Acute Pain and Loss of Shoulder Movement - How to go about? An Evidenced Analysis

Abstract

Acute pain in shoulder, loss of active shoulder movement, in a diabetic, hyperlipidemia, endomorph subject gives risk to a variety of clinical conditions as under lying cause to be identified and treated with medication. As many associated conditions such as vertebrobasilar insufficiency, atherosclerosis, cervical myelopathy could be contra indications to many physiotherapy modalities such as traction and manual therapy procedures. 48 year old diabetic women, post hysterectomy, hyper lipedemia suddenly complaining of acute pain with total loss of ability to use right shoulder limiting her daily activities and her quality of life, were discussed. This study with due scientific evidence on importance of multidisciplinary care, using analytical assessment, arriving at proper diagnosis and treatment followed by specific physiotherapy were highlighted. As orthopaedic and neurologic advice on investigations, evaluation with due medication, physiotherapeutic rehabilitation were carried with reasonable recovery in couple of months period later. The results were discussed on Numerical pain rating scale and her subjective shoulder function scores. Due clinical decision making skills, early intervention by other health care experts enable proper, timely health care delivery with team work was the core of this research.