Hey All! Posted below is a description of this weeks patient case:

Patient: 49 y/o Female, Stay at home Mom, Primary Adhesive Capsulitis
MOI: Patient presents to physical therapy with right shoulder pain that began around December 2021. She was doing dumbbell presses while working out at home; felt symptoms onset the next day and has rested since then. Was working out/lifting 4-5 days per week. Notes progressive worsening of stiffness and “toothache pain” over the past few months.

Chief Complaint: Right shoulder pain described as anterior shoulder pain that would radiate down the bicep region; denies symptoms past elbow. Feels stiffness and limited mobility. Did not have resting pain. Starting to feel the same twinge in left shoulder. Feels like she over-rested it. Denies N/T. Does feel tightness in UT region but not neck pain. Lost ability to reach behind back 1 month ago.

NPRS: Best 0/10, Worst 10/10
Treatment to Date: Cortisone injection
Agg. Factors: reaching OH (stiffness), reaching behind back (stiffness and pain), rotation (stiffness)
Easing Factors: wall slides flexion
Imaging: X-ray – per patient report, was told she has “frozen shoulder”

Shoulder AROM – Right/Left Respectively:
Flexion: 113/153
Abduction: 110/170
IR: glute/T7 (HBB)
ER: 44/75
Pain and tightness/stiffness noted on Right side; anterior shoulder “twinge” on left side with flexion and abduction

Shoulder PROM – Right only
Flexion: 109
Abduction: 83
ER: 20
All stiffness prior to pain; potential guarding