shoulder pain

[clarett]

Hi

I'm treating a man in his sixties with unusual pain pattern. He has a 2 week history of pain inside the right shoulder that feels like scratching or like he's being clawed. No trauma - sudden onset. Only gets the pain with movement - no diurnal pattern.
The triggers for his pain are: approx. 20 extn with 20 abd (active and passive), scapular retraction (active and passive) and resisted abduction in neutral. He has very slight weakness of lat and medial rotation and abduction but nothing significant.
Cx spine and A-C joint are fine
No pain on palpation.

The right scapular is lower than the left and downwardly rotated. With repositioning of the scapula there is no pain on resisted abduction but still pain on retraction and extension with abduction. So I'm guessing that there are 2 concurrent problems - one the scapula postioning. And I'm wondering about the other.

Could it be instability?

You're suggestions would be welcome - both for what it could be and treatment options.
Thanks

Similar Threads:

• Physio for Neck, Shoulder Blade and Shoulder/Arm pain
• Left shoulder pain, left side lumbar pain, one shoulder lower than the other? I'm a mess help!
• and internal rotation mainly hand behind back,otherwise no pain with ADL ,FROM shoulder joint,Can anyone suggest possible treatment or cause of pain?thx t
• Shoulder Pain
• Dull deep hip pain?and shoulder blade stabbing pain?

[clarett]

Hi

Just to let you know that the problem was anterior instability and is improving