Author: Fouad Sayde, MD
Co Author #1: Fouad Sayde, MD (Primary Author/Presenter)
Co Author #2: Eric Makhni, MD
Editor: Tricia Beatty-Webner, DO
50 year old healthy male presents with right shoulder pain. Symptoms began 2 months ago, after a gym workout where he tried a new machine (chest fly). Three days later, started having achy right shoulder pain located in the lateral and superior shoulder. Pain was nonradiating. 2/10 at rest; 7/10 with activity (worse with bench press, overhead activities, and sleeping on affected shoulder); 8/10 at night. No neck pain, radicular symptoms, paresthesia, numbness, or tingling. Continued to go to the gym but reports associated shoulder weakness with overhead lifting. Ibuprofen provides moderate pain relief. Saw his PCP one month ago who prescribed Medrol dose pack, which relieved pain but not weakness.
PSH: left shoulder arthroscopy (2010)
Meds: Ibuprofen 600 mg PRN
BP 103/63, HR 71, BMI 27
Neck: Full ROM; no tenderness; negative Spurling
Inspection- no deformities, swelling, or erythema
ROM- FF 170/170, abduction 170, ER 45 (left 45), IR T10 (left T9)
Cross body negative
Strength: Supraspinatus 4+/5; Infraspinatus 4+/5; Subscap 5/5; Champagne toast 4/5; Belly press, liftoff, and lag signs negative; Deltoid 3 heads intact and 5/5
Sensation intact in axillary, radial, median, and ulnar distribution
Distal pulses intact
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