11/06/2026
Had a new client in last week. They had broken a bone in their forearm last December and was in a cast for 5 weeks. This is where it gets ridiculous.
The hospital then insisted they keep their arm in a sling for another 4 weeks, 24/7 (What! Why?).
It then took until 12 weeks post break until Physio sessions were started - private insurance. By the time they started the sessions, the arm felt fine but they had developed 'Frozen Shoulder'. I'm not surprised after spending that much time immobile, for no reason whatsoever.
There was no surgery required and it was a simple fracture. 4-5 weeks in a cast was ample. There was no reason to then use a sling. The hand/forearm had full range of movement when the cast was removed and no pain.
Physio sessions, which was a 45 minute drive to get to, consisted of 4 weeks of Pulsed Electromagnetic Field (PEMF) which helps bone healing- Why, after 12 weeks when the break would have been healed? The client reiterated that the arm fracture was not the issue and asked for the focus to be on the 'frozen shoulder'.
Then the sessions focused on TENS (Transcutaneous Electrical Nerve Stimulation) around the shoulder. This is next to useless and just plain lazy from the practitioners. There was virtually no improvement with the shoulder issue. A Massage Gun was used briefly and this gave more benefit than anything.
After 30 (Yes, Thirty) Physio sessions, the client had exhausted their insurance 'quota'.
The client then comes to me for any help I can give. Their arm cannot raise forwards or to the side (Flexion and ABduction) over 80° (so not even able to get arm above shoulder level) and this was painful. Cannot get arm to go backwards (extension) as if to take arm/hand behind Back.
Session 1: focus on release all the muscles around the shoulder and neck, with dry manipulation. Gave client various stretches to perform.
Session 2 (4 days later): Was tender where worked. Session was supposed to be the day before but was too tender so we delayed it another day. Says had more benefit in one session than the 30 at hospital! Range of Movement was now getting just above shoulder with much reduced pain.
Session 3 (today, 5 days later): Big improvement, to where client said has often 'forgot' there was an issue with shoulder. Range of movement is not 100% but is vastly improved. Arm can now move forwards to reach head height and arm ABduction is around 130° and no pain. Can get arm/hand behind Back and reach mid Back, without any pain.
Client is now going to see if they can continue performing homework by themselves or may come back for one more session.
Unfortunately, this scenario is quite common - maybe 4-5 clients like this this year alone. Not sure if it's the hospital system trying to rinse insurance companies, or therapists not having sufficient knowledge.
If you are not getting the results you hoped for, don't think there isn't another way...