therapist did on him!

There are already many physiotherapists worldwide saying there is no evidence supporting 'manual therapy' and that manual therapy does not work and is a waste of time and money. 

There are growing calls that physiotherapists should not be doing 'hands on' treatment. This will lend further support to what they believe. 

Everyone has a right to their beliefs and I always say that they just don't know what they don't know. For every physiotherapist that wants to be 'hands off' when treating their patients, there will be a physiotherapist (or more) wanting to do only 'hands on' treatment. 

If you really want to be pedantic, that's not the spiral line. I have attached a picture of the spiral line as intepreted by Tom Myers above. 

Reference

Kerry R (2019). "Hands-on, Hands Off: Is That Even A Thing?" Physio First

*The 'hands off ' approach usually means not doing manual therapy like mobilising (pressing, pushing) on joints, muscles, fascia etc on patients. It does not mean the physiotherapist does not touch the patient, assess or palpate the patient. They still do, it's just that after their assessment, they usually prefer to educate their patients (by talking) or teaching exercises to oversee a care management program that addresses thee patient's long term goals and needs.