Shoulder Bone spurs

Moderators: kwyss, Sillevis

Shoulder Bone spurs

Postby cpendo » Wed Oct 05, 2011 9:03 am

Patient is a 78 y/o male patient who has decreased ROM and stength in the right shoulder, history of bone spurs in the shoulder. Muscular strength is limited to the extent that the patient has to use the left arm to raise the right arm. What treatment methods are considered? Would performing SPROM be an option to increase ROM or would it be too high risk for increased tissue damage? What exercises would be an option?
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Re: Shoulder Bone spurs

Postby kwyss » Thu Oct 06, 2011 8:17 am

How chronic or acute is this and what is the history?
What is the AROM vs PROM? I also like to see if chancing position chances the patients AROM.
What muscles are effected/decreased in strength
What is the scapular pattern, coordination during motion
Cervical or Thoracic limitations"
Brachial plexus? cervical radic?
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Re: Shoulder Bone spurs

Postby Sillevis » Wed Oct 12, 2011 4:05 pm

are you thinking we might have sign and symptoms of shoulder impingement or rotator cuff tear? Maybe a diagnostic ultrasound would be cool to do? That brings up a good points. Should PT's do diagnostic ultrasounds, after all we should be the providers of choice for musculoskeletal issues?
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Re: Shoulder Bone spurs

Postby Jbeas » Wed Oct 19, 2011 6:01 pm

It seems like quite a few of these subects have certain aspects left out. That is one of the greatest limitations in interdiciplinary approaches is the lack of proper communication. Are there other radiographs taken of the patient's shoulder that we didn't receive. As said before, should we do or be able to order/suggest these diagnostics? Also were there special tests performed to suggest a shoulder pathology? ( empty can,neer impingement). Kwyss lists some other situations needed to be tested in the assessment/ eval.
The medical diagnoses may be different too.
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