• Lian Yun-Perng, Physiotherapist

-Words have Medical Powers-


This is a new patient of mine, named Ms. X. X came to me for prehab of her Rt Sh (scheduled surgery in March), because it was diagnosed as a Rt Supraspinatus complex tear after consulting an orthopaedic.

History

Present MH: Her Rt Sh pain re-occurred as a result of a new bed she used about June 2015 and she decided to get her shoulder checked on Jan 2016 since it has been more painful.

Past Hx: She had a fall on her Rt Sh 5 years ago and her pain gradually improved as the years went by. She had a couple of corticosteroid jabs for her neck and that might have helped her Rt Sh pain as well.

SH: Rt handed, drinker, and used to swim but not very active

Objective Assessment

Rt Deltoid wasting noted.

Sh MMT: Equal B/L

SFMA: B/L MRE and LRF: min DN

Sh function: NAD

Analysis

During Rx, I taught X some general Sh stretches to keep it in good ROM. X was apprehensive and refused to cooperate. She explained that her tendon was torn and she was afraid that it might get worse. She told me she started being apprehensive after seeing the Dr in Jan 2016.

My thoughts for this case is this: The MRI scan or whatever the Dr said to her have made her apprehensive. Dr E calls this a Virus and I couldn’t agree more. I believe most healthcare professionals are trained to inform you on what’s wrong with your body.

In X’s case, she could function as normal as you and me. She could perform her ADLs with no problems at all. She even swam with her Sh in the same condition before she met the Dr. However, why was she apprehensive with the stretch I taught her? It was a simple door frame stretch for her Pecs.

So, words are powerful. Be careful with what you say!

Thanks for reading!

* Image credit

#Shoulder #Opinions #Reflection

Editor

Lian Yun-Perng  

UK Qualified Physiotherapist
Bachelor of Physiotherapy

Keele University, United Kingdom
Diploma in Physiotherapy

AIMST University, Malaysia

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