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What does hallucinations and exhaustion after PT for frozen shoulder indicate?

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Posted on Sat, 30 May 2015
Question: After PT for frozen shoulder, I hurt and had electric stim with heat. Driving home, I felt drunk and then slept til the next day. I felt the same the next day and saw people at church who weren't there. Drunk feeling and exhaustion lasted almost 72 hrs. 10 days later I had same treatment at PT and could not control the car (weaving around the lane) going home. I stayed home and spent 2 days sleeping 20 out of 24 hours. What is this feeling and can anything else bring it on? (I stopped PT)
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Answered by Dr. Olsi Taka (44 minutes later)
Brief Answer:
Transitory posterior lack of blood supply possible.

Detailed Answer:
I read your question carefully and I understand your concern, those episodes sound worrying.

One hypothesis I can make is insufficiency of the vertebrobasilar system, meaning insufficient blood flow to the posterior part of your brain. The relation to PT could be manipulation to the neck may lead to trauma of the vertebral arteries which are in close relation to the spine. That could lead to a dissection (a tear in the vessel wall) or compression of an already narrowed vessel from atherosclerosis.

Of course this is a hypothesis, this complication is common in neck manipulation, not sure how much the neck was involved in your PT.

I recommend tests to study the head and neck vessels either by ultrasound or even better CT/MRI of the vessels. Also some routine blood test (blood count, glucose, liver and kidney function, electrolytes) are indicated.

I remain at your disposal for further questions.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Follow up: Dr. Olsi Taka (5 hours later)
Thank you. Your answer just came through. This makes a lot of sense and YES the 2 episodes were very frightening.
doctor
Answered by Dr. Olsi Taka (36 minutes later)
Brief Answer:
You're welcome!

Detailed Answer:
You're welcome! Until you get checked, perhaps a low dose of aspirin as a preventive measure might be recommended just in case.

I hope things will work out for the best.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Dr. Olsi Taka

Neurologist

Practicing since :2004

Answered : 3669 Questions

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What does hallucinations and exhaustion after PT for frozen shoulder indicate?

Brief Answer: Transitory posterior lack of blood supply possible. Detailed Answer: I read your question carefully and I understand your concern, those episodes sound worrying. One hypothesis I can make is insufficiency of the vertebrobasilar system, meaning insufficient blood flow to the posterior part of your brain. The relation to PT could be manipulation to the neck may lead to trauma of the vertebral arteries which are in close relation to the spine. That could lead to a dissection (a tear in the vessel wall) or compression of an already narrowed vessel from atherosclerosis. Of course this is a hypothesis, this complication is common in neck manipulation, not sure how much the neck was involved in your PT. I recommend tests to study the head and neck vessels either by ultrasound or even better CT/MRI of the vessels. Also some routine blood test (blood count, glucose, liver and kidney function, electrolytes) are indicated. I remain at your disposal for further questions.