Right Shoulder Pain Report

Narcotics. If your pain doesn't improve with over-the-counter medications, your doctor may prescribe narcotics, such

Acetaminophen 500 mg tab 1 tab 1 tab by moth every 6 to 8 hours as needed for pain

*insert article *attachedBesides being able to see the inside of a shoulder, doctors use different physical tests to evaluate the shoulder in order to determine what type of injury and how severe an injury may be. One such test was recently developed by Dr. Carl J. Basamania at the Womack Army Medical center in Fort Bragg, N.C. The test was developed to evaluate shoulder instability in a patient. During the test the Dr. or examiner stands next to the patient who is to lay flat on his/her back. The hand of the examined should is held firmly by the examiner. The examiner then pushes against the clavicle to stabilize th scapula, while they also gently hold the pectoral muscle with their thumb in order to be able to assess relaxation. The examiner then rotates the arm form neutral to full external rotation. If the patient has AIGHL incompetence there is a lack of tightening as the arm reaches full external rotation. The test has appeared to be highly accurate and may be of value to Dr.'s and surgeons alike. After doctors have determined what type and what degree of injury a patient has sustained using various tests it is on to the next step, rehabilitation.

On 6/19/17 I contacted Evergreen physical therapy and requested an update from his physical therapist. On 6/20/17 I was faxed a current update. Mr. Stevens continues to report pain to his shoulder at a 8 out of 10. Moving the shoulder increases the pain Mr. Stevens continues to be very motivated to get better. They continue to recommend physical therapy to continue at 3 times per

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

The first was a questionnaire for symptoms, disability, and the SF36 health survey. The second assessment was performed by a blinded orthopaedic specialist and third an ultrasound and MRI of the shoulder. In the first stage the subjects took a Nordic- style questionnaire that focused on pain in the upper limb. The second stage was performed by an experienced orthopaedic specialist. The specialist assessed both shoulders by determining the range of motion and pull force at a 90 degrees of abduction in the scapular plane. A constant score was calculated for both shoulders. If the constant score was below normal female values, their shoulder was considered abnormal. Third a blinded musculoskeletal radiologist performed an ultrasonography of both shoulders in all subjects. If they had an inconclusive finding they completed the assessment with an MRI. The subjects were not allowed to report any pain they were having during the

S: TM completed a total of 5 ESI visits. S/p Right shoulder surgery and his upper bicep tendon were reattached to his shoulder about 6 months ago. TM reports biceps have been sore, 4/10. TM report aching like pain in his right shoulder; 2-3/10. TM reports increased pain with bending at his right elbow, and lifting of items. TM denies tingling, numbness, or loss of movement in his right arm. TM is currently taking Celebrex 200 mg QD. TM reports his PCP told him not to take any acetaminophen related to his elevated liver enzyme.

O: Right Hand: No redness, no swelling, pain with palpation of right ulna border, tight muscle, and dimpling of muscle around the area. Intact NVS, increased in pain to the area with grip test,

DOI: 09/06/2013. This is a case of a 57-year-old female biometric technician who sustained a work-related injury to her right shoulder when she grabbed an elderly gentleman with her right arm to prevent him from falling or hitting his head. As per OMNI entry, patient was diagnosed with shoulder strain. Per progress report dated 4/26/2016, patient presents for follow up evaluation and continues to complain of constant right shoulder pain over the acromioclavicular joint. Patient had two intra-articular steroid injections that provided significant relief. She is requesting for an additional shot at the time of visit. She rates her pain at 7/10 on a pain scale. Patient reports that Norco relieves the pain at 4/10 for 3-4 hours with received therapy

TM report her right shoulder pain is improving with ESI. According to TM, she would like to avoid any type of surgery or referral back to Dr. Walcott, if it can be managed in the HMMA clinic. TM rates her pain is 4/10, aching like pain and it is localized to her right shoulder AC joint

One provider still had some concerns on the 3-day recommendation for prescribing for Acute pain. He feels a 10 days rule is sufficient. I reiterated several statistics:

Based on the progress report dated 01/11/16, the patient complains of constant right shoulder pain status post shoulder arthroscopy.

Based on the progress report dated 06/02/16, the patient presents for evaluation of her left wrist. She is still having a lot of symptoms. She did have a repeat nerve study which showed normal.

Ibuprofen 200 mg tab 2 tabs by mouth now and every 6 hours as need for pain X 1 week

4.) Acetaminophen-Oxycodone (Trade Name: Percocet 5/325) 1-2 tablets by mouth, every four hours; used for decreasing pain as well as decreasing a temperature (Deglin & Vallerand, 2007).