Chief Complaint: Right shoulder pain in LI-15 area
Western Diagnosis: X ray confirms calcium deposit on anterior aspect of humerus, between heads of biceps brachii tendons.
Medical History: 41 y.o. female, attorney. First noticed the pain about two years ago while in a stressful court trial. Multiple Sclerosis diagnosed at age 19. Auto accident five years ago with subsequent back pain. Smokes cigarettes, drinks alcohol moderately, and acknowledges that she is overweight and doesn’t exercise enough. Diet consisted of a lot of business lunches eaten hurriedly while reading stacks of legal briefs. At present,the pain is a constant dull ache which occasional sharp stabbing sensations which make her feel nauseous. She has tried massage and chiropractic and is trying acupuncture as a last resort to surgery to remove the calcium deposit.
Chief Complaint: Shoulder pain and reduced ROM
Western Diagnosis: Diabetes Mellitus, Hypertension, Shoulder pain
Medical History: 69 yr old lady, sedentary, average American diet, slightly obese, mentally and socially well adapted. On Beta blocker, lasix, glucophage, and human insulin.
Questioning exam: Patient reported that she’d like to be off all her medications and would like to be able to used her shoulders which had gradually deteriorated over a period of 1 year.
Pulse exam: Crepitis in shoulders with very restricted active ROM, and pain elicited on passive ROM study. Pulse Wide, slippery, firm and forceful.