PT 529 Lecture Notes - Lecture 6: Cyclobenzaprine, Paresthesia, Nonsteroidal Anti-Inflammatory Drug

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Patient is a right hand dominant 56 year old male presenting to pt with right shoulder pain that has been present for the past 9 months, worsening over the last 5 months. The patient"s signs and symptoms are consistent with primary impingement with decreased shoulder range of motion, discomfort anteriorly near the long head of biceps tendon, and no paresthesia. The patient is in the remodeling stage of healing. His symptoms are described as a deep, dull ache that is intermittent and moderately irritable with provoking activities such as reaching overhead or behind his back. His pain level is currently 0/10 but reports worst pain as 7/10. Objectively, the patient has decreased active/passive range of motion of the glenohumeral joint, especially flexion and abduction, and decreased ability to perform adls. The patient has been unable to play tennis and has had difficulty sleeping due to pain. The patient has been able to continue working as an engineer.

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