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Suggest Treatment For Severe Shoulder Pain
Question: 48 M, Civil Pilot complains of Right Shoulder Pain for the past 1 year and he was diagnosed with Supraspinatous Tendonitis. No History of Trauma. Conservatively managed. Untill 3 months back pain aggrevated.
After repeated visits to an Othropedic Surgeon - was managed on physiotherapy and oral medications. But did not get any relief.
MRI - Suggesitive of Adhesive Capsulitits
ROM Right Shoulder -
Flexion - 130
Extension - 40
Abduction - 90
Adduction - 55
No muscular atrophy noted.
After repeated visits and conservative management with an orthopedic surgeon and Avaition Medics - was declared UNFIT for Flying permanantly.
Kindly comment if the patient is Permanantly Medically Unfit or Tempoarary Medically Unfit.
After repeated visits to an Othropedic Surgeon - was managed on physiotherapy and oral medications. But did not get any relief.
MRI - Suggesitive of Adhesive Capsulitits
ROM Right Shoulder -
Flexion - 130
Extension - 40
Abduction - 90
Adduction - 55
No muscular atrophy noted.
After repeated visits and conservative management with an orthopedic surgeon and Avaition Medics - was declared UNFIT for Flying permanantly.
Kindly comment if the patient is Permanantly Medically Unfit or Tempoarary Medically Unfit.
Brief Answer:
Temporary unfit.
Detailed Answer:
Hello,
Thanks for posting your query.
In my opinion patient is temporary unfit, adhesive capsulitis can treated by arthroscopic surgery and after physiotherapy he will regain full range of movement without pain.
I hope this answers your query.
In case you have additional questions or doubts, you can forward them to me, and I shall be glad to help you out.
Wishing you good health.
Regards.
Dr. Praveen Tayal.
For future query, you can directly approach me through my profile URL http://bit.ly/Dr-Praveen-Tayal
Temporary unfit.
Detailed Answer:
Hello,
Thanks for posting your query.
In my opinion patient is temporary unfit, adhesive capsulitis can treated by arthroscopic surgery and after physiotherapy he will regain full range of movement without pain.
I hope this answers your query.
In case you have additional questions or doubts, you can forward them to me, and I shall be glad to help you out.
Wishing you good health.
Regards.
Dr. Praveen Tayal.
For future query, you can directly approach me through my profile URL http://bit.ly/Dr-Praveen-Tayal
Above answer was peer-reviewed by :
Dr. Priyanka G Raj
Dear Sir,
Thank you for your revert.
We would like to inform you that Patient was under continuous Physiotherapy for 1 year and the last MRI report suggestive of - Mild Acromio-clavicular Arthropathy seen with Minimal Fluid Along subcromial Subdeltoid Bursa and Mild thickening of inferior glenohumeral Ligament - Concern for Adhesive Capsulitis.
Kindly suggest can this be considered as per Permanent disability.
Thank you for your revert.
We would like to inform you that Patient was under continuous Physiotherapy for 1 year and the last MRI report suggestive of - Mild Acromio-clavicular Arthropathy seen with Minimal Fluid Along subcromial Subdeltoid Bursa and Mild thickening of inferior glenohumeral Ligament - Concern for Adhesive Capsulitis.
Kindly suggest can this be considered as per Permanent disability.
Brief Answer:
Can be a temporary disability if treated properly.
Detailed Answer:
Hello.
Thanks for writing again.
The findings of MRI scan are suggestive of chronic inflammation with mild degenerative changes. These can revert back with proper treatment and arthroscopic surgery. If aggressive treatment is done then it can become a temporary disability. However some degenerative changes may persist and lead to a permanent disability. It depends on the response of the patient to the treatment given.
Hope my answer is helpful.
Do accept my answer in case there are no further queries.
Regards.
Can be a temporary disability if treated properly.
Detailed Answer:
Hello.
Thanks for writing again.
The findings of MRI scan are suggestive of chronic inflammation with mild degenerative changes. These can revert back with proper treatment and arthroscopic surgery. If aggressive treatment is done then it can become a temporary disability. However some degenerative changes may persist and lead to a permanent disability. It depends on the response of the patient to the treatment given.
Hope my answer is helpful.
Do accept my answer in case there are no further queries.
Regards.
Note: For further queries, consult a joint and bone specialist, an Orthopaedic surgeon. Book a Call now.
Above answer was peer-reviewed by :
Dr. Veerisetty Shyamkumar
Answered by
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