Clinical Presentation & Protocol
Patient Usually Complains Of
Patient presents with chronic, progressive shoulder pain, exacerbated by overhead activities and reaching behind the back. Reports nocturnal pain when lying on the affected side. No history of acute trauma.
Clinical Examination Findings
Patient is in no acute distress. Vitals stable. General musculoskeletal survey reveals no systemic signs of inflammatory arthritis or systemic illness.
Treatment Protocol
Conservative management initiated: activity modification, NSAIDs, and a structured physical therapy program focusing on rotator cuff strengthening and scapular stabilization. Corticosteroid injection discussed as a secondary option.