Case 71 - Greg Lynch
Case 71 - Greg Lynch
In case 71 Mr. Greg Lynch joins us to present a 38 year old female cyclist with the complaint of right shoulder pain following a recent fall onto her shoulder while cycling. There is great discussion related to clinical decision-making on appropriateness for conservative care or referral to others including imaging. We also discuss active approaches to common orthopedic diagnoses versus more passive and protocol-oriented rehab. (1hr 6min 35sec)
Some of the topics discussed from Greg include:
Responses from the patient that might indicate initial loading might be best to remain mid-range as opposed to end-range
patient symptom behavior which might indicate that advanced imaging is appropriate
what additional concurrent condition could deter the clinician from being able to trust the symptom or mechanical response and therefore would need further medical work-up, and
ideas on matching the recovery of function to the patient’s specific goals