Clinical Presentation & Protocol
Patient Usually Complains Of
Patient presents with chronic, progressive left shoulder pain localized to the glenohumeral joint. Symptoms are exacerbated by overhead activity, reaching, and internal rotation. Patient reports morning stiffness lasting <30 minutes, mechanical symptoms including crepitus, and progressive loss of range of motion. Conservative measures including NSAIDs and activity modification have provided minimal relief.
Clinical Examination Findings
Inspection of the left shoulder reveals atrophy of the supraspinatus and infraspinatus fossae. Palpation demonstrates tenderness over the glenohumeral joint line and anterior aspect. Range of motion is significantly restricted in both active and passive planes, particularly abduction and external rotation. Crepitus is palpable upon passive circumduction. Neurovascular status is intact distally.
Treatment Protocol
Plan includes initiation of physical therapy focusing on range of motion and periscapular strengthening. Recommended activity modification to avoid provocative overhead maneuvers. Prescribed NSAIDs for symptom management. Discussed potential for intra-articular corticosteroid or viscosupplementation injection if symptoms persist.