case # 5 or 7

Diagnosing and Treating Biceps TendonitisAuthor
Institution
Diagnosing and Treating Biceps TendonitisWhat would 3 history questions you ask to help you get more information about her injury and presentation?
It is essential to find out from the patient whether the pain is constant or it increases when there is activity in the affected body part.
It is also prudent to inquire whether the pain radiates down the hand towards the elbow and wrist. Also, it helps if the patient tells you whether the pain is on the front of the shoulder ADDIN CSL_CITATION { “citationItems” : [ { “id” : “ITEM-1”, “itemData” : { “ISSN” : “00107069”, “abstract” : “Pain associated with tendinopathy is usually of insidious onset and corresponds with increased activity. Patients with bursitis typically have constant pain. Decreased range of motion may be present with either condition. Physical maneuvers that promote tendon loading and reproduce the patient’s pain (eg, the Jobe test) support the diagnosis of a tendinopathy. Further evaluation for infection or crystal-associated disease, such as gout or pseudogout, may be necessary in parents with bursitis, especially if signs of inflammation are accompanied by effusion. Conservative treatment is a suitable initial approach for most types of tendinopathy and bursitis. Reserve corticosteroid injections for patients who do not respond to conservative therapy.”, “author” : [ { “dropping-particle” : “”, “family” : “Patel”, “given” : “Nina H.”, “non-dropping-particle” : “”, “parse-names” : false, “suffix” : “” }, { “dropping-particle” : “”, “family” : “Holman”, “given” : “John R.

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Does the patient experience shoulder joint weakness especially when lifting loads and reaching for things above?
List 3 evaluation methods would you use to determine the cause of her pain/dysfunction?
The medical practitioner can make an accurate diagnosis of the problem by first asking the patient some history questions on the condition.
Secondly, the physical therapist performs a physical exam on the shoulder and surrounding body parts and noting the patient’s responses to the touch.
Finally, MRI scans and X-Ray are utilized to pinpoint precisely the extent of the condition and its location.
Create answers to the above items. What is your conclusion based on the information you have and have created, about the case?
From the current case, it is evident that the patient exercises the shoulder muscle vigorously on a regular basis, it is also evident that she has increased the intensity of the exercises which have resulted in her shoulder pain. The pain was not present before so it is safe to assume that her pain is because of Biceps Tendinitis due to the abrupt increase in the intensity of the swimming exercises.
What would you recommend she do for the 3-5 days after you complete the evaluation?
After the evaluation, it is advisable that the patient rests the muscles by avoiding the swimming exercises.
Therapy that involves the application of ice for about ten minutes twice an hour on the affected muscles and joints follows. This process is repeated without failing for the next 3 to 5 days until the patient notices some relief.

References
ADDIN Mendeley Bibliography CSL_BIBLIOGRAPHY Patel, N. H., & Holman, J. R. (2008). Overuse injury: Is it tendonitis or bursitis? Consultant, 48(4), 314–320.