The OAT Procedure has been described as a manual frozen shoulder therapy or treatment. More accurately, it is a non-surgical, non-invasive operation or procedure. The OAT Procedure is also known as the MCD-OAT Procedure which stands for Manual Capsular Dissection Oolo-Austin Trigenics® Procedure. It is comprised of two major components.
Manual Frozen Shoulder Therapy – Muscular Component of OAT Procedure
The OAT Procedure has been described as a manual frozen shoulder therapy or treatment. More accurately, it is a non-surgical, non-invasive operation or procedure. The OAT is comprised of two parts: a muscular component and a capsular component. The muscular component is where Trigenics® lengthening and strengthening procedures are performed to correct neuromuscular dysfunction. Frozen shoulder pain and immobility leads to neuromuscular dysfunction. Think about it, if your shoulder is so painful to move, you’re going to favor the other arm and use it more. As you use the frozen shoulder less and less, the muscles in and around the shoulder will atrophy. This atrophy and the change in your day-to-day use of your shoulder will cause your brain to send different signals to the muscles. This change in signals becomes permanent the longer you have frozen shoulder and use your arm differently. Manual frozen shoulder therapy like physiotherapy cannot reverse these changes as they are neurological. The muscular component of the OAT Procedure assesses and corrects this neuromuscular dysfunction.
Patients usually see a 10-20 degree increase in shoulder mobility after the muscular component of the OAT Procedure, but increases of 30 degrees or more are not uncommon. Sometimes, patients are brought to tears when they see how much mobility they gain. Take, Robyn for example. She tried manual frozen shoulder therapy and MUA, but the physical therapy left her in such pain that she had to take oxycodone afterwards. And the MUA did not give her any improvement in range of motion. Watch her emotional reaction after the muscular component of the OAT Procedure!
Manual Frozen Shoulder Therapy — Capsular Component of OAT Procedure
The second part of the OAT Procedure is the capsular component. This is where the frozen shoulder adhesions are manually dissected. This is done over the skin as the OAT Procedure is completely non-invasive and non-surgical. The capsular component involves 3 specialized joint-capsule separation procedures using specialized Trigenics® multi-probe instruments designed by Dr. Austin Oolo. The OAT procedure involves careful isolation and very specific dissection of only the bad tissue and none of the good. By positioning the patient in very specific ways and directing them to move against resistance in very specific directions, Dr. Austin Oolo creates a targeted stress load only on the offensive scar tissue with little stress on the good tissue or joint. The offensive isolated scar tissue is quickly separated and shoulder movement is immediately restored.
The OAT procedure is, in reality, a very specifically targeted and measured manual non-surgical dissection. The separation of the restricting scar tissue is performed in such a way as to only stress the offensive scar tissue and not the healthy tissues, capsule, bones, or nerves. The entire process requires interactive patient participation–not unlike other manual frozen shoulder therapy or treatments. But the OAT Procedure is unique in that Trigenics® is used to dampen the neurological motor input to the muscles which reflexively contract or go into spasm when the adhesed and frozen shoulder joint reaches its virtual end range.
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Around September I changed my workout, my weight-lifting workout. And I was using bands and I believe I tore my bicep. I didn’t know that that’s what I did. I just started getting lots of pain. And it started out that I couldn’t put my bra on. It was really painful. I couldn’t put my arm behind my back. And just over the next several weeks and months I just started losing more and more range of motion and the pain got worse and worse. And I finally went to an orthopedic surgeon who just said, “Oh, you have frozen shoulder.” So he said go to physical therapy, come back and see me. So I did. Physical therapy did not make it any better. In fact physical therapy was really painful. It was horrendous! Every time I went to physical therapy I had to take oxycodone it was so bad. Finally after six weeks I said, this is enough of this! I’m not doing this anymore! It’s not helping. I’m not getting any more range of motion. The pain was so bad. I would come home and be in tears and need oxycodone. I thought, “This isn’t making any sense. This is not making sense to me.” Anyways, the physician’s assistant tried to tell me, “You don’t even have anything wrong with your shoulder. It’s all in your neck.” I’m like, I can’t even put my bra on. It has nothing to do with my neck. You’re crazy! So I went to a different orthopedic surgeon after that because he… I didn’t trust them anymore. But I do have x-rays from them. So I went to a second orthopedic surgeon who said, “Oh you just have frozen shoulder. We’ll I’ll just do this manipulation under anesthesia. It’ll be great. You’ll be able to go skiing in two weeks. I said, “Awesome! I’ve never heard of this before. This is fantastic! I’ll do it.” “Your MUA went really well!” “You’re going to get your full range of motion back.” Did not happen at all! Not at all. So that’s where I am now.
Dr. O: What did I tell you? Just before we did this 5 minutes ago? Can you believe it? What the reading? 130.3 (degrees) from 76 (degrees.) Tell me what those tears are all about right now.
Robyn: Because I can’t believe it.
Dr. O: What did I say just 5 minutes ago?
Robyn: You told me.
Dr. O: What did I say?
Robyn: It’s gonna stay, right?
Dr. O: I said that in the next 5 minutes you’re going to get more results than you did in the last 5 months. And you said, “No. I can’t believe it.” And I said watch what’s going to happen. What do you think?
Robyn’s friend: Awesome!
Dr. O: Tears of joy? There’s more to come! Alright let’s see that movement again.