RAPID FUNCTIONAL RECOVERY IN A DIABETIC POSTMENOPAUSAL WOMAN WITH FROZEN SHOULDER THROUGH SPENCER MOBILIZATION TECHNIQUE: A CASE REPORT

Abstract

Background: Frozen shoulder, or adhesive capsulitis, is a debilitating condition characterized by progressive shoulder pain and restricted motion, commonly seen in women aged 40 to 70 and those with diabetes mellitus. While conservative treatments such as analgesics, corticosteroid injections, and physiotherapy are standard, manual therapy approaches like the Spencer Mobilization Technique have shown emerging promise. However, there is limited evidence of their effectiveness in diabetic postmenopausal women—a group often facing prolonged recovery due to hormonal and metabolic influences.

Case Presentation: A 55-year-old postmenopausal homemaker with type 2 diabetes and hypertension presented with an 8–10-month history of worsening right shoulder pain, stiffness, and limited function, notably struggling with overhead activities like combing her hair. Physical examination revealed muscular tightness, diffuse anterolateral tenderness, and significant restriction in active and passive shoulder movements.

Intervention and Outcome: The patient underwent a five-week physiotherapy protocol combining electrotherapy and the seven-step Spencer Mobilization Technique, aimed at restoring joint mobility. Treatment led to marked improvements in pain, range of motion, and the ability to perform daily activities. SPADI and VAS scores showed progressive reduction, and shoulder function was significantly restored without any complications.

Conclusion: This case supports the clinical utility of the Spencer Mobilization Technique as an effective, non-invasive intervention for managing chronic adhesive capsulitis in diabetic postmenopausal women. Its integration with electrotherapy and patient education may facilitate faster recovery and functional independence in high-risk populations.