When you go to see your InnerStrength of Bayside Physiotherapist for your shoulder injury or pain, their assessment will be made up of the following parts.
- Patient interview/Subjective Assessment.
Your physiotherapy will ask you a lot of questions, which will help with making a diagnosis and in determining the best course of treatment and rehabilitation. These questions may include
- Your age: certain injuries are more common depending on your age.
- The location of the pain.
- What activities make the pain worse or better?
- Can you rate your pain levels out of ten (ten being the worst pain imaginable).
- How quickly does the pain get stirred up? How quickly does it settle?
- Did this pain come on suddenly or did it gradually worsen?
- Is there a history of trauma?
- Has there been any change in activity or work?
- Have you had any unexplained weight loss or night sweats?
- Do you have pins and needles in the arm or shoulder?
- Once your physio has asked all relevant questions he/she will then have a look at your shoulder.
- What is your range of movement like with elevation forwards & out to the side and rotation of the shoulder? When does the pain first come on?
- The Physio will also look at your passive range of motione. he/she will move your arm whilst you stay relaxed.
- The Physio will palpate/feel the painful area and the structures around the shoulder joint.
- Observe the posture of the shoulder, especially the shoulder blade/scapula.
- How strong is your shoulder? Does pain limit the strength tests? Is there a difference between right and left shoulders?
- Special tests: These test specific areas of the shoulder and if you test positive to several of the tests it can help form a diagnosis such as impingement of rotator cuff pathology.
- If your pain is related to exercise or a specific activity, your Physio may do a functional assessment such as looking at your shoulder posture during running or swimming.
Depending on the severity of your injury, your Physio may prefer to trial a rehabilitation program for several weeks before ordering an MRI, Ultrasound or X-Ray. This is because a lot of asymptomatic people have pathology on imaging such as MRI or Ultrasound, so having a scan may not provide any more information or change the course of treatment.
If however there is a history of trauma, you are a competitive sports person or your Physio suspects a significant injury where surgery may be indicated, a scan will be ordered early.
If you would like to book a Shoulder Assessment with an InnerStrength of Bayside Physiotherapist please call 8555 4099.