Left Shoulder Pain Case Summary

QEP Scripts for Two Recordings – Audio for Musculoskeletal System; “OK, Team! We have a new patient in Room 3B who is being admitted with a progressive (gradual, advancing) decrease in mobility (movement) of his back and legs, and increase in pain located in the lumbosacral (lower back above the tailbone of the spine) area. The patient’s Primary Care Provider has sent along Computed Tomography scans (CT, a rotating x-ray emitter, detailed internal scanner) showing spinal stenosis (narrowing of the spine causing pressure on the nerves and spinal cord causing lower back pain.) and decrease of the normal lordosis (abnormal curvature lower spine, excessive inward curvature of the spine) in the thoracic vertebrae (upper and middle back). Lumbosacral

Circumstance: Ayden will maintain contact with medical team monthly. Ms. Smalls (MHP) and Mrs. Wigfall (MHS) discuss Ayden’s recent medical appointments and therapy. Action: MHS report Ayden will start physical therapy at an outside clinic. MHP and MHS discuss Ayden receiving all therapy at the same clinic to reduce several therapy appointments during the week. MHP and MHS review reports given since last week.

DOI: 5/19/2010. Patient is a 57-year-old male electrician who sustained injury when he was struck in the back by a car in a parking lot. He underwent a L5 laminectomy and decompression of the neutral elements 2011. Per the progress report dated 5/18/16, the patient complained of low back and left leg pain.

This article presents a case report about a 31 year old male patient, a teacher at a university, who started experiencing mid back pain after weightlifting one day.3 About 3 hours after weightlifting, the patient began to feel sharp back pain, at levels T4-T8. His pain began to worsen that night causing muscle spasms of his paraspinal muscles, with intermittent radiating pain to his lateral thorax and chest.3 This patient had been diagnosed with thoracic facet injuries in the past, and just assumed it was that.3 However, after the pain did not subside the patient went to his physician who claimed the patient was just having muscle spasms and needed myofascial release.3 However, a radiograph was also done that revealed end plate degenerative changes at T7-T8.3 The patients clinical evaluation revealed muscle spasms of the paraspinal muscles between T3-T12, tenderness to palpate between T6-T8, full shoulder ROM, 5/5 shoulder muscle strength, and normal distal pulses and sensations.3 The patient was diagnosed with thoracic pain and muscle spasms and was give muscle relaxants and exercises for myofascial release.3 Three days after the physician visit, the patient decided to do some walking, to work on his cardio, and experienced mild shortness of

Harbor Physical Therapy, P.C. is a full-service physical therapy clinic that is located in Huntington, New York. They treat the arthritis/joint pain, neck and back pain, sprains, strains, and fractures, sports injuries and sports-specific injury prevention programs, shoulder injuries, tennis and golfers elbow, hip injuries, knee injuries, etc. They also treat the neurological conditions such as MS, parkinson 's, and strokes, swelling and lymphedema, difficulty walking, loss of balance, and falls, jaw pain and headaches, and muscular imbalances and flexibility. Harbor Physical Therapy, P.C. also provides total joint replacements of the hip, knee, shoulder, and ankle as well as post-surgical care for the spine, joints, and muscles, tendons, and

All health providers describe neck strain radiating down his shoulder. He had physical therapy three times a week for 6 months but still experienced pain at the end of 2012 to the beginning of 2013 when his physical therapy ended. DHD referred him to Dr. Katzman who discussed the need of surgery to his left shoulder which he didn’t have because no fault cut him off. He also had an MRI of his cervical spine and

Patient has had progressive pain, numbness, and weakness in both lower extremities. He has had an epidural, physical therapy, and medications. It was reiterated that the patient has lost over 30 pounds. He has clear-cut instability as documented by the pars fracture and the spondylolisthesis, which is mobile on flexion/extension films.

She completed all activities that were assigned to her WNL. (A) Assessment Pt is doing extremely well for the number of visits that she has received. This is because of her hard work at home which has contributed to her fast recovery. Her ulnar/radial deviation lacks because of the muscle tightness which could be loosened

Client has pain when extending the neck towards the sternum, lateral extension of the right side, and reduced range of motion in rotation of the neck towards the left side of the body. Patient explains that prior to her injury she could touch her chin to her sternum area, easily rotate her head from right to left and look over her shoulder. She complains of lack of sleep due to pain, headaches, problems with driving and inability to bend neck to read, eat, and engage in office/school work. Client loves to take long drives, put together puzzles, and play video

Hi Jacob, Thank you for your overview. Your protocol seems a faster, accelerated protocol for someone with RTC and SLAP repair. Your patient had also SLAP repair 1 year ago right? What was his pain level before and after rehabilitation? And, how many visits (average) did he need to reach phase IV?

His doctor recommended the applicant to have acupuncture and physical therapy. He said that there has not been any discussion of surgeries or injections. He takes Naprosyn three times a week. He claims that he began having radiating pain into his knee since he started treating at Southland Spine. He claims this pain occurs three times per month.

Per the PT note dated 11/16/16, the patient has attended 43 visits for the right shoulder. He reports fluctuating pain in his right shoulder. IW reports difficulty donning his shirt and states that he has been having on and off difficulty in lifting his right arm. Patient also reports continued right shoulder pain and difficulty sleeping.

1.3.1 Interdisciplinary intervention The literature supports the view that the prognosis of individuals with LBP is not as good as previously thought. The typical recovery is slow, and patients may still have pain and disability for one year 54-58. Therefore, individuals with LBP need effective comprehensive treatments to minimize pain, optimize function and participation, and prevent recurrence of a LBP episode. Guidelines for evidence-informed primary care management of LBP recommend that clinicians from different disciplines be part of individuals’ care including physicians, nurses, physical therapists, occupational therapists, psychologists, chiropractors, and pharmacists 59.

CHAPTER I THE PROBLEM AND ITS BACKGROUND INTRODUCTION Physical therapists, or PTs, are health care professionals who can help patients reduce pain and improve or restore mobility - in many cases without expensive surgery and often reducing the need for long-term use of prescription medications and their side effects. The physical therapist will examine and will talk about the patient’s symptoms and daily activity. The goal of physical therapists are to help the joints of the patient to move better and to restore or increase flexibility, strength, endurance, coordination, and/or balance. Healthwise (2015) said that physical therapy is a type of treatment needed when health problems make it hard for a person to move around, do everyday tasks

Due to these poor outcomes, a physical therapist may feel that it is necessary to modify the patient’s program and HEP, when in actuality, the patient simply needed to adhere to their exercises to show improvement (Wright,