Conservative Treatment
Essay by rachel999311 • March 19, 2015 • Essay • 226 Words (1 Pages) • 809 Views
Pt is a 52 y/o M with PMH of right shoulder pain >2 years associated
with overhead activity despite conservative treatment with therapy and
injections who is now s/p R shoulder arthroscopy, subacromial decompression, and
biceps tenodesis on 1/8/15.
PM&R Diagnosis: s/p R shoulder arthroscopy
Past Medical History: Cubital tunnel syndrome, chronic low back pain, neck pain,
Depression, PTSD and anxiety.
Social History: Pt lives c wife and is part of the Wounded Warrior Program.
Precautions: No biceps strengthening (avoid resistive elbow flexion/supination)
Chief Complaint: Pain to R shoulder and tenderness around incision site.
S: Pt reported no new complaints.
O: -Pt received MHP to R shoulder x 20 min (S), tolerated well, skin intact.
Pt participated in 45 min therEx including:
- table slides x 3 x 10 each
- supination/pronation x 3 x 10
- shoulder stabilizing ball roll on wall clockwise and counter clock-wise x 2
min each.
- pendulum side to side, front and back, clockwise/counter-clockwise x 30 each
- upper trapezius and scalene stretch x 10 hold for 5 sec
- pulleys flex/abd x 3 min each
- elbow flex, shoulder flex, ext, abd, ER, c 0 lb therabar x 30 each
- shoulder elevation/depression, protraction/retraction and rolls x 3 sets x 10
each
Pt received ice pack to R shoulder x 10 min (S), tolerated well, skin intact.
A: Pt tolerated session well.
P:
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