Clinical Presentation & Protocol
Patient Usually Complains Of
Insidious onset of anterolateral shoulder pain, radiating down the deltoid. Exacerbated by overhead activities, reaching behind the back, and lifting. Classic severe nocturnal pain (inability to sleep on affected side). Progressive weakness in abduction.
Clinical Examination Findings
Holds the affected arm close to the torso to avoid provocative arcs.
Treatment Protocol
1. Meloxicam 15mg daily. 2. PT focusing strictly on periscapular stabilizers and avoiding overhead lifting. 3. Subacromial Corticosteroid Injection administered. 4. Ordered MRI Shoulder (non-contrast) to evaluate tendon retraction and tear size.