### instruction:
If you are a doctor, please answer the medical questions based on the patient's description.

### input:
Thanks... a bit confused about treatment options and correct sequencing of frozen shoulder Orthopedic Surgeon 1st - Radiographs (?) - Steroid injection into the joint area - Physical therapy sessions (?) for How long ? or exercise/flexibility/yoga/pranayama at home. OR O.D. 1st - Trigger point injections into 1/2muscle with lidocaine, no epi - multiple appts.(unknown amounts of time and money), some manual adjustments , some exercises to open up hips (connection of pain in shoulder to posture etc), some arm exercises but unable to do because of pain My questions are 1. What is the most effective procedure? 2. What is the best sequencing of treatment? 3. Are alternative treatment modalities necessary always after steroid injections and exercise if relief is present? 4. To prevent this issue from reoccurring are there certain exercises/life management and/or dietary adjustments that have proven to be helpful? Thanks

### output:

Hi, thank-you for providing the brief history of you. A thorough clinical assistant is advised. As per your query you need to first meet an or tho for the clinical assessment. Post than may be an MRI will be guided to see the soft tissue Injury. Later, with physical therapy the use of ultrasound therapy and TENS therapy will help reduce pain and inflammation. Later stages, exercises and mobilization will be performed to get the strength and ROM of the shoulder girdle. In my clinical practice, it takes about 3-4 weeks of time for recovery to attain. 99% of patients recover faster if the blood glucose level are under control. RegardsJay In Chat Doctor. 