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Orthopedic Conditions Case Study Patient Complaint: * Difficulty and pain moving left shoulder and neck. * Left arm swelling * Limited external range of motion of left shoulder * Pain rated as 6 out of 10 on a scale of 10 * Unable to reach behind her back * Difficulty raising left arm overhead Past Medical History: * Stage IV melanoma diagnosed in 1985 * Large tumor over left shoulder blade-surgically removed * Possible muscle tissue removed that stabilized the shoulder blade * Extensive skin grafting around left shoulder blade * Dissection of axillary lymph nodes Clinical Impression: * Postural changes in scapula and neck * Mild to moderate lymphedema of the left arm exacerbated by shoulder condition Treatment: * Manual physical therapy techniques to stretch left shoulder and loosen scar tissue * Exercise program to strengthen rotator cuff and shoulder blade stabilizing muscles * Temporary use of gradient compression sleeve worn on left arm Results: * Pain diminished to 0 on a scale of 10 * Posture and range of motion increased to normal * Swelling completely resolved * No complaints of discomfort while performing activities of daily living |
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