Shoulder Injection Case Study

During Dr. Wallace’s clinic, one of the golf girls came into the Athletic Training Room complaining of right shoulder pain. Dr.Wallace first began the evaluation by asking if she remembered how she hurt her shoulder. The golfer said she had been at home during winter break and was wearing socks in the house. She said she was running and fell and when she was falling, she attempted to catch herself by using a nearby wall. Dr. Wallace then checked her strength by asking her to abduct her shoulders as far as she could. He then added resistance and noticed weakness in her right shoulder. He tested the ligaments and told her they were all intact. He also asked her if she had been experiencing any numbness, tingling, etc. since she fell and she

DOI: 8/6/2015. Patient is a 51-year-old female licensed vocational nurse who sustained a work-related injury to her back and hips while moving a client. As per OMNI, she was diagnosed with muscle spasm, pain over the low back and thoracic region. She is status post right carpal tunnel release on 02/26/16.

Per the work conditioning progress report dated 06/19/12, the patient has attended 19 work conditioning sessions and IW has made great progress.

Based on the progress report dated 09/12/16, the patient reports more frequent pain with activity since the last

The baseball star, David Wright, is having another setback in his game because the newly diagnosed right shoulder impingement that requires immediate care and treatment. According to Mets General Manager, Sandy Alderson, Mets third baseman will have to sit out the games for the following few weeks and concentrate on the complete recovery.

DOI: 6/23/2016. Patient is a 42-year-old female registered nurse who sustained injury to her neck/left shoulder when she twisted to keep the attachment from falling to the floor. Per OMNI, she was initially diagnosed with strain to multiple body parts.

The patient is an 80-year-old right-handed white female, who presents with her male partner for evaluation of left lower extremity symptoms. She did present for an EMG nerve conduction study in May. At that time, she gave a history of intermittent numbness into the anterior lateral thigh. The numbness rarely extended below the knee at that time, and it rarely occurred on the right. There was no clear radicular component. Her exam was normal. Her EMG of the left lower extremity was limited because she is on Pradaxa, but it was normal and CBs were consistent with a mild motor neuropathy. The diagnosis was possible meralgia paresthetica. The patient now states that the numbness is intermittent. It is on the anterior thigh, but now it goes down into the calf anteriorly and

The patient was diagnosed with bursitis of the right shoulder, pain in right shoulder, and impingement syndrome of the right shoulder.

Even with active assistance, the patient can only achieve approximately 140 degrees of forward elevation, 60 degrees of external rotation, and internal rotation barely to his upper sacrurn. He has 4/5 supraspinatus weakness and pain. Internal and external rotation strength seems to be normal. He has a nonspecifically painful Neer’s, Hawkins, and O’Brien’s test. His proximal biceps and acromioclavicular (AC) joint are both very tender to palpation.

DIAGNOSIS: Impingement syndrome, right shoulder; full-thickness rotator cuff tear with retraction, right shoulder; adhesive capsulites, right shoulder; post-op pain, right shoulder; Right elbow strain/sprain; Right wrist strain/sprain; Right upper extremity overuse syndrome.

Per the PT attendance report dated 09/11/15, the patient has had 8 sessions to bilateral shoulders from 07/27/15 through 08/19/15.

Shoulder injuries are a very common injury that occurs in most sports. All injuries and the rehabilitation done to the injured shoulder are based on the anatomy and structures of the shoulder. Doctors have developed different tests for evaluating the degree and seriousness of injured shoulders. Some have also developed different phases a person must go through to properly rehabilitate the shoulder.

Many injuries result from the shoulder as it in an area that is used often. Since I am a physical therapist, a client came to me with the issues that they were having with their shoulder. This is a report of my interaction with the patient, as well as informing the patient as they showed an interest in my profession. Covering all the aspects of the education and certifications required to be a physical therapist, as well as an overview and a salary median, and then moving on to the injury by naming and explaining the anatomy and diagnosing the injury, and the treatment and recovery plan.

Electrodiagnostic consultation report dated 10/02/15 revealed normal study of both upper limbs and cervical paraspinals. No evidence of cervical radiculopathy. No median or ulnar neuropathy.

Great point, when it comes to pain patients may react differently to the same type of diagnosis. I work for a pain management physician who does spinal injections as part of a plan of care. Patients have the option to be sedated for the different spinal injections or nerve ablations. It’s very interesting to see patients that come in for the same type of injection or procedures and how they perceive pain. Some patients feel that it’s essential to be sedated for their injection and some patients are able to do the same injection without sedation. I’m very lucky to work for a Physician who is able to pick up on the patient’s perception of pain and is able to help manage the patient’s pain accordingly. He is great at exemplifying many of the