I had an elderly pt this week who was complaining of pain down her mid-shaft of humerus. Although she had reduction in shoulder and elbow movement, she had no pain in the shoulder and nil TOP of any shoulder tendons. As the Ax went on the only think that was troubling her was severe pain in the mid-distal arm which was not in the distribution of deltoid referred pain. As a result i was rather stumped and thought it could be something more sinister cause her descriptions made it sound more like specific bone pain. ANYWAY as i turned out it was adhesive capsulitis of the shoulder and the pain was just wierdly referred....
In hindsight I think I was too cuaght up in DX the pts problems rather than just looking at the pt's symptoms and trying to fix them. Just wondering if anyone else has had this problem (ie looking completely baffeled infront of a pt) OR do you do what oprah says and fake it till you make it??
Cheers,
Nicki
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Boulder Physio
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