This is a 36-year-old female with a 11/6/2015 date of injury. A specific mechanism of injury has not been described.
01/26/16 Progress Report noted that the patient presented with left shoulder pain. The pain was gradual in onset and is constant. The pain is characterized as burning, sharp, shooting, and throbbing. It radiates to the neck. She described her pain as moderate to severe. Her condition is associated with numbness in her left fingertips and weakness in her upper extremities. Any activity, movement and reaching aggravate the pain. Stretching and hot showers relieve the pain. The level of sleep has been decreased due to difficulty falling asleep. The quality of sleep is poor. She has difficulty performing her ADLs. Current medications: Meloxicam, Naproxen, and Spironolactone. Review of Systems was positive for weakness and nausea. The patient also has anxiety and depression. She has had psychiatric, psychological, or social work evaluations or treatments for problems. The physical exam of the cervical spine revealed that the ROM is restricted. There were spasms and tenderness of the paravertebral muscles bilaterally. There was also spinous process tenderness noted on C6 and C7. Tenderness is noted at the paracervical muscles and trapezius. Spurling’s maneuver produces no pain in the neck muscles or radicular symptoms in the arm. Adson’s test is negative. No signs of meningism. Cervical facet loading is negative on both sides. The exam of the right shoulder was
This is a 52-year-old male with a 9/24/2014 date of injury. A specific mechanism of injury has not been described.
It was noted that the patient has neck pain, facet arthropathy and spondylosis, suggestive of facer joint origin, 80% relief from previous facet nerve injection/block, prior rhizotomy more than 6 months and cervical/thoracic facet medial branch nerve block which has been helpful, failed conservative treatments with nonsteroidal anti-inflammatory medications (NSAIDS), PT, chiropractic care and home exercises.
On examination of the cervical spine, there is tenderness and tight muscle band is noted on both the sides of the paravertebral muscles. There is pain with extension and palpation of right facets.
This is a 54-year-old male with a 1/17/2012 date of injury. A specific mechanism of injury has not been described.
This is a 47-year-old male with a 12/15/2005 date of injury. A specific mechanism of injury has not been described.
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.
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.
The patient is a 48-year-old individual who sustained an injury on 09/20/16. During that time, he was running food on a plastic tray plate at work when the plates suddenly jammed to his left hand.
Examination of the bilateral shoulder reveals tenderness to palpation about the anterior shoulders bilaterally. There is also restricted range of motion secondary to pain and her supraspinatus weakness and Hawkins’ impingement tests are both positive. In addition, Neer’s impingement and drop-arm tests are also positive.
This is a 46-year-old female with a 10/10/2012 date of injury, due to a cumulative trauma to the neck, right shoulder, right wrist and hand.
This is a 51-year-old male with a 1/21/2014 date of injury. A specific mechanism of injury has not been described.
This is a 38-year-old female with a 1/10/2013 date of injury. A specific mechanism of injury has not been described.
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.
DOI: 5/1/2012. Patient is a 39-yearold female packer who sustained injury to her head, back, right shoulder and right leg when boxes fell on her.
S: TM works in GA Final B; Door Sub. According to, TM, his right shoulder began to hurt on right Thursday, he thought, over the weekend with adequate rest, ice and some Advil will get him better, but his right shoulder didn’t get better but worse. That’s when he decided to come to HMMA Medical Clinic. TM reports his right shoulder pain is 7/10, he couldn’t even perform his ADL this morning because he couldn’t raise his right arm above his waist level because of the pain. TM reports his pain is in his AC, deltoid region, and pectorals major area. TM denies acute trauma or previous injury to the location. TM denies numbness or tingling sensation radiating down to his hand