Question

54 yo M is evaluated for a 6 month hx of R shoulder pain. He describes the pain as moderately severe aching that is diffusely localized over the shoulder without radiation to the arm.Most appropriate management?

Answer 1

The most appropriate management for a 54-year-old male with chronic shoulder pain would be to evaluate for a musculoskeletal issue such as a rotator cuff tear with an orthopedists' assessment and to initiate physical therapy, which includes heat application, a structured exercise program, and icing for reducing inflammation.

Step-by-step explanation:

A 54-year-old male with a history of right shoulder pain that doesn't radiate to the arm likely has a musculoskeletal issue, possibly involving the rotator cuff or other supporting structures of the shoulder. Considering that the pain has been chronic for 6 months and is described as a moderately severe aching, an orthopedic evaluation and physical therapy are important steps in management. An orthopedist, especially one who sub-specializes in sports medicine, can assess for conditions such as rotator cuff tears, bursitis, tendonitis, or adhesive capsulitis (frozen shoulder). The physical therapist would initially assess the joint's functionality and range of motion. Following the examination, a treatment plan typically includes applying heat to promote healing, supervised exercises, and icing to reduce inflammation. Over time, this regimen aims to restore normal function and reduce pain.