Adhesive Capsulitis

This usually happens at the joints where two bones meet that create movement of body parts. This disorder is systemic and usually if it happens one side, it happens on the other side as well. A joint is where two bones meet, in between those two bones there is

HPI: Ms. Smith presents to the office with bilateral shoulder stiffness and lateral elbow pain in right arm. The patient has been suffering shoulder stiffness for over 2 years. The symptom developed gradually after she started using her computer more at her work place; she had to hold her telephone between her shoulder and head while typing information on computer. The pain in right elbow stated about 8 months ago with gradual onset. The patient does not recall any trauma to the shoulder and elbow. She has been diagnosed as tennis

Client reported this week she is having shoulder pain. She also submitted MRI Rx. With the following findings:

The patient was an active participant in both contact as well as non-contact athletic activities. The patient reported occurrence of different symptoms that included; pain, weakness, instability, paresthesia, crepitus, as well as instability of the shoulder during sleep. Sulculus sign was conducted to assess the rotator interval and load and shift test for determination of the patient’s posterior stability. The doctor diagnosed positive for multidirectional instability. The patient’s multidirectional instability was not caused by a traumatic event. The patient had not exercised the joint over a long period of time, hence he had a weak shoulder joint, particularly the rotator cuff. The doctor recommended that the patient should be treated for the pain and inflammation of the shoulder caused by the multidirectional instability and then placed on physical therapy aimed for one year aimed at helping in the strengthening of the muscles of the patient that support the scapula (shoulder blade) and the rotator cuff (shoulder joint) so as to help the patient in returning to normal physical activity and also prevent an injury at the same place

^8,5 ASI occurs when the arm is in adduction with the shoulder internally rotated. The biceps complex pulley, also known as a capsuloligamentous complex, adjoins the anterior glenoid causing injury when in extreme motions. With the PSI, the pulley is put into risk with abduction and external rotation on the posterosuperior glenoid. ^8 PSI is also associated with partial-thickness tears on the deep side of the articular surface of the rotator cuff. ^5 This can be a common cause for a peel-back mechanism associated with a SLAP lesion. ^8 Peel-back mechanisms can be produced many different ways, but are mostly seen with a SLAP lesion or internal impingement. These can occur when the shoulder is placed into abduction and extreme external rotation with a torsional force added to the labro-bicipital complex that is at the base of the biceps on the posterior superior labrum. ^1,5 This causes fatigue and failure of the humeral head that rotates medially over the upper rim of the glenoid fossa creating a shearing force. ^1,5 Increased superior labral strain in overhead athletes occurs during the late-cocking phase of throwing when arm is externally rotated. ^1

DOI: 2/24/2016. Patient is a 46-year-old male production technician who sustained injury while he was lifting a heavy door when he felt immediate pain in his right shoulder. Per OMNI, he was initially diagnosed with right shoulder strain.

Painful arc syndrome (rotator cuff tendinitis, tear or impingement syndrome): Painful arc syndrome is a condition characterized by pain in part of the ROM, between 45 and 160 degrees. Bicipital tendon rupture: Bicipital tendon rupture is frequently diagnosed in association with rotator cuff disease as a component of the impingement syndrome. Glenohumeral adhesive capsulitis (frozen shoulder or pericapsulitis): Adhesive capsulitis is a condition of uncertain etiology characterized by progressive soft tissue restriction of both active and passive shoulder motion (Huang, et al. 2012 and Brauer et al. 2013).

Based on progress report dated 03/09/15, the patient reported of persistent left shoulder pain. She has attended at least 12 PT sessions with non resolution of her symptoms. Due to left shoulder pain with positive impingement test despite 7 weeks of conservative care with NSAIDS, muscle relaxant and PT, left shoulder MRI for further evaluation is recommended. PT for 3 times a week for 4 weeks is also requested. She was advised to continue Anaprox and Flexeril.

S: In 10/22/2014, TM was seen for bilateral shoulder pain. Today TM is here complains of left shoulder pain. According to TM he was aligning a Santfa, a process involving reaching. When he was bring his arm down, he felt the sharp, tearing pain in his anterior of his shoulder. TM is here with left shoulder pain. TM reports his pain at 6-7/10. The pain was sudden, sharp at The pain was localized, and didn’t radiated to anywhere else. The pain was so sudden and so severe, it scared him. TM denies any tingling or numbness, loss of movement.

Please allow me to make some correction to the rating of Dr. Miner’s report. It appears Dr. Miner used the range of motion measurement from the right shoulder [uninvolved joint] as a baseline to determine the impairment to the left shoulder as a result of a

A physical therapy evaluation dated 08/07/2017 indicated that the claimant had a right shoulder pain after a fall onto her elbow and knee at work on 06/28/2017. She stated that she will have a surgical intervention on her right shoulder. She rated the pain at 6-8/10. She was unable to reach above her right with the right upper extremity. Objective findings showed reduced right arm swing. It was noted that the claimant was unable to place the right hand behind the head or the ear. There was a noted atrophy of the right forearm. Therapeutic exercises, moist heat, TENS, cryotherapy, and patient

The pain for her began approximately 10 weeks ago upon waking and for no known reason, this shows that she is at the early stage of the condition (frozen stage 2) and is experiencing pain with limited movement and stiffness. The pain is now easing but glenohumeral joint range is restricted to 90 degrees flexion and abduction, 5 degrees medial rotation all with a hard end feel.

Based on the progress report dated 08/22/16, the patient presents for re-evaluation 1 year status post right shoulder surgery. The patient had a right shoulder cortisone injection administered on 6/6/16. The patient reports she is doing no better than at her last visit. She experiences constant pain with certain movements. Though her pain is persistent, it is not severe. She also experiences a burning sensation over the anterior shoulder. She does not perform her exercises regularly, but is able to do push-ups. Pain is rated as

DOI: 5/11/2015. The patient is a 39-year-old right hand dominant female x-ray technician who sustained a work-related injury to her right shoulder when she was checking a patient's height. As per OMNI, the patient was diagnosed with right shoulder bicipital tendinitis and impingement syndrome.

This condition causes shoulder pain, especially when you lift an object over your head. Rest may relieve the pain.