Case Studies
Sx:
Very painful shoulder. Painful to move. Tender to touch
Nil specific mechanism of injury was reported
Nil reports of family history
Has MS and fibromyalgia.
Ox:
Limited shoulder range AROM in all positions due to pain
Passive shoulder range is full but very painful +++
Shoulder improvement tests:
• ER cuff facilitation: negative
• Scap assistance: negative
Neck improvement tests:
• All negative
Rx:
• C/spine lateral glides in supine: 3 sets of 30s grade 2
• Compression mobs of GHJ
• Massage of traps, rotator cuffs and pecs.
• ENAR of deltoid region.
• Dry needling of deltoid, infraspinatus, supraspinatus and trapezius.
• Exercises: Swiss ball short to long lever, isometrics against wall
• Advised to take anti-inflammatories and use heat
• Taping with k-tape to offload the shoulder
Review in 3/7