1 / 1

Physio interest : The Painful shoulder

Cost to the UK 31% of people report experiencing pain at work at least once a week. Back pain= 67% Shoulder =37% Neck =37% Time taken off work for a MSK disorder = A cost to the UK of £7.4 billion a year. Physio interest : The Painful shoulder. When to refer?

cloris
Télécharger la présentation

Physio interest : The Painful shoulder

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. Cost to the UK • 31% of people report experiencing pain at work at least once a week. • Back pain= 67% • Shoulder =37% • Neck =37% • Time taken off work for a MSK disorder = A cost to the UK of £7.4 billion a year. Physio interest : The Painful shoulder • When to refer? • If symptoms are mechanical in nature. • If mechanism of injury suggests that of soft tissue injury pathology ie trauma/repetitive strain. • If shoulder pain is effecting work and patient is at risk of sick leave. • When to refer on….. • If fracture or dislocation is suspected. • If 3/12 of conservative measures have been exhausted (in cases of SIS) (AAOS,2002). • Presence of red flags. • Common Conditions • Shoulder impingement (SIS) • Frozen shoulder (adhesive • capsulitis) • Shoulder instability • Trigger point referral • Disclocations • Post shoulder replacement • Acromioclavicular joint strain • Elevation of the 1st rib • Rotator cuff tear/dysfunction • Rule out neurogenic referral • Case Study • A 52 year gentleman attends physiotherapy complaining of a five month history of right shoulder pain. He is Right hand dominant. • Subjective findings • Pain at night particularly when lying on right side. • Difficulty reaching above shoulder head height. • Nil PMH of note. • Objective findings • Full range passive shoulder elevation. • Painful arc. 3 x positive impingement tests. • IR= hand to waist height. • ER=hand to ear. • Diagnosis: Shoulder Impingement • Aims of Physio • Reduce pain • Increase ROM • Improve shoulder dynamic stability • Treatments • In accordance with current evidence and NICE guidelines • Relative rest and acupuncture to reduce pain. • Restoration of ROM, strength and scapulohumeral rhythm. This is achieved through the use of manual therapy, exercises and posture re-education. • Conclusion • After a course of 4 sessions the man reported reduced pain, increased function a and improved sleep patterns. • References: • American Academy of Orthopeadic Surgeons(2002) Criteria for shoulder surgery, Rosemont(IL)American Academy ofOrthopeadicSurgeons. Available at www.guideline.gov • HanchardN, Cummins J and Jeffries C.(2004) Evidence based clinical guidelines for the diagnosis, assessment and physiotherapy management of shoulder impingement syndrome. Chartered Society of Physiotherapy, London. UK.

More Related