Page 16 - 2021 IDMT Digital
P. 16

SUBACROMIAL IMPINGEMENT SYNDROME
          Introduction:
            •  7KLV SUREOHP RFFXUV ZKHQ WKHUH LV PHFKDQLFDO LQIODPPDWLRQ LQ WKH VXEDFURPLDO VSDFH
            •  &DXVHV RI LPSLQJHPHQW V\QGURPH FDQ EH UHODWHG WR PXVFOH VWUHQJWK LPEDODQFHV  SRRU
               VFDSXOD FRQWURO  URWDWRU FXII WHDUV  DQG VXEDFURPLDO ERQH VSXUV
          Subjective:
            •  6LJQV DQG 6\PSWRPV
                 o  3DLQ ZLWK RYHUKHDG PRWLRQ
                 o  1RFWXUQDO SDLQ ZKHQ VOHHSLQJ RQ VKRXOGHU
                 o  3DLQ ZLWK LQWHUQDO URWDWLRQ
                 o  ,QVWDELOLW\
                 o  5HGXFHG 520
                 o  :HDNQHVV
            •  )RFXVHG +LVWRU\
                 o  +DQG GRPLQDQFH
                 o  +LVWRU\ RI LQMXU\
                 o  +LVWRU\ RI WKURZLQJ RU UDFNHW VSRUWV
                 o  2FFXSDWLRQ
          Objective:
            •  3K\VLFDO ([DP
                 o  $WURSK\ LQ WKH LQIUDVSLQDWXV VXSUDVSLQDWXV IRVVD
                 o  7HQGHUQHVV WR SDOSDWLRQ RYHU WKH DQWHURODWHUDO VKRXOGHU
                 o  5HGXFHG 520
                 o  ³5ROOHG IRUZDUG´ VKRXOGHU SRVWXUH
                 o  3RVLWLYH 1HHU DQG +DZNLQV WHVWV
            •  7RROV
                 o  ; UD\V DUH OLNHO\ QRW QHHGHG XQOHVV WUDXPD LV LQYROYHG
          Assessment:
            •  'LIIHUHQWLDO
                 o  5RWDWRU FXII SDWKRORJ\  JURVV ZHDNQHVV DQG KLVWRU\ RI LQMXU\
                 o  %LFHSV WHQGRQLWLV  WHQGHUQHVV WR SDOSDWLRQ RYHU ELFHSV WHQGRQ
                 o  7UDXPD  KLVWRU\
                 o  $& MRLQW DUWKULWLV  LI SDLQ RYHU $& MRLQW DQG ZLWK FURVV ERG\ DGGXFWLRQ
          Plan:
            •  *HQWOH VWUHWFKLQJ WKURXJKRXW 520 ZLWKRXW SDLQ
            •  5,&(
            •  16$,'V
            •  If certified in Battlefield Acupuncture (BFA) and with preceptor concurrence, consider
               administering up to 10 treatment sessions as an alternative to NSAIDs as long as
               there is clinical benefit and no worsening of the patient’s condition















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