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
Russell Carrington is a 25 year old right handed relief pitcher for the MLB team the Baltimore Orioles. Carrington has been playing baseball since he was seven years old and this was his third season in the Major Leagues. Carrington was at the mound and in the motion of throwing a fastball, when he felt a “pop” in his overhand motion. He dropped to his knees and clinched his right shoulder in pain. Athletic trainers came onto the field an upon examination Carrington stated his arm felt like it was “dead” and felt like it was “catching”. Carrington was seen by the team physician. She performed ROM exercises, strength, and stability tests on his shoulder and examined his neck and head to ensure pain wasn’t coming from a pinched nerve. She concluded that further testing and imaging was necessary. Carrington had an X-ray and MRI done on his shoulder and he was diagnosed with a type II SLAP (Superior Labrum Anterior and Posterior) lesion. He didn’t want surgery done because he would miss the remainder of the season and possibly the next, so doctors prescribed non-steroid anti-inflammatory medication and five months physical therapy to strengthen the shoulder capsule. After completion of physical therapy, the pain didn’t improve and arthroscopy surgery was recommended.
What additional assessment tools would you select that would be appropriate for Clint and why?
The patient wants to also update me as far as the arm pain he mentioned last time. He says his left arm is feeling better now. He is noticing that his right shoulder is hurting at times, especially in certain positons such as while he is sleeping and if he has his arm raised over his head while he is lying down. He had no specific injury or trauma. He is not aware of anything that makes it better or worse. He is not using any medication for it thus far. He would be interested in having
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.
As a first part of the holistic assessment process the nurse collected the subjective data, which are the data from Anne’s point of view during the interview (delaune).the nurse gathered information regarding present medical history, past medical history and activities of daily living. Anne mentioned that she was diagnosed with oesophageal cancer one year before. She also added that she was suffering from pain and swallowing difficulty for few days and that was the main reason for her admission in the hospital. On observation the nurse noticed that Anne is very anxious and fragile. The pain assessment carried out and Anne was scoring six on the pain chart .marmo Liza suggest that pain is an unfavourable experience and each persons perception
What structure passes through the region outlined by the yellow arrow and how does it contribute to the pain experienced in the anterior compartment of the arm by Bruce? (3 marks) The structure passing through the yellow arrow is the humerus. It contributes to the pain at the anterior compartment of the arm by the long head tendon of the biceps muscle grinding against the scapular muscle. This leads to the ongoing instability of the humerus giving Bruce a large chance of a subluxated humerus. The superior labrum will also grind up against his inflamed bursa which is why Bruce has decreased range of motion and lots of
Based on the latest follow-up evaluation progress report dated 03/02/16, the patient complains of right shoulder pain and stiffness. He states that his shoulder feels sore. He states that his pain is aggravated by the cold weather and over activity. The patient has not attended physical therapy for some time due to travel outside of the country. He is using an analgesic cream.
Adequate pain assessment is essential for measuring the efficacy of treatment in clinical practice, provide patient with target pain treatment, and avoid the high number of non-responders.15 Clinically, valuable pain assessment would associate certain signs and symptoms that comprise the pain phenotype with underlying mechanisms.15 Methods such as quantitative sensory testing, functional imaging, skin biopsies and genetic screening are assessment tools provide valuable information regarding the neurobiology of pain.15 However, these tools are expensive, require technical expertise and not suitable for routine assessment of a patient’s pain.15 Therefore, the purpose of this study is to establish biopsychosocial pain profiling of multiethnic
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.
The patient is a 64-year-old gentleman who tells me nine or 10 days ago he started having pain in his right shoulder which started in the morning. He states that prior to this he has been doing increased amount of work at his horse farm. He has had to not only bale hay, he has needed to lift 15 car batteries up onto a platform. He also tells me he caught a heavy "I beam" and felt a jerk of his shoulder several days prior to onset of pain. He states the day after the onset of the pain, he had such back pain, he had a difficult time sleeping. He was taking Advil every six hours, but this was not helping the pain. At that point, the pain was gone up not only in his right shoulder but going up his neck and down his arm. He tells me that he then switched to Aleve, two tablets twice a day and started using ice alternating with heat. He states the ice seems to work magic for him and one week after the pain started he woke in the morning and had no pain. He states that he still gets an occasional twinge, but it is almost completely resolved. He does worry because he works on a horse farm and does not want to have any sort of intervention if not needed. He does occasionally get aches and pains in his shoulders and at this point, this is the state he is in.
It is common for babies to experience physical injuries while they are being born. The best way to protect your baby is to know what causes these injuries and how to avoid them. Armed with this knowledge, you can speak to your doctor about ways to reduce your baby's risk of experiencing one of these frequent problems.
DOI: 6/16/2016. Patient is a 40-year-old female psychiatric assistant who sustained injury while she was breaking a fight between two patient and in the process, she injured her left shoulder. Per OMNI entry, she was initially diagnosed with strain of the left shoulder.
Allowing for a wide range of movement, the shoulder consists of two main bones the scapula and the humerus with a connecting flexible joint. Arthritis and various shoulder injuries, including a torn rotator cuff or impingement syndrome may cause pain and limit range of motion. Using different shoulder pain management techniques may help in alleviating the symptoms.
Swimming places high amounts of stress on the shoulder. This is why shoulder injuries are the top injury in the sport, estimated at ~50 - 80% in swimmers. Obviously, the amount of shoulder revolutions during practice are the primary contributor of shoulder stress, but other activities also add shoulder stress, increasing the risk of tissue default.
Back pain is a leading cause of disability worldwide and one of the most common musculoskeletal conditions that cause people to go to the doctor or miss work. The majority of people will experience back pain at least once in their life. Back pain can occur acutely from an injury or accident or can be chronic from poor posture or other long term mechanical stress on the back. However it happens though, back pain can make many everyday activities painful and difficult to do. Symptoms of back pain can include aching muscles, shooting or stabbing pain, pain that radiates down the leg or legs, and/or limited flexibility and decreased range of motion of the back.