supraspinatus tear

[sweens]

The complainant did say he had no joint pain but did mention aching in the muscles surrounding the shoulder complex as well as some referred pain into the lower arm. This could be caused by inflammation in the joint granted, but it could indicate some active trigger pts not already assessed or found. Personally I would be surprised if there were none as he/she mentioned the injury is now 4-5 months old.

I just think ruling out all objective findings would be the way to go. My comments were based on the importance of a thorough subjective and objective assessment.

Sweens

[emad]

hi sweens ;

I think the issue of Trigger point therapy still needs research to support ,sometimes i see triggers as just sensitive neural areas/spots .Just my view .
As for this current shoulder case , i think practical assessing of this case is important ,because we can NOT assess the passive abduction if it is available or not to conclude the tear hypothesis ,because pain sometimes may be severe around shoulder that the motion could be thought of as paralysis or tear .

Cheers
Emad

[davidjack]

hi its high time u r going for MRI after 8 long months.its ok then, u said x-ray shows clavicle separation. ur symptoms & x-ray corelation shows u hav AC JOINT SEPARATION. just check with ur ortho surgeon to rule out it.
there r diff grades 1,2 ,3. urs may possibly maybe 2 r 3. even if its 2 r 3 dont worry it can be made alright.do reply after MRI result