Final answer:
Bilateral shoulder girdle stiffness and ashiness in patients over 50 may indicate conditions like osteoarthritis or polymyalgia rheumatica, which are evaluated through medical history, examination, and tests.
Step-by-step explanation:
The term 'bilateral shoulder girdle stiffness and ashiness' in a patient over 50 years old may refer to several conditions such as osteoarthritis, rotator cuff tendinopathy, or polymyalgia rheumatica. These conditions are characterized by stiffness, aching and often pain in the shoulder region, and may become more common with advancing age. In such a case, it's important to evaluate the patient's medical history conduct a physical examination, and potentially order imaging or lab tests to determine the underlying cause and appropriate treatment.
In the provided patient case, the mention of bilateral shoulder girdle stiffness is of interest as this may be an additional symptom or a separate condition that needs to be addressed by the healthcare team alongside the already diagnosed issues. Due to the complexity, management often involves a multidisciplinary approach with medications for pain and inflammation, physical therapy, and sometimes surgical interventions.