Download presentation
Presentation is loading. Please wait.
Published byClifton Franklin Modified over 9 years ago
1
. Mr Lee Van Rensburg January 2014
2
. 6 week history Pain upper arm Rest 1-2/10 Occasion (stresses it) 4/10 Started after weekend gardening Desk top job Unable to play squash/ tennis Pain on putting on jacket Sleeping OK Rx Nothing (doesn’t like tablets)
3
. Supraspinatus tendonitis Subacromial bursitis Treatment EDUCATION Zone impingement Week end warrior Paint and decorate like professional Relative rest / time NSAID Physiotherapy Injection? Surgery ???
4
. 1 YR shoulder problems on and off Pain when plays sport exerts himself, radiating down arm Ache 4-5/10 No Pain killers Not affecting sleep, affects quality of life Rx Physio in past made no better
5
. Treatment Physiotherapy - ? had some Education Not 5 or 10 minutes Injection??? Surgery Open Arthroscopic
6
. GT-S Cambridge Shoulder Rotator Cuff Disease – subacromail decompression
7
. Pain in shoulder 2 yrs intermittent Limiting sleep Cant sleep on that side Works in warehouse struggling above shoulder height, no days off Played rugby in past Rx Physiotherapy Elastic bands – no better GP cortisone injection Side – sore no better
8
. Treatment Physiotherapy ????? Education (Normal) NSAID Injection Surgery Open Arthroscopic
9
. 6 month hx Pain and stiffness Pain slightly better following injection Swat fly grab cup severe stabbing pain Struggling above shoulder height Rx Injection (temporary) Physio – made it worse
10
. Treatment Phase Inflammatory Physiotherapy - relative rest, maintain ROM Injection Hydrodilatation Surgery – No Frozen Physiotherapy Injection ? Hydrodilatation Surgery Thawing phase Physiotherapy Injection ???? Hydrodilatation Surgery ?
11
. Stiffness and pain 2 yrs DIY enthusiast Occ affects sleep Rx Uses paracetamol Had injection Physio no difference Therabands – made it worse
12
. Dx Beware Dx frozen shoulder without XR Treatment Physiotherapy Maintain state of cuff Injection ??? Education Surgery Arthroscopic Open
13
. Manager, desk top work No sport / hobbies Pain upper arm Increasing 6 weeks Sleep – severe (9/10) Sudden movement 12/10 Physio Made worse
14
. Ix X ray MRI U/S Treatment Physiotherapy Analgesia Injection Needle barbotage Surgery Arthroscopic barbotage and washout
15
. Painter decorator Pain Arm, limiting activity above shoulder height Rest 4/10, Night 6/10 Sleep Weak above shoulder height Rx Physio no better Injection temporary 2 weeks Ultrasound tear in tendon
16
. Treatment Physiotherapy Education Injection?? Surgery Open Arthroscopic
17
.
18
. Pain arm 8 weeks Rest 4/10 Stresses it 8/10 Worse at Gym, Personal trainer Rx Deep massage Rest
19
. Ix X ray Os acromiale MRI Treatment Physiotherapy Balance cuff Injection ?? Surgery Open Arthroscopic
20
. Fall from tractor grabbed hand rail 2 weeks ago Sudden severe pain, could not move arm Rx Physio Pain better but still weak
21
. Ix ? X ray MRI/ U/S ?? Treatment Physiotherapy Maintain ROM Rehab remainder of cuff Injection ?????? Surgery Open Arthroscopic
22
.
Similar presentations
© 2025 SlidePlayer.com. Inc.
All rights reserved.