In 2008 Charles Milgrom MD compared the medical histories, drug treatment, previous hospital as well as health management organization blood tests of 126 new consecutive frozen shoulder patients from a shoulder clinic to those of an age-matched control group of 98 consecutive patients from an orthopedic foot and ankle clinic and to the regional population disease prevalence registry. Frozen shoulder was classified as idiopathic only if there was no history of trauma and no evidence of a rotator cuff tear. Among the frozen shoulder patients 29.4% had diabetes and 13.5% had thyroid disorders. The risk ratio for diabetes in the frozen shoulder group was 5.9 for males (95% confidence interval 4.1–8.4, P < 0.001) and 5.0 for females (95% CI 3.3–7.5,
On History- The patient was a 49-year-old Caucasian male with a chief complaint of pain and weakness in R shoulder abduction and external rotation (dominant shoulder). He was a retired baseball player. He has been a baseball pitcher for 12 years before he retired 5 years
"Physical Therapy at White Sands in Sarasota for Shoulder." Rotator Cuff Pain Relief with Water Therapy Treatment in Sarasota, FL. N.p., n.d. Web. 02 May 2014.
To conclude, holistic assessment should be performed on admission to reduce perioperative and post-operative complications, for successful outcome of surgery and to prevent delay in discharge. Patients with diabetes undergoing surgery present a great challenge for health care providers. It is important to carefully monitor and control diabetes before, during and after the surgery to eliminate complications. Post thyroidectomy, there are many complications and patients should be monitor carefully for them as early detection can save life. Discharging a patient is a complex procedure and should include clinical care, social care, making appropriate referrals and it should involve the patient and the family.
To break down this concept of hip movement, hip abduction is to propulsion as hip adduction is to flexion and recovery. This analogy leads to the, three phases in skating strides: single-support propulsion, double-support propulsion and single-support glide/recovery.2 Propulsion begins while one skate has contact with the ice and the other is approximately halfway through the recovery stage. The recovery stage is the period of time immediately after the skate pushes off before it is brought forward. The propulsion stage continues as the recovery skate is put onto the ice (double-support propulsion phase).
Based on the medical report dated 9/22/16, the patient presents for right shoulder pain. It was noted that the patient is over 5 months status post right shoulder arthroscopic superior capsular reconstruction for nonrepairable rotator cuff tear. The patient continues to complain of significant shoulder pain with any overhead activity. Pain keeps him up at night. He is very distressed by his pain. Musculoskeletal examination notes that the right shoulder has an active forward elevation to 100 degrees with pain and guarding beyond going any further with forward passive motion up
DT is an 88 year old female; she is 4’9 and 152 pounds. She recently retired from Wal-Mart in January of this year and was living at home with her husband up until her recent admission to the hospital. She presented to the emergency room with right knee pain and was admitted to the medical surgical unit. Her knee was swollen and she was unable to walk on it due to the pain it was causing her. She had synovial fluid drained from her knee and there were no signs of any organisms, but many white blood cells. Before her discharge they decided that the swelling and pain was due to inflammation arthritis due to her osteoarthritis. DT also has diagnoses of hyperlipidemia, hypertension, history of nephrolithiasis, and an arrhythmia
MEDICAL UPDATE: Client continues to report shoulder, neck, and left arm pain, numbness. She also reported dizziness and sore finger. Client report she goes for pain management and Spine Specialist. Client also sees Neurology. She also reported last week she picks her a copy of the blood work and Vitamin D deficiency and everything is ok. Client reported Vitamin D deficiency is on the border line. SHE also reported follow up appointment with her PCP today and with the Spine doctor 8/5/2016 and Neurology 7/27/2016. Client reported no changes in medications.
Repetitive arm use can cause fatigue of shoulder muscles and this has been a potential link to the development of shoulder pain. A reduction in force generation of shoulder muscles might lead to a reduction in control or stabilization for joint motions, such as the GH joint. The infraspinatus has been seen to play a significant role in the alteration of GH kinematics when fatigued while other shoulder musculature, such as the anterior/posterior deltoid and serratus anterior, did not alter GH kinematics while fatigued. Altered scapular kinematics have been found after fatiguing external rotators such as the infraspinatus. decreased scapular posterior tilt, upward rotation, and external rotation during arm elevation after the external rotators were fatigued. confirmed a decrease in scapular posterior tilt from external rotator fatigue, but also noted an increase in scapular upward rotation at 60° of arm elevation. also stated an increase in scapular upward rotation with arm elevation following fatigue.
The observation from what I saw was impressive to be seen in the class.In the research I learned that dry ice was made from degrees that are below than 10 degrees.You had as welll put in water to make the smoke effect work.Another thing is that be sure not to touch the plate beacause the plate is hot.It started boiling and crazy as well.
S: TM completed 6 ESI visit. TM reports his wrist pain at 0, and at times 1-2/10 at rest; soreness at the right transverse carpal ligament area. TM reports intermittent soreness to right transverse carpal ligament area while working and rates his pain at 3-4/10. Reports sharp shooting pain going up to his mid-forearm at times; 5/10. TM reports some tingling sensation at times in in right pinky and ring finger. Denies his right arm pain interrupts his sleep. TM denies any numbness or loss of movements of right arm, wrist or hand.
Patient referred to physical therapy to evaluate diffuse upper back and neck pain. She was involved in a motor vehicle accident like three years ago and never had any post accident injuries. She notes mostly central _____ cervical and upper thoracic pain and occasional headaches that may or may not be cervically related. Denies any radicular symptoms. Seems to be better when she is either slouched with her head supported and worse when she has to sit upright and hold her posture.
Kibler, W., McMullen, J., Uhl, T. (2001). Shoulder Rehabilitation Strategies, Guidelines, and Practice. Orthopedic Clinics of North America, 32, 527.
I asked for a second opinion regarding my full-blown rotator cuff and because of the mental state I am in the doctor asked that I return to discuss the surgery after I visit with the psychiatrist. Yes, he agreed, I am in need of surgery, but my mental state will not permit surgery at this time. I am requesting the documentation you have from the doctor that took me off work and changed his mind and returned me to work, as Ms. Franco explained to the Texas Insurance Associate as to why I am not receiving my benefits from worker’s comp.
Each patient receives a comprehensive examination using objective and subjective measures to assess pain, movement patterns, muscle performance, posture, endurance, flexibility, joint accessory motion, and a detailed medical history in order to identify the underlying cause of symptoms. Getting to the root cause of the issue allows us to more effectively treat the problem and devise a personalized treatment plan.
She looked out across the wide expanse of water in front of her. The sun was well in the sky by now, but not a cloud in sight to challenged its brilliant and bright superiority. Anna believed it looked nice enough to go for a walk, however, she realized it was a good thing she brought her cape, drawing it in closer to shield from the bitter air.