AMSSM Home
AMSSM On FaceBook AMSSM On Twitter AMSSM On Linkedin
 

Not Your Bread And Butter Shoulder Pain - Page #1
 

Author: Fouad Sayde, MD
Co Author #1: Fouad Sayde, MD (Primary Author/Presenter)
Co Author #2: Eric Makhni, MD

Patient Presentation:
50 year old healthy male presents with right shoulder pain. Symptoms began 2 months ago, after a gym workout where he tried a new machine (chest fly). Three days later, started having achy right shoulder pain located in the lateral and superior shoulder. Pain was nonradiating. 2/10 at rest; 7/10 with activity (worse with bench press, overhead activities, and sleeping on affected shoulder); 8/10 at night. No neck pain, radicular symptoms, paresthesia, numbness, or tingling. Continued to go to the gym but reports associated shoulder weakness with overhead lifting. Ibuprofen provides moderate pain relief. Saw his PCP one month ago who prescribed Medrol dose pack, which relieved pain but not weakness.

History:
PMH: none <br>PSH: left shoulder arthroscopy (2010) <br>Allergies: none <br>Meds: Ibuprofen 600 mg PRN

Physical Exam:
BP 103/63, HR 71, BMI 27 <br> <br>Neck: Full ROM; no tenderness; negative Spurling <br> <br>Right Shoulder: <br>Inspection- no deformities, swelling, or erythema <br>ROM- FF 170/170, abduction 170, ER 45 (left 45), IR T10 (left T9) <br>Neers positive <br>Hawkins positive <br>Cross body negative <br>Obrien negative <br>Speeds negative <br>Strength: Supraspinatus 4+/5; Infraspinatus 4+/5; Subscap 5/5; Champagne toast 4/5; Belly press, liftoff, and lag signs negative; Deltoid 3 heads intact and 5/5 <br>Sensation intact in axillary, radial, median, and ulnar distribution <br>Distal pulses intact

Click here to continue. Challenge yourself by writing down a broad differential diagnosis before moving to the next slide.

NOTE: For more information, please contact the AMSSM, 4000 W. 114th Street, Suite 100, Leawood, KS 66211 (913) 327-1415.
 

UPCOMING EVENTS



_________________________________

11/19-11/22/2026
2026 AMSSM/OHSU Introductory &/or Diagnostic/Interventional Sports US Course

_________________________________

12/04-12/06/2026
2026 Advanced Team Physician Course

_________________________________

4/16-4/21/2027
2027 AMSSM Annual Meeting

FIND A SPORTS DOC

Please enter a search term relevant to the search type. For US States - use only letter abbreviations.

Choose Search Type

Zip Code: 

 Choose Search Radius: 

© The American Medical Society for Sports Medicine
4000 W. 114th Street, Suite 100
Leawood, KS 66211
Phone: 913.327.1415


Website created by the computer geek