Dr. Jocelyn Wittstein

And they hug me when they come back, if they come back, because they're so happy.

You know, I don't know an accurate statistic on that.

I would say anecdotally in my own patient population, you know, maybe like 20%.

Okay.

But so some people need a second injection.

The idea is you keep the inflammation at bay.

You're shortening the course of the inflammatory phase, trying to get them to not freeze up so much or shorten the course of the frozen phase that they can then thought.

You will read in textbooks and are like examinations.

The correct answer is send people physical therapy.

But physical therapists and I will tell you, if I send you to physical therapy in the throes of the inflammatory phase, it is not going to help.

So if you're in that very painful phase and I send you to physical therapy or your primary care doctor, whoever send you to physical therapy, oftentimes the physical therapist is going to recognize you have frozen shoulder and be like, I can't help you right now and send you for an injection.

Because if you have pain and range of motion and someone is trying to help you move it and you move it and at the end of each end range, you're like, oh, oh, oh, by the end of the session, it's inflamed and you guard more.

it's kind of exacerbating.

So if you're in physical therapy for frozen shoulder, but it's making you worse, not better, it's not that your therapist is doing something wrong.

It's just that that's the nature of the condition.

It's not the right phase, I think.

You don't get as much out of physical therapy.

So doing the injection early is helpful.

Once we get you out of the painful phase...

And I will like bring people back usually six weeks later and check them if I can rotate them.